At Beacon Clinic in North Idaho,Dr. Ian Udell and our urology team provides expert care for a wide range of conditions. One common malady suffered by both men and women is a urinary tract infection (UTI). UTIs are more common in women, but they can and do occur in men, especially as they age. When they do, they may signal an underlying issue that requires medical attention.
Understanding the symptoms, causes, and treatment options for UTIs can help you recognize problems early and get the care you need before a UTI can develop into a more serious problem.
What Is a Urinary Tract Infection?
A urinary tract infection occurs when bacteria enter and begin to multiply in the urinary system, which includes the urethra, bladder, ureters, and kidneys. Most UTIs affect the lower urinary tract (the bladder and urethra), but infections may spread to the kidneys if left untreated.
UTIs are less common in men and therefore fewer men are used to experiencing them; consequently, many men do not always recognize when they have one. UTIs in men are also considered more complicated, and diagnosing and treating one can require a thorough evaluation by a urologist.
Common Symptoms of UTIs in Men
Symptoms can vary depending on the location and severity of the infection, but common signs include:
- A burning sensation during urination
- Frequent or urgent need to urinate
- Difficulty starting urination
- Cloudy, dark, or foul-smelling urine
- Blood in the urine
- Pain in the lower abdomen or pelvic area
In older men, UTIs may present with these typical symptoms, but may also be indicated by more subtle or atypical symptoms such as fatigue, confusion, agitation, or even a sudden decline in overall function. Because symptoms can be less clear in older adults, any noticeable change in urinary habits or mental status should prompt medical evaluation.
If men experience these symptoms and they persist for a day or more, it is important for them to consult a healthcare professional. UTIs will not go away on their own; they must be treated.
If the infection is not treated promptly, the infection can spread further into the urinary system, leading to kidney infection, permanent kidney damage, or even sepsis. Symptoms of a more serious problem developing include:
- Fever and chills
- Back or side pain
- Nausea or vomiting
The presence of these symptoms accompanied by a UTI requires prompt medical attention.
What Causes UTIs in Men?
UTIs are typically caused by bacteria — most commonly E. coli — that enter the urinary tract. E. Coli bacteria is always present in the body, primarily in the lower intestines; the problem arises when the bacteria enters the urinary tract. In men, infections are often linked to underlying conditions that interfere with normal urine flow or bladder emptying.
Common causes and risk factors include:
- Enlarged Prostate (BPH): An enlarged prostate can block or slow the flow of urine, allowing bacteria to grow in the bladder. This is one of the most common causes of UTIs in older men.
- Urinary Retention: When the bladder doesn’t empty completely, leftover urine can become a breeding ground for bacteria.
- Kidney Stones: Stones can obstruct the urinary tract and trap bacteria, increasing infection risk.
- Catheter Use: Men who require urinary catheters are at higher risk of infection due to direct access for bacteria.
- Weakened Immune System: Conditions such as diabetes or chronic illness can make it harder for the body to fight off infections.
- Sexual Activity or Poor Hygiene: Though a less common cause of UTIs than for women, men can still get a UTI from bacteria entering the urinary tract through sexual activity or inadequate hygiene.
How UTIs in Men Are Diagnosed
At Beacon Clinic, we take a comprehensive approach to diagnosing UTIs. This typically includes:
- A urine test to detect bacteria, blood, or inflammation
- A review of your symptoms and medical history
- Additional tests such as imaging or prostate evaluation if recurrent infections occur
Because UTIs in men may indicate an underlying condition, identifying the root cause is an important part of care.
Treatment Options
- Antibiotics: The primary treatment for UTIs is a course of antibiotics to eliminate the infection. It’s important to take the full course as prescribed, even if symptoms improve quickly. Patients who fail to take the full course may not eliminate all the bacteria, which can lead to a recurrence of the infection with bacteria that have developed resistance to antibiotics.
- Hydration: Drinking plenty of water helps flush bacteria from the urinary system and supports recovery.
- Managing Underlying Conditions: If an enlarged prostate, kidney stones, or another issue is contributing to infections, treating that condition is key to preventing recurrence.
- Pain Relief: Over-the-counter or prescription medications may be recommended to ease discomfort during urination.
Preventing Future UTIs
While not all infections can be prevented, there are several steps men can take that will reduce their risk of developing a UTI:
- Stay well hydrated by drinking plenty of water daily; cranberry juice has also been shown to be beneficial.
- Empty your bladder completely when urinating.
- Practice good hygiene.
- Manage chronic conditions such as diabetes.
- Seek treatment for urinary symptoms early.
For men with recurrent UTIs, your urologist may recommend additional preventive strategies tailored to your needs.
Beacon Clinic: Expert Care for Urologic Health
Symptoms of urinary problems can be uncomfortable and sometimes embarrassing, but they often indicate health issues that need your attention. The experienced urology team at Beacon Clinic is here to provide timely diagnosis, effective treatment, and long-term solutions to protect your urinary health.
If you’re experiencing symptoms of a urinary tract infection, or if you’ve already experienced multiple infections, it’s important to seek medical evaluation. Early treatment can prevent complications and help identify any underlying issues that can be addressed.
Contact Beacon Clinic today to schedule an appointment with our urology team. We’re here to help you find relief, restore comfort, and maintain your health with confidence.
