Urinary Tract Infections in Men: Symptoms, Diagnosis, and Treatment

Though women are usually the ones plagued with irritating urinary tract infection (UTI) symptoms, men can develop UTIs, too. And the older a man is, the greater his risk for getting one.

By Lindsey KonkelMedically Reviewed by Igor Kagan, MD

Reviewed: April 27, 2023

Medically Reviewed

Twelve percent of men will experience symptoms of at least one UTI during their lives.iStock; Everyday Health

While urinary tract infections are common in women, with at least 40 to 60 percent of women developing a UTI during their lives, according to the National Institute of Diabetes and Digestive and Kidney Diseases (1), men are not immune to these often troublesome and potentially dangerous infections.

According to the American Urological Association, 12 percent of men will have symptoms of at least one UTI during their lives. (2) And while urinary tract infections are rare in young men, the risk of infection increases as they age: UTIs become more common in men older than 50. (3)

Women are at greater risk for urinary tract infections simply due to their anatomy: The bacteria that normally live in the pelvic region — and the major cause of this type of infection — don’t have to travel far to infect the bladder. (1)

Conversely, the male anatomy can help keep this type of infection at bay. “The longer urethra in men makes it more difficult for bacteria to travel backward that far without being washed out or killed by the immune system,” explains Landon Trost, MD, a urologist at the Male Fertility and Peyronie’s Clinic in Orem, Utah.

Factors That Put Men at Risk for UTIs

Besides age, there are additional factors that put you at a greater risk for getting a UTI if you’re a man, including: (1,4)

• An enlarged prostate gland
• Kidney stones
• Diabetes
• Bladder catheter insertion
• Any health condition that affects the immune system
• Unprotected anal intercourse

Recognizing UTI Symptoms in Men

A urinary tract infection usually entails inflammation of the bladder (cystitis) and can also involve an infection of the lower or upper urinary tract, and — in more serious cases — the kidneys. Common UTI symptoms include: (1)

• Frequent urination
• A strong, constant urge to urinate
• Releasing only small amounts of urine at a time
• Cloudy, bloody, or bad-smelling urine
• Suprapubic (lower abdominal) pain
• Burning or pain during urination

Any of these symptoms accompanied by lower back pain, fever, nausea, or chills could indicate a kidney infection — a serious problem that needs prompt treatment.

However, not every man, woman, or child who gets a UTI has typical UTI symptoms, but most do exhibit at least one or more signs of infection. And when men do get UTIs, their symptoms are generally not too different from those that women experience. While a UTI diagnosis technically requires you to be symptomatic, you can have asymptomatic bacteriuria — essentially, a UTI without symptoms — for which treatment is rarely indicated, according to research.

RELATED: The Link Between UTIs and Sex: Causes and How to Prevent Them

How UTIs in Men Are Diagnosed

A urinary tract infection occurs when bacteria (or, less commonly, a virus or even a fungus) enters the urinary tract. In fact, according to the National Kidney Foundation, one particular bacteria, E. coli, causes 80 to 90 percent of all UTI cases. (5)

Diagnosing a urinary tract infection in men is initially the same as it is for women, consisting of a urine culture. But because a UTI in a man is often considered complicated, according to Dr. Trost, additional testing is usually necessary to determine why he got a UTI.

“This typically includes not only a urinary culture to confirm an infection, but also a special study to evaluate how much urine he leaves behind after urinating, and an imaging study, such as a CT [computerized tomography] scan, to evaluate for kidney stones or other anatomic abnormalities that may be causing this,” he explains.

If a man has recurrent infections or infections with the same organism, or UTI-like symptoms without a positive urine culture, then further testing may be necessary.

Any man who suspects he may have a UTI should see his doctor right away so that he can begin treatment as soon as possible.

RELATED: Vegetarian Diet Linked to Lowered Risk Of Urinary Tract Infection

How Urinary Tract Infections Are Treated in Men

Whether an infection affects a man or a woman, the treatment is the same: a round of antibiotics to kill the bacteria and get rid of UTI symptoms. (1) For an uncomplicated infection, a woman typically needs to take an antibiotic for one to three days. For men, a longer course of at least seven days of antibiotics is required, says Trost.

How to Prevent Urinary Tract Infections in Men

Younger men can’t do too much in terms of preventing a UTI, according to Trost. But older men can take a few steps to lower their risk. “One of the best defense mechanisms against UTIs is to completely empty the bladder every time you urinate,” says urologist Howard B. Goldman MD, a urologist at the Cleveland Clinic in Ohio.

It’s also important to drink lots of fluids, especially water, every day. If you already have a UTI, drinking plenty of fluids can help push the bacteria out of the urinary tract — and in some very mild UTI cases, that could be enough to treat it. (1) But if you notice any of the signs of a UTI, it’s still very important to head to your doctor for a diagnosis and treatment recommendation.

Without proper UTI treatment, the infection can quickly spread and become a serious — and sometimes even fatal — threat. So don’t brush off symptoms like frequent urination or a burning sensation when you urinate, and don’t assume that you can’t get a UTI just because you’re a man. It’s important that you get these symptoms checked out promptly, too.

Symptoms of UTI vs. STD in Males

Having sex — vaginal, oral, or anal — increases your risk of a sexually transmitted disease or infection. (6) While many sexually transmitted infections have no signs or symptoms, others can mimic the 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. (6)

Though there’s little data in men, STDs are commonly misdiagnosed as UTIs in women, according to a study published in 2015. (7) Talk to your doctor if you think there’s a possibility you could have an STD. Bacterial STDs, such as chlamydia and gonorrhea, can be treated with antibiotics.

Additional reporting by Barbara Kean, Diana Rodriguez.

Editorial Sources and Fact-Checking

1. Definition and Facts of Bladder Infection in Adults. National Institute of Diabetes and Digestive and Kidney Diseases. March 2017.
2. What Is a Urinary Tract Infection (UTI) in Adults? American Urological Association. November 2022.
3. Urinary Tract Infection in Men. Harvard Health Publishing. December 5, 2022.
4. Jamil RT, Foris LA, Snowden J. Proteus Mirabilis Infections. StatPearls. October 25, 2022.
5. Urinary Tract Infections [PDF]. National Kidney Foundation. 2010.
6. Sexually Transmitted Disease (STD) Symptoms. Mayo Clinic. May 5, 2022.
7. Tomas ME, Getman D, Donskey CJ, Hecker MT. Overdiagnosis of Urinary Tract Infection and Underdiagnosis of Sexually Transmitted Infection in Adult Women Presenting to an Emergency Department. Journal of Clinical Microbiology. July 20, 2015.

Additional Sources

• FAQs About “Catheter-Associated Urinary Tract Infection.” [PDF] Centers for Disease Control and Prevention.
• Crader MF, Kharsa A, Leslie SW. Bacteriuria. StatPearls. November 28, 2022.

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Urinary tract infection (UTI) in men: Symptoms, causes, and treatment

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A urinary tract infection (UTI) is a bacterial infection in the urinary system. UTIs usually affect females, but males can also develop them. They often stem from a sexually transmitted infection (STI) and need treatment with antibiotics.

Most UTIs affect the bladder and the urethra, which is the tube that drains urine from the bladder to outside the body. However, it can affect any part of the urinary system, including the kidneys and ureters.

Although a UTI is one of the most common infections in women, it is rare in men. UTIs are estimated to affect around 3 percent of men worldwide each year. This means that most men will have never had a UTI, especially if they are young.

When a UTI develops in men, it is usually considered complicated and more likely to spread to the kidneys and upper urinary tract. Some cases may even require surgery. We learn more about this condition, including its symptoms and treatment options, in this article.

A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.

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Share on PinterestA frequent urge to urinate is one of the symptoms of a UTI.

Men with UTIs may have no signs or symptoms of the infection. However, when symptoms do occur, they can include:

• pain during urination
• frequent urge to urinate
• inability to start urinating
• a slow urine stream or urine leakage
• a sudden need to urinate
• the release of only small amounts of urine at a time
• blood in urine
• pain in the central lower part of the abdomen
• cloudy urine with a strong odor

Men with complicated UTIs can also experience one or more of the following symptoms:

• fever
• chills
• nausea
• vomiting
• back pain

These symptoms are signs that the disease has spread to the kidneys or the upper urinary tract. An infection that has spread here is a more serious problem that requires prompt treatment.

For more research-backed information and resources for men’s health, please visit our dedicated hub.

Was this helpful?

UTIs are caused by bacteria. Older men have a higher risk of having a UTI, especially if they are after the age of 50. Most cases in older men are caused by the bacterium known as Escherichia coli, which is naturally present in the body.

Cases similar to UTIs in younger men are typically caused by sexually transmitted infections (STIs).

A UTI develops when the bacterium gets into the urinary tract through the urethra and starts multiplying.

As men have longer urethras than women, they are less prone to UTIs because bacteria need to travel a longer distance to reach the bladder.

UTIs are four times more common in women than in men.

A person’s risk of developing a UTI increases if they have:

• diabetes
• kidney stones
• an enlarged prostate
• an abnormal narrowing of the urethra
• an inability to voluntarily control urination
• an inability to empty the bladder completely
• not drunk enough liquids
• not been circumcised
• a past diagnosis of a UTI
• urinary tract abnormalities that prevent urine from leaving the body normally or cause urine to back up in the urethra
• had anal intercourse, which can expose the urethra to bacteria
• a health condition or taking medication that suppresses the immune system
• had a procedure involving instrumentation on the urinary tract

Examples of these procedures include the insertion of a tube to drain the bladder, or a small camera, known as a cystoscopy, to examine the bladder and urethra.

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 man’s body.

Share on PinterestA physician may carry out a urine dipstick test to identify a UTI.

A doctor can diagnose a UTI by carrying out a physical examination, taking a medical history, and through laboratory tests.

Physical examination

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

Medical history

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

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.

To obtain the best results for this test, the doctor will probably request that a person does it first thing in the morning.

Other medical exams

For people with a history of kidney stones, diabetes, polycystic kidneys, or tuberculosis, the doctor may also require imaging exams.

UTIs in men are usually complicated and require treatment.

The goal of treatment is to prevent the infection from spreading to the kidneys or the upper urinary tract.

The type of treatment used depends on the cause of the infection. Treatment plans usually include antibiotic medications to kill the bacteria and drugs to reduce the person’s symptoms, including those of pain and burning while urinating.

The duration of treatment can vary between 3 days and 6 weeks, depending on complicating factors, though a minimum of 7 days is usually warranted.

Prescription medications

Medication prescribed by a doctor may include:

• antibiotics, such as nitrofurantoin (Macrobid), fluoroquinolones, trimethoprim-sulfamethoxazole (Bactrim), fosfomycin, or aminoglycosides
• medications to reduce the fever
• medications to reduce or eliminate pain, including urinary analgesics such as phenazopyridine

Those with more complicated infections may require surgery. This can involve either draining areas of the urinary tract that are causing the infection, or removing inflamed areas of tissue.

In addition to treatment from doctors, the following home remedies may help with treating an infection:

• Drinking plenty of liquids, especially water. This is important to stimulate urination and flush the bacteria from the body.
• Drinking cranberry juice. Although it is not scientifically proven that cranberry juice is effective against UTIs, it contains substances that make it difficult for bacteria to stay in the urinary tract, helping to flush it out. Cranberry juice is available for purchase online.

Share on PinterestNot drinking sufficient liquids raises the risk of a urinary tract infection.

Men can take a series of actions to reduce the risk of getting a UTI, such as:

• emptying the bladder often
• drinking plenty of liquids, especially water
• carefully cleaning the area under the foreskin after showering if not circumcised
• carefully cleaning the genitals before and after sex, to remove bacteria
• cleaning from front to back when toileting
• wearing condoms during sex. Condoms are available for purchase online.
• urinating after sex, to remove any bacteria that might have been passed during intercourse

UTIs are rare in adult men. This is mainly due to the longer length of the male urethra, and because the antibacterial properties of prostatic fluid prevent bacteria from growing. The incidence of the infection increases with age.

The clinical symptoms of UTIs in men are similar to women and include painful, urgent, and frequent urination.

UTIs in men are usually complicated and warrant at least 7 days of antibiotic treatment to prevent complications.

Men value smiles, women value shoes

Komsomolskaya Pravda

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House. FamilyRelationshipsMAN AND WOMAN

Anna GERASIMENKO

February 24, 2015 16:00

When they first see each other, what do men and women pay attention to?

Photo: GLOBAL LOOK PRESS

Women absolutely know that men love with their eyes. So they behave accordingly: they desperately bare their knees even in cold weather and strike on the spot with a deep, like a swoon, neckline. After all, men, according to women’s magazines, it is these parts of the female body that suggest borscht and other happiness in marriage.

But scientists (first, of course, British, and then American from the University of Boston) studied the gentle male soul and found out where they really look. The conclusions are not exactly sensational, but give some food for thought.

Comments leader of the public movement “Frivolnaya Rossiya” Alexander Monogamov.

1. Optimism is our everything

British scientists have proved that a smiling woman seems much more attractive to a man than a mysterious or fatal one. With a smile, a woman, as it were, sends a signal: “I am happy! I’m an optimist”. And the man is not a fool, why does he need a depressive bore? Smiling women are easier to deal with, everyone subconsciously knows this (psychologists would probably have turned down the fact that mothers smiled at men in childhood with a gentle “uti-way”, since then they have been looking for a smiling mother in a woman). And with a smiling woman, a man feels more confident.

A.M.: – Sometimes a smile is such that even a not very experienced man understands: a woman, sorry for the harshness, is just stupid. So here, too, it is important not to overdo it.

2. Those eyes are the opposite…

Yes, yes, jokes aside! According to statistics, 70 percent of men first of all look a woman in the eye, and then evaluate everything else. Try to meet his gaze for a few seconds and catch on (at this time, also smile, to be sure), and you have every chance of continuing the “banquet”.

A.M.: – Women often confuse similar concepts – “eyes” and “look”. Eyes can be anything – brown, blue, green. But any man who is sure that he loves only blue-eyed beauties can fall head over heels into a green-eyed one if he reads what he needs in her eyes. Therefore, we learn to move our eyes, squint slyly, etc.

3. Curls curl, curls curl . ..

Curls, styling, masks from raw eggs and black bread – we don’t try in vain, girls! It is very important for men that a lady has beautiful, well-groomed hair. Perhydrol washcloth in the tail will not strike even the most unassuming. And men also love it when their hair is long, soft and smells good. Option with gel-cemented styling “Don’t touch, what are you!” hardly like the strong half of humanity.

A.M.: – And then there are women who wear their hair in a crew cut and look insanely sexy. Hairstyle should suit you. Hair length is not the key.

4. Size doesn’t matter

You women are lucky, you can see women’s breasts at any moment, jealous of Joey’s girlfriends from Friends. But, according to a study by scientists, men look at the chest after the eyes and smile (of course, provided that your perches do not fall out of the neckline). Men convince that the size is not the main thing and in general the chest is not a decisive plus, so we continue to smile!

A. M.: – Chest – exactly what a decisive plus, let’s be frank. Other things being equal (look, smile), a woman with beautiful breasts will win. The chest is not a decisive factor, so it will be more accurate. An ugly woman with large breasts is still an ugly woman, albeit with large breasts.

5. Fake woman

Do you remember how upset Richard Gere’s character in Pretty Woman was when he discovered that Julia Roberts was wearing a wig? Dyed hair, false eyelashes, acrylic nails, silicone lips? He will definitely notice! For many men, unnaturalness speaks of high expectations and expensive “service”. Despite the fact that false eyelashes can make the look more expressive, the very fact that they are not real scares away (imagine, a man wakes up in the morning, and there are eyelashes lying on the pillow and a pair of nails – brr).

A.M.: – Do false eyelashes scare men away? Oh, I’m begging you. You just don’t take them off in front of me. With silicone, everything is simple – it is a question of the skill of the surgeon. Poorly done – no smile will help. And what kind of smile with such inflatable mouths?

6. Ah, legs – fortunately, the roads!

Most men are attracted to long, slender legs. By the way, gentlemen see not only the length of the legs! The modern macho will appreciate the smoothness of the skin, and, of course, a pedicure (this may not be at the first meeting).

A.M.: – Leg length is good. The smoothness of the skin is also good. But there are also beautiful calves, thin ankles … I generally keep quiet about the hips. But this, as the young author of the text notes, “perhaps not at the first meeting.”

7. Leather – velvet!

Scientists have proved more than once that smooth skin is an indicator of a woman’s health, and for a man it is important even on a subconscious level (after all, obeying the call of ancestors, a man chooses a mother for his future children). So do not forget about cleansing, creams, never sleep with makeup on your face, get enough sleep – and no stress!

A. M.: – Golden words, you can’t fault it.

8. Meet by clothes

Statistics say that 80 percent of men love it when a woman is dressed like Charlotte from Sex and the City – feminine classics – skirts, shirts, dresses, pumps. Men do not approve of too revealing outfits. And do not forget to choose the right toilet water. Men hate it when a woman smells strongly of perfume, like in a perfume shop.

A.M.: – It’s hard to guess with clothes. I personally think that plaid shirts kill a woman’s beauty, and someone might like it. Candid outfits will not frighten us (we don’t mean leopard leggings with a pink top by this term?) But about perfumes – the true truth, be careful with smells. Especially the ones that don’t suit you.

BTW

Women notice an engagement ring and shoes

British psychologists have found out what women look at when evaluating a man. It turned out that a real lady needs six looks:

1 look into the eyes.

2nd look – clothes and the presence of a wedding ring.

3rd look – hairstyle.

4 look – hands.

5 look – shoes.

6 look – gait and gestures.

But these are British ladies! But a study by scientists in Boston showed that American women first look at the lips of a man, and then at the buttocks.

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What do loving men call women – types of nicknames him instead of a name. In successful relationships, it can last until old age. As a man calls you, he refers to you – is this true?

In this article:

What do loving men call women – types of nicknamesDeciphering your nickname

What men who love women call – types of nicknames

Photo by Vlada Karpovich: Pexels

“My freckle” is how a 92-year-old man calls his 85-year-old wife. She was born on February 28, and now, from a very young age, he came up with this nickname for her and during more than half a century of marriage he did not stop calling her that. Each nickname has its own backstory.

Many of them express love, tenderness, others – respect and honor. And the truth is that all of them are a manifestation of a certain attitude of a man towards his woman. The one who is in love will call his beloved a kitten, a swallow. To express respect, to show the lack of a deep connection, they use the first name or the somewhat dry word “dear”.

Let’s take a closer look at what nicknames young people can come up with to address their girlfriends.

• Neutral affectionate

Candy, sunshine, honey – such nicknames are often used during the period of falling in love. A man shows that he is in love with you, inspired by your relationship. However, it does not see your uniqueness. As long as you’re one of the many he could fall in love with.

Such nicknames are affectionate, pleasant. The unpleasant thing is that a man uses them most often in relation to many girls at a certain stage of the relationship.

Perhaps someone refers to the girl at later stages, but along with this nickname, there is a feeling of lack of depth in the relationship.

• Standard

The most popular addresses are dear, beloved, dear. This is what men call their wives. The couple no longer has enchantment, insane passion. Remained even, respectful attitude.

In these words, there is a recognition that a woman has value for a man, and he bears responsibility for her. They show readiness for a long-term relationship, his desire to stay with her in any situation.

• Abstract

Abstract nicknames have a more abstract character – my joy, miracle, your majesty. Their use cannot be attributed to any particular stage of the relationship. They show care, positive attitude, admiration.

Why doesn’t a man call his woman by her first name?

• Official

A completely different shade appears if a man refers to a woman by name and patronymic. Such treatment means:

• Respect;
• Lack of trust, intimacy;
• Sarcasm;
• Weasel.

But you need to keep in mind that the understanding of the same things you and your partner may differ.

• Animals

Very often you can hear how a man addresses a woman using the names of animals, birds. This is a kitten, a squirrel, a swallow, a tiger.

These nicknames hide tenderness, care, affection, love. If your young man addresses you this way, he tries to tell about his tender and warm feelings, to convey a playful mood.

• Children’s

Children’s nicknames are also rarely used. Among them are a baby, a doll, a baby doll, a baby, a baby.

The use of such names can be interpreted in two ways, depending on the situation:

• A man tries to protect you, to show that he is strong, brave, and will never let you offend.

But for him, you are the person he adores, ready to pamper.

• A man shows some disdain for his soul mate.

Doesn’t think she’s capable of defending herself, shows that she’s an incapable doll, child.

• Funny

A young man with a good sense of humor tends to call his beloved by funny nicknames. This is goat, donut, uchi-way.

Names can be funny, sophisticated, such that it seems not always possible to pronounce them. What is the popular crocodile worth.

Photo by Vlada Karpovich: Pexels

But each such nickname is evidence of deep feelings, tenderness, love, passion, emotional intimacy. It’s simply impossible to call a person like that, to come up with such a name.

• Associated with the name, surname

Often nicknames arise from the first name, maiden name of a woman. Such names can be very gentle, funny, beautiful. So, Belkova becomes a squirrel, Golubeva – a dove, and Kotova – a kitten. Nastya can become Anastyunchik, and Alice can become a fox.

• Offensive

Unfortunately, not all men treat their ladies with love and tenderness. There are always those who prefer contempt, humiliation, insults. Especially often this attitude is manifested in the families of male alcoholics, tyrants, manipulators.

Durynda, stupid, crazy, fat woman – you may find it terrible, but such nicknames are often used when referring to women.

Let’s decipher your nickname

And now let’s talk about the specific names that your young man bestows on you.

• Angel – a man loves you, appreciates your pure relationship.
• Baby – for a young man you are cute, sweet, but he does not experience deep feelings.
• Your Majesty – the address may indicate respect or, conversely, speak of sarcasm.
• Crow – dismissive attitude, considers you stupid, distracted, below his dignity.
• Stupid is one of the manifestations of parental attitude from the theory of E. Berne. A man is ready to help, take care of you, but at the same time he does not accept you as an equal.
• Hedgehog – he is attracted by your prickly nature.