Urinary Tract Infections (UTIs) in Men

UTI in Men Symptoms

• A high temperature or feeling hot and shivery  
• Blood in your pee  
• Lower tummy pain or pain in your back, just under the ribs  
• Needing to pee suddenly or more urgently than usual  
• Pee that looks cloudy or is very strong-smelling 
• Needing to pee more often than usual during the night (nocturia)  
• Pain or a burning sensation when peeing (dysuria)  
• Needing to pee more often than usual  
• A very low temperature below 36C 

Men with urinary tract infections may experience a range of symptoms. Some common indicators include discomfort during urination, an increased urgency to urinate, or discolored urine. If the infection extends to the kidneys, symptoms might involve back or side pain and fever.

These signs suggest investigating potential treatments. Medical advice is often necessary for managing symptoms and preventing complications.

Factors Contributing to UTIs in Men

• Anatomical abnormalities of the urinary tract
• Urinary retention or incomplete bladder emptying
• Use of urinary catheters
• Enlarged prostate (benign prostatic hyperplasia)
• Sexual activity, particularly with multiple partners
• Poor hygiene practices
• Weakened immune system or chronic illnesses (e.g., diabetes)
• History of urinary tract infections
• Dehydration or insufficient fluid intake
• Certain medications that affect the urinary tract
• Age-related changes in the urinary system
• Exposure to irritants, such as soaps or hygiene products

Urinary tract infections in men can stem from a variety of causes. One common factor is the presence of sexually transmitted diseases such as chlamydia and gonorrhea. These infections can lead to urinary tract complications, particularly in younger men.

Another contributing factor is prostate issues. An enlarged prostate, medically termed benign prostatic hyperplasia (BPH), can obstruct urine flow, which increases the likelihood of bacterial growth, leading to a UTI. Prostatitis, an inflammation of the prostate, can exhibit symptoms similar to those of a urinary tract infection and may contribute to an increased risk of UTIs.

Certain medical conditions also play a significant role. Diabetes and other diseases that compromise the immune system can raise susceptibility to UTIs. Similarly, kidney stones can obstruct urinary pathways, causing urine buildup and providing bacteria with a breeding ground, thus increasing infection risk.

Catheter use is another potential source of infection. Catheters facilitate urination in individuals unable to do so naturally, such as those who are hospitalized, paralyzed, or dealing with specific neurological conditions. While necessary for these situations, catheters are known to elevate the risk of UTIs.

Recent medical procedures on the urinary tract, such as surgeries or intensive examinations, can also make one more susceptible to infections. These procedures might introduce or irritate bacteria into the urinary system, increasing infection risk.

Lifestyle factors, like dehydration, may also contribute. Insufficient fluid intake can lead to less frequent urination, creating conditions that favor bacterial proliferation. Additionally, individuals who have experienced previous UTIs are often at a higher risk for future infections, as their immune response to past infections might lead to ongoing inflammation.

An overactive bladder (OAB) is a condition where a person feels a sudden, uncontrollable urge to urinate, often leading to frequent urination or urgent incontinence. OAB can share similar causes with erectile dysfunction (ED)  such and could co-exist as abdominal trauma, nerve damage, obesity, or substance abuse, which are also common contributors to an UTI in men.

It’s important to note that UTIs may also contribute to ED, and it’s not unusual for both conditions to coexist. Urinary tract issues, including prostate problems or infections, can signal deeper health concerns.

If your ED isn’t related to a UTI, we can assist with our STUD Protocol for Men’s Sexual Health and shockwave therapy. If a UTI is the underlying cause, we can guide you through managing both conditions.

Diagnosing UTI in Men

Healthcare professionals start by asking about symptoms and sexual history, as sexual activity can influence the likelihood of UTIs. Urine analysis is typically conducted to confirm the presence of an infection. If complications involving the prostate are suspected, a prostate examination may be recommended.

Occasionally, imaging tests such as X-rays or ultrasounds provide additional insights into the urinary tract for more complex cases. These steps help in accurately diagnosing urinary tract infections in men.

Remedies for Men with UTIs

Antibiotics are commonly prescribed to combat urinary tract infections (UTIs) in men. The choice of medication often depends on the part of the urinary system affected and the specific bacteria involved. Patients typically begin antibiotic treatment even before lab results confirm the bacterial type, although prescriptions might be adjusted once more information is available.

A short course of antibiotics, usually about a week, is frequently sufficient for infections in the lower urinary tract. In contrast, infections that have spread to the upper urinary tract may require more extended antibiotic treatment, lasting up to two weeks.

In severe illness, hospitalization may be necessary to administer antibiotics intravenously, ensuring effective management of the condition.

UTI Complications in Men

Untreated lower urinary tract infections have the potential to extend into the kidneys, leading to more severe health issues. While kidney infections are typically manageable with medical intervention, there is a rare chance they may result in chronic kidney issues or organ failure. Such infections can also escalate into sepsis, a severe bloodstream condition. 

Hospitalization might be necessary for individuals exhibiting severe symptoms.

Reducing the Risk of an UTI in Men

Using Protection: Wearing a condom during intercourse can reduce the risk of sexually transmitted diseases, which are linked to urinary tract infections.

Managing Prostate Health: Addressing prostate issues may also decrease the likelihood of UTIs.

Hydration and Hygiene: Drinking fluids and washing hands after using the restroom are crucial. Also, empty the bladder regularly to prevent bacterial buildup.

Clothing Choices: Opting for loose-fitting garments and cotton underwear can benefit those prone to frequent infections.