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Urinary Tract Infection (UTI) in Males

Suzanne Florczyk, PharmD and Laura Ross, MD Reviewed 06/2022
 


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

  • Constipation

  • Low back pain

  • Hematuria

  • Systemic symptoms ...

TREATMENT

  • Catheter management: In general, avoid unnecessary catheterization.

  • Minimize the use of indwelling catheters. Those who require extended catheterization should be managed by intermittent cath...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Any patient who have worsening symptoms following initiation of antimicrobials, persistent symptoms after 48 to 72 hours of appropriate therapy,...

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 Abstr...

ADDITIONAL READING

  • Coupat  C, Pradier  C, Degand  N, et al. Selective reporting of antibiotic susceptibility data improves the appropriateness of intended antibiotic prescri...

SEE ALSO

  • Prostate Cancer; Prostatic Hyperplasia, Benign (BPH); Prostatitis; Pyelonephritis; Urethritis

  • Algorithms: Dysuria; Urethral Discharge

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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