UTIs: Why They’re Not Just a Woman’s Problem

When most people think of urinary tract infections (UTIs), they often associate them with women—and for a good reason. Women are more prone to UTIs due to their shorter urethras, which makes it easier for bacteria to enter the urinary tract. However, UTIs are not exclusive to women. Men can and do get UTIs, and when they do, the condition can be more complicated and, in some cases, more serious. Here’s what men need to know about UTIs, from symptoms and causes to treatment and prevention.

What Is a UTI?
A urinary tract infection occurs when bacteria enter the urinary tract and multiply, leading to an infection. The urinary tract includes the kidneys, ureters, bladder, and urethra. In men, UTIs often affect the lower urinary tract—the bladder and urethra—but can also involve the prostate or kidneys in more severe cases.

Symptoms of UTIs in Men
UTI symptoms in men can be similar to those in women, but there are some key differences to be aware of:

  • A strong, persistent urge to urinate
  • A burning sensation or pain during urination
  • Frequent urination with only small amounts of urine passed
  • Cloudy, dark, or foul-smelling urine
  • Blood in the urine
  • Pain in the lower abdomen, pelvis, or lower back
  • Fever and chills (which may indicate a kidney or prostate infection)

If you experience any of these symptoms, it’s important to see a healthcare provider promptly. Delaying treatment can lead to more serious complications, such as kidney infections or sepsis.

Causes of UTIs in Men
While UTIs are less common in men, certain factors can increase the risk:

  1. Urinary Obstruction: Conditions like kidney stones or an enlarged prostate can block the flow of urine, creating an environment where bacteria can thrive.
  2. Catheter Use: Men who use urinary catheters are at a higher risk of developing UTIs.
  3. Unprotected Sex: Engaging in unprotected sexual activity can introduce bacteria into the urinary tract.
  4. Poor Hygiene: Inadequate personal hygiene can increase the risk of bacterial infections.
  5. Underlying Health Conditions: Diabetes and other conditions that affect the immune system can make men more susceptible to infections.
  6. Age: Older men are more likely to develop UTIs, particularly if they have prostate issues.

Complications of UTIs in Men
UTIs in men are often considered more serious than those in women because they are frequently associated with underlying health issues. If left untreated, a UTI can lead to:

  • Prostatitis: Infection of the prostate gland, causing pain, fever, and urinary problems.
  • Kidney Infections: Bacteria can spread from the bladder to the kidneys, leading to more severe infections.
  • Sepsis: A life-threatening condition that occurs when the infection spreads to the bloodstream.

Diagnosis and Treatment
If you suspect you have a UTI, a healthcare provider will typically:

  • Conduct a Urinalysis: A urine sample is analyzed for signs of infection, such as bacteria, white blood cells, or blood.
  • Order Urine Culture: This helps identify the specific bacteria causing the infection and determines the most effective antibiotic.
  • Perform Imaging Tests: In some cases, imaging studies like ultrasounds or CT scans may be needed to identify obstructions or abnormalities in the urinary tract.

Treatment for UTIs in men usually involves a course of antibiotics. It’s important to complete the full course, even if symptoms improve, to ensure the infection is fully cleared. In more severe cases, hospitalization and intravenous antibiotics may be necessary.

Preventing UTIs in Men
While not all UTIs can be prevented, certain lifestyle changes can reduce the risk:

  1. Practice Good Hygiene: Regularly wash the genital area and always wipe from front to back after using the toilet.
  2. Stay Hydrated: Drinking plenty of water helps flush bacteria out of the urinary tract.
  3. Urinate Regularly: Don’t hold in urine for extended periods; empty your bladder completely when you go.
  4. Practice Safe Sex: Use condoms to reduce the risk of introducing bacteria into the urinary tract.
  5. Manage Chronic Health Conditions: Keep conditions like diabetes under control to reduce the risk of infections.

When to See a Urologist
If you experience recurrent UTIs, severe symptoms, or complications like kidney infections, it’s important to consult a urologist. They can conduct further tests to identify underlying causes and recommend specialized treatment.

Final Thoughts
UTIs aren’t just a woman’s problem—they can affect men of all ages, and when they do, the consequences can be more serious. Recognizing the symptoms early, seeking prompt treatment, and taking preventive measures can help manage and reduce the risk of UTIs. If you’re experiencing symptoms or have concerns about your urinary health, don’t hesitate to consult a healthcare provider for expert guidance and care. We recommend urologist Brooklyn for a professional experience.