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Urinary Tract Infection (UTI) in Males

Cait Goss, MD and Amy L. Wiser, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Cystitis is an infection of the lower urinary tract, usually resulting from a single gram-negative enteric bacteria (see also “Prostatitis,” “Pyelonephritis,” and “Urethritis”).

  • Syste...

DIAGNOSIS

HISTORY

  • Urinary frequency

  • Urinary urgency

  • Dysuria

  • Hesitancy

  • Slow urinary stream

  • Dribbling of urine

  • Nocturia

  • Suprapubic discomfort or perineal pain

  • Low back pain

  • Hematuria

  • Systemic symptoms (chills, fev...

TREATMENT

GENERAL MEASURES

  • Hydration

  • Analgesia, if required

  • Patient with indwelling catheters

    • If asymptomatic bacterial colonization, no need to treat (Sterilization of urine is not possible, and resistan...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Close follow-up until clinically well 

DIET

Encourage adequate fluid intake. 

PATIENT EDUCATION

For patient education materials about this topic tha...

REFERENCES

1
Wagenlehner FM, Weidner W, Pilatz A, et al. Urinary tract infections and bacterial prostatitis in men. Curr Opin Infect Dis.  2014;27(1):97–101. [View Abstract on OvidMedline]
2
Drekonj...

ADDITIONAL READING

  • Coupat C, Pradier C, Degand N, et al. Selective reporting of antibiotic susceptibility data improves the appropriateness of intended antibiotic prescriptions in urinary tract infect...

CODES

ICD10

  • N39.0 Urinary tract infection, site not specified

  • N30.90 Cystitis, unspecified without hematuria

  • N30.91 Cystitis, unspecified with hematuria

  • N30.00 Acute cystitis without hematuria

  • N33 Bladder ...

CLINICAL PEARLS

  • Cystitis is an infection of the lower urinary tract, usually resulting from a single gram-negative enteric bacteria.

  • Risk factors/causes: age, obesity, history of UTI, BPH/outlet obstru...

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