What Is A Urinary Tract Infection In Men
Urinary tract infections involve the parts of the body the kidneys, ureters, bladder and urethra that produce urine and carry it out of the body. Urinary tract infections often are classified into two types based on their location in the urinary tract:
- Lower tract infections These include cystitis and urethritis . Lower urinary tract infections commonly are caused by intestinal bacteria, which enter and contaminate the urinary tract from below, usually by spreading from the skin to the urethra and then to the bladder. Urethritis also may be caused by microorganisms that are transmitted through sexual contact, including gonorrhea and Chlamydia. Another form of male urinary infection is prostatitis which is an inflammation of the prostate.
- Upper tract infections These involve the ureters and kidneys and include pyelonephritis . Upper tract infections often occur because bacteria have traveled upward in the urinary tract from the bladder to the kidney or because bacteria carried in the bloodstream have collected in the kidney.
Symptoms Of Utis In Men
The symptoms of a UTI can depend on whether it’s in the upper tract or lower tract. Most UTIs in men happen in the lower tract, which includes the bladder, prostate, or urethra, says Dr. Sloane.
Per Mayo Clinic and Keck Medicine of USC, men who get a lower UTI in their bladder or urethra usually have symptoms like:
- Burning sensation when you pee
- Pain when you pee
Symptoms Of Uti Vs Std In Males
Having sex vaginal, oral, or anal increases your risk of a sexually transmitted disease or infection, notes the Mayo Clinic. While many sexually transmitted infections have no signs or symptoms, others can mimic signs and symptoms of a UTI.
Chlamydia and gonorrhea, for instance, are caused by bacteria that can infect the genital tract. Like UTIs, these STDs can cause pain or a burning sensation during urination.
Though theres little data in men, STDs are commonly misdiagnosed as UTIs in women, according to a study published in 2015 in the Journal of Clinical Microbiology. Talk to your doctor if you think theres a possibility you could have an STD. Bacterial STDs, such as chlamydia and gonorrhea, can be treated with antibiotics.
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Causes Of Lower Urinary Tract Infection
The lower urinary tract consists of the bladder and urethra. The skin around your urethra may have bacteria, such as Escherichia Coli, gonococcus, and Chlamydia trachomatis, which can easily enter the urethra and infect it. Urination usually flushes these bacteria out, but in some cases, they can still persist and cause an inflammation of the urethra, which is known as urethritis.45 If the actual cause of urethritis cannot be determined it is known as non-specific urethritis.
Bladder infection, cystitis, is caused when bacteria reach the bladder through the urethra.6 They stick to the tread-like structures of the bladder and cause them to get irritated and inflamed. In most of the cases, it is caused by the bacteria E. Coli, but you may get cystitis as a result of the use of certain drugs, sexual intercourse, radiation, and hypersensitivity.
Treatment Of Urinary Tract Infection
The usual treatment for a urinary tract infection is a course of antibiotics. Pain medication may be prescribed, but often self-care at home is enough to keep symptoms under control. Heat packs and over-the-counter pain medications may be helpful, along with keeping well-hydrated. Usually the symptoms will begin to subside within a few days on antibiotics, though it is important to take the full course as prescribed. In cases of severe infection, intravenous antibiotics may need to be administered.
Recurring infections require investigation and treatment of the cause. A doctor may perform blood and imaging tests to determine what else might be going on. Often those with recurring urinary tract infections can be treated with a longer term course of antibiotics. For recurring infections that are caused by a physical abnormality, surgery may be required. This is less common, and most patients do not require surgery.
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How Do Men Get Utis
In men the urethral opening is at the end of the penis a longer distance from the bladder than in women. Secretions from the prostate gland can also kill bacteria, so the frequency of a urinary tract infection is not as high.
But in men, kidney stones and enlarged prostates are common. Both of these can cause a urinary tract infection.
When men have an enlarged prostate, residual urine can stay in the bladder and collect bacteria, Dr. Bajic says. The enlarged prostate presses on the urethra and blocks urine flow so the bladder doesnt completely empty. This increases the chances of bacterial growth that can lead to a UTI.
Dr. Bajic says kidney stones can act as a sponge for bacteria. Even if the urinary tract infection clears up, the stones can act as a reservoir for bacteria to come back and create another infection, he adds. Sometimes the stones need to be removed to prevent infections from returning.
Acute bacterial prostatitis a prostate infection is another less common cause. This can be life threatening if not treated right away.
Men at higher risk include those who:
- Struggle with kidney stones.
- Participate in anal intercourse without condoms.
Causes And Symptoms Of A Uti
Many people refer to a UTI as a bladder infection, but you can get an infection anywhere along your urinary tract. That includes your:
- Bladder the sac that holds your urine.
- Urethra the tube that carries urine out of your body from your bladder.
- Ureters 2 tubes that send urine from your kidneys to your bladder.
- Kidneys the organs that filter your blood and remove wastes that become urine.
Most of the time, a UTI affects your bladder. It happens when bacteria enter your urethra and settle in your bladder. Once bacteria start to grow, they cause symptoms like:
- Pain or burning when you urinate.
- Urine thats cloudy, pink from blood, or has an odor.
- Feeling like you have to urinate frequently, even though your bladder is empty.
- Pressure or cramping in your lower abdomen.
A kidney infection is a less common UTI, but its more serious. With a kidney infection, your symptoms might include:
- A fever.
Other Ways To Prevent Recurring Utis
If you have more than 3 UTIs in 1 year, or 2 UTIs in 6 months, there are other things that may help prevent UTIs.
There is some evidence that women under 65 years old who keep getting UTIs may find it helpful to take:
- a supplement called D-mannose this is not recommended for pregnant women
- cranberry products, such as juice or tablets
Speak to your doctor before taking any of these during pregnancy.
Be aware that D-mannose and cranberry products can contain a lot of sugar.
Page last reviewed: 18 November 2020 Next review due: 18 November 2023
Urine Infection In Men
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Most urine infections are caused by germs which come from your own bowel. They cause no harm in your bowel but can cause infection if they get into other parts of your body. Some bacteria lie around your back passage after you pass a stool . These bacteria sometimes travel to the tube which passes urine from your bladder and into your bladder. Some bacteria thrive in urine and multiply quickly to cause infection.
A urine infection is often called a urinary tract infection by doctors. When the infection is just in the bladder and urethra, this is called a lower UTI. If it travels up to affect one or both kidneys as well then it is called an upper UTI. This can be more serious than lower UTIs, as the kidneys can become damaged by the infection.
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In other cases the infection occurs for no apparent reason. There is no problem with the bladder, kidney, prostate gland, or defence system that can be identified.
In the average adult patient there should be a urine output of: 0.5-1 ml/kg/hr. This means that an average 70 kg man should produce 35-70 mls an hour.
Urine output decreases in older patients and the target urine output should be 0.25-0.5 ml/kg/hr. This means that a 70 kg man who is aged over 65 years should produce 17.5-35mls per hour.
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Uti In Men: Symptoms Causes Treatment & Prevention
Though urinary tract infections are more common in women, they can also occur in men.
In this article, Ill describe the two main types of UTIs in men as well as their symptoms and potential causes. Ill also review how doctors diagnose and treat UTIs in men. Finally, Ill address who is most at risk for getting a UTI, how it can affect older adults and children differently, and which behaviors may help prevent a UTI.
In most cases, UTIs are easy to treat, but they do not go away on their own. Knowing how to recognize the symptoms of a UTI will help you determine when its important to see a healthcare professional for treatment.
How To Help Your Loved One Avoid Utis
We dont have enough research to support their effectiveness in UTI prevention, although their medical benefits cant be ruled out completely, says Dr. Goldman.
Instead, he recommends these tried-and-true prevention strategies:
- Encourage sufficient fluid intake
- Promote genital and urinary hygiene
- Ask the doctor about low-dose vaginal cream for postmenopausal women
Dr. Goldman says researchers are also studying D-Mannose for UTI prevention. The supplement, which has few side effects, sticks to bladder receptors that normally attract the E. coli bacteria usually responsible for UTIs.
Researchers also believe D-Mannose may keep bad bacteria from colonizing the digestive tract, which can harbor the bacteria responsible for UTIs in women.
Following these tips should help your aging relative stay healthy, productive and out of the hospital.
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Can Men Get Utis From Women
Men can get UTIs from women during sex, by getting the bacteria from a woman with the infection. However, this is unlikely.
Typically, the infection arises from bacteria that are already present in the mans body.
A doctor can diagnose a UTI by carrying out a physical examination, taking a medical history, and through laboratory tests.
The doctor may perform a physical examination that includes:
- checking the vital signs
- checking the abdomen, bladder area, sides, and back for pain or swelling
- examining the genitals
The doctor may ask if the person has had other UTIs in the past, or a family history of UTIs.
They may also question the person about their symptoms.
Laboratory tests are required to diagnose the infection as the symptoms of a UTI can be common to other diseases.
A urine sample is usually needed to look for the presence of pus and the bacteria causing the infection.
Men may be asked to give a urine sample. A man will need to start the urine stream to clean the urethra, and then collect a midstream sample in a cup. As bacteria multiply quickly at room temperature, this urine sample is either sent to the laboratory immediately or kept refrigerated until later.
The doctor may also ask for a urine test strip, also known as a urine dipstick test. This is a quick test in which a plastic or paper ribbon is dipped into the urine sample and then removed. If the person has a UTI, the ribbon will turn a particular color.
Treatments For Urinary Tract Infections In Men
How do you treat a male UTI? The main mode of treatment for male UTIs is antibiotics, usually delivered over the course of one week or more. Your doctor may also prescribe medication that numbs your bladder and urethra to relieve painful, burning urination. The most common medications prescribed for urinary tract infections in men include:
In recent years, doctors have also begun to prescribe a class of drugs called quinolones. These drugs include:
How long does a UTI last in males? Urinary tract infections should be cured within a couple days of the treatment, assuming the infection is not caused by an obstruction or a separate disorder. Always make sure you take the full course of the prescribed medication to ensure elimination of remaining bacteria. The full course often lasts for over a week.
Doctors will prescribe longer term treatment for patients who show signs of prostate or kidney infections and patients with diabetes or structural abnormalities. Doctors also recommend longer treatments for men who have urinary tract infections as a result of mycoplasma or chlamydia. These are often treated with doxycycline, tetracycline, or a mix of trimethoprim and sulfamethoxazole.
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When To Call A Professional
If you are approaching age 50, call your doctor if you notice any of the following: a decrease in the force of your urine stream, difficulty in beginning urination, dribbling after you urinate, or a feeling that your bladder isn’t totally empty after you finish urinating. These could be symptoms of an enlarged prostate, a problem that can be treated effectively before it triggers a urinary tract infection.
Symptoms Of Urinary Tract Infection
Patients with urinary tract infections often have a burning sensation during urination. This is typically accompanied by an intense urge to urinate that wont go away, along with frequent trips to the bathroom which only result in a small amount of urine being passed. Urine may appear cloudy or have blood mixed in, giving it a pink to brownish color. Sufferers of a urinary tract infection may exhibit flu-like symptoms such as fever, fatigue, and body chills.
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How Are Urinary Tract Infections Diagnosed
Your doctor will use the following tests to diagnose a urinary tract infection:
- Urinalysis: This test will examine the urine for red blood cells, white blood cells and bacteria. The number of white and red blood cells found in your urine can actually indicate an infection.
- Urine culture: A urine culture is used to determine the type of bacteria in your urine. This is an important test because it helps determine the appropriate treatment.
If your infection does not respond to treatment or if you keep getting infections over and over again, your doctor may use the following tests to examine your urinary tract for disease or injury:
- Ultrasound: In this test, sound waves create an image of the internal organs. This test is done on top of your skin, is painless and doesnt typically need any preparation.
- Cystoscopy: This test uses a special instrument fitted with a lens and a light source to see inside the bladder from the urethra.
- CT scan: Another imaging test, a CT scan is a type of X-ray that takes cross sections of the body . This test is much more precise than typical X-rays.
Common Causes Of Utis In Men
Inactive lifestyle and unhygienic conditions An inactive and unhygienic lifestyle is a major cause of urinary tract infection in m. If a man does not clean the penis properly, dirt and dead cells tend to develop under the foreskin. It may ultimately cause harmful bacterial growth to reach the male urinary tract and result in urinary tract infection. Therefore, uncircumcised males are at higher risk of getting a UTI. Especially, uncircumcised males with a tight foreskin that cannot be retracted easily come in contact with a urinary tract infection.
Bowel incontinence and urinary tract infections- There are high chances for a male to catch a UTI if he is already dealing with fecal or bowel incontinence. The frequent leakage of the fecal matter can cause harmful bacteria to reach the urinary tract fast. Also, its a fact that males with bowel incontinence are 3 times more at the risk of developing urinary tract infections.
Drinking less water If a man does not drink enough water every day, he becomes more prone to a urinary tract infection. Drinking 7-8 glasses of water everyday flush out harmful bacteria out of the body. Hence, drinking less water can be a major cause of UTI in men.
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Why Do Women Get Urinary Tract Infections More Often Than Men
Women tend to get urinary tract infections more often than men because bacteria can reach the bladder more easily in women. The urethra is shorter in women than in men, so bacteria have a shorter distance to travel.
The urethra is located near the rectum in women. Bacteria from the rectum can easily travel up the urethra and cause infections. Bacteria from the rectum is more likely to get into the urethra if you wipe from back to front after a bowel movement. Be sure to teach children how to wipe correctly.
Having sex may also cause urinary tract infections in women because bacteria can be pushed into the urethra. Using a diaphragm can lead to infections because diaphragms push against the urethra and make it harder to completely empty your bladder. The urine that stays in the bladder is more likely to grow bacteria and cause infections.
Frequent urinary tract infections may be caused by changes in the bacteria in the vagina. Antibacterial vaginal douches, spermicides, and certain oral antibiotics may cause changes in vaginal bacteria. Avoid using these items, if possible. Menopause can also cause changes in vaginal bacteria that increase your risk for urinary tract infection. Taking estrogen usually corrects this problem but may not be for everyone.