What to do with urinary tract infections in men? Causes, symptoms and modern treatment
Men can also suffer from urinary tract infections (UTIs) – especially in older age or with prostate problems. However, the symptoms are often underestimated or misinterpreted. In this article, you will find out how to recognize an infection at an early stage, what causes it and what targeted treatment looks like.
What types of urinary tract infections are there in men?
UTI includes various diseases of the urinary tract. The most important are
1. inflammation of the bladder (cystitis):
- Inflammation of the bladder mucosa
- Most common form of UTI
2. inflammation of the urethra (urethritis):
- Mostly sexually transmitted
- Itching, burning, discharge possible
3. inflammation of the renal pelvis (pyelonephritis):
- Serious infection of the upper urinary tract
- May require hospitalization
4. prostatitis:
- Inflammation of the prostate
- Often associated with HWI
What are the typical symptoms of a urinary tract infection in men?
The symptoms can vary depending on the location, but common signs include
- Burning sensation when urinating
- Frequent urge to urinate, even at night
- Pain in the lower abdomen or perineum
- Cloudy, foul-smelling urine
- Fever and chills in severe cases
Caution: Particularly in older men or after prostate surgery, a UTI can also manifest itself with non-specific symptoms such as weakness or confusion.
What causes urinary tract infections in men?
Male UTIs are often more complex than in women and often have the following backgrounds:
- Enlarged prostate: residual urine formation promotes bacterial growth
- Bladder emptying disorders: e.g. due to diabetes or nerve damage
- Urethral constriction (stricture)
- Catheterization: increases the risk of infection
- Sexually transmitted infections (STI)
Risk factor
Description
Prostate enlargement (BPH)
Blocks complete bladder emptying
Diabetes mellitus
Weakens the immune system
Catheter or urinary retention
Bacteria can penetrate more easily
Venereal diseases
STIs can infect the urinary tract
Age & weakened immune system
Increased risk from the age of 60
How is the diagnosis made by a urologist?
The diagnosis depends on the symptoms and typically includes
- Urine examination: test strips (leukocytes, nitrite), microscopy
- Urine culture: determination of the exact pathogen & resistance tests
- Blood test: In case of fever & suspected kidney involvement
- Ultrasound: assessment of the bladder, kidneys and prostate
- Cystoscopy: For repeated infections to clarify constrictions
What treatment options are available?
The therapy depends on the severity and cause of the infection:
Acute uncomplicated UTI:
- Short-term antibiotic therapy after pathogen detection
Complicated HWI:
- Prolonged administration of antibiotics, possibly as an inpatient
- Treatment of the underlying disease (e.g. BPH)
Supplementary useful:
- Drink plenty of fluids (2-3 liters daily)
- Heat applications
- Anti-inflammatory painkillers (e.g. ibuprofen)
For recurring infections:
- Immune-strengthening measures
- Long-term prophylaxis (e.g. herbal preparations, D-mannose)
- Anti-inflammatory painkillers (e.g. ibuprofen)
How can I prevent urinary tract infections?
Prevention is particularly important for men with prostate problems or diabetes:
Practical tips:
- Regular and complete urination
- Drink enough
- Intimate hygiene (do not overdo it, but do it regularly)
- Change underwear daily
- Condom protection for changing partners
- Bladder emptying after sex
Conclusion: take urinary tract infections seriously - take targeted action
A urinary tract infection in men is not a trivial problem. If symptoms are recognized and treated early, complications and secondary diseases can be avoided. With the right diagnosis and treatment, most infections can be brought under control quickly and sustainably.
The medical information provided on this website is for general information purposes only and does not replace a personal consultation with our doctors. As a tertiary medical center, we are also available for second opinions.
About the author
Jörg Hagen, doctor
The author Jörg Hagen has been the medical director of UGRS International Germany since 1995 and has over 30 years of experience in penis enlargement and complex urological issues. He is regarded as one of the leading experts in the interests of patients in Europe. His international activities, excellent diagnostics and legal successes in patient rights make his assessments particularly well-founded. Patients appreciate his scientifically based, discreet and trustworthy care. His articles are based on many years of practice and well-founded information at the highest level.
© Copyright Jörg Hagen
This content is for general information purposes only and does not constitute medical advice, diagnosis or treatment recommendations. It is in no way a substitute for a professional examination or treatment by a licensed physician. If you have any health complaints or uncertainties, please always consult a medical professional – especially if you have any questions about intimate surgery or sexual health.
