UTIs in Men: Symptoms, Causes, and Treatments
Recognizing and Managing UTIs in MenUrinary tract infections (UTIs) are often thought of as a women's health issue, but men can and do get them, too. Recognizing the [...]
Read MoreUTIs in Men: Symptoms, Causes, and Treatments
Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on November 28th, 2025.
Key Takeaways
- Men account for only 20% of UTI cases, but when they occur, especially after age 50, they typically indicate serious underlying conditions like benign prostatic hyperplasia or structural abnormalities.
- Classic symptoms include dysuria (painful urination), urgency with minimal output, cloudy or foul-smelling urine, and suprapubic pain—fever suggests upper tract involvement requiring immediate care.
- Enlarged prostate is the leading risk factor in older men, trapping bacteria by preventing complete bladder emptying; diabetes doubles infection risk by creating glucose-rich urine.
- Treatment requires 7-14 days of targeted antibiotics like trimethoprim-sulfamethoxazole or ciprofloxacin, significantly longer than the 3-day courses typically given to women.
- Recurrent infections (2+ episodes within 6 months) warrant urological evaluation including cystoscopy and imaging to identify correctable anatomical problems or chronic prostatitis.
Recognizing and Managing UTIs in Men
Urinary tract infections (UTIs) are often thought of as a women's health issue, but men can and do get them, too. Recognizing the symptoms early and understanding the causes is crucial for effective treatment. This article breaks down everything you need to know about UTIs in men, from warning signs to treatment options, including how telehealth services like Doctronic.ai can help you get care quickly and conveniently.
While urinary tract infections (UTIs) are often associated with women, it's crucial to recognize that men can also suffer from these infections, albeit less frequently. The male anatomy, particularly the longer urethra, provides a natural barrier against infections, but when UTIs do occur, they can lead to more severe complications. For instance, untreated UTIs in men can escalate to kidney infections or even result in sepsis, a life-threatening condition that requires immediate medical attention. This highlights the importance of seeking timely treatment when symptoms arise.
In addition to the common symptoms mentioned, men may also experience lower abdominal pain or discomfort in the back, which can sometimes be mistaken for other health issues. It's worth noting that lifestyle factors, such as hydration levels and personal hygiene, can significantly influence the risk of developing a UTI. Men who are more active or engage in certain sexual practices may also be at a higher risk. Understanding the risk factors and symptoms can empower men to take proactive steps in managing their urinary health, ensuring they seek medical advice when necessary.
Understanding UTIs in Men
What Is a UTI?
A urinary tract infection occurs when bacteria enter the urinary system, which includes the kidneys, bladder, ureters, and urethra. While women experience UTIs more frequently due to anatomical differences, men can develop infections that often require prompt medical attention because they may indicate more serious underlying issues.
Why Are UTIs Less Common in Men?
The male urinary tract is longer, which makes it harder for bacteria to reach the bladder. However, when infections do occur, they can be more complicated. Factors such as an enlarged prostate, kidney stones, or urinary tract abnormalities increase the risk of infection. Men over 50 are more susceptible, especially if they have prostate problems.
Recognizing Symptoms of UTIs in Men
Common Signs to Watch For
Painful or burning sensation during urination
Frequent urge to urinate, often producing only small amounts
Cloudy, dark, or strong-smelling urine
Pelvic or lower abdominal pain
Blood in the urine (hematuria)
Fever or chills, which may indicate that the infection has spread
These symptoms should never be ignored. If you experience fever or severe pain, seek medical care immediately.
When Symptoms May Signal a More Serious Problem
UTIs in men can sometimes indicate issues like prostatitis (inflammation of the prostate), kidney infection, or urinary tract obstruction. Persistent or recurrent infections warrant a thorough medical evaluation to rule out these conditions.
Common Causes of UTIs in Men
Bacterial Infection
Most UTIs result from bacteria such as Escherichia coli (E. coli) entering the urinary tract. This can happen through improper hygiene, sexual activity, or medical procedures involving the urinary tract.
Prostate Problems
An enlarged or inflamed prostate can block urine flow, leading to urinary retention and increased risk of infection. Prostatitis is a common cause of UTIs in men, especially those over 50.
Urinary Tract Abnormalities
Structural issues like kidney stones or strictures (narrowing of the urethra) can obstruct urine flow, creating an environment where bacteria thrive. Men with a history of urinary tract surgeries or catheters are also at higher risk.
Other Risk Factors
Diabetes, which can impair the immune response
Weak immune system due to illness or medication
Sexual activity, especially with new or multiple partners
Poor hydration and infrequent urination
How UTIs in Men Are Diagnosed
Medical History and Physical Exam
A healthcare provider will ask about symptoms, medical history, and any underlying conditions. A physical exam may include checking the abdomen and genital area for tenderness or abnormalities.
Urine Tests
A urine sample is analyzed for bacteria, white blood cells, and other markers of infection. This is the primary test to confirm a UTI.
Imaging and Additional Tests
For recurrent or complicated infections, imaging tests like ultrasound or CT scans may be ordered to check for blockages or abnormalities. Sometimes, a prostate exam or urine flow studies are needed.
Treatment Options for UTIs in Men
Antibiotic Therapy
UTIs in men typically require antibiotics prescribed by a healthcare professional. The choice of antibiotic and duration depend on the severity and type of infection. It is important to complete the full course even if symptoms improve early.
Addressing Underlying Causes
Treating prostate enlargement, removing kidney stones, or managing other urinary tract issues is essential to prevent recurrent infections. Lifestyle changes such as staying hydrated and practicing good hygiene also help.
When to Seek Emergency Care
If you experience high fever, severe pain, vomiting, or inability to urinate, seek urgent medical attention. These symptoms may indicate a serious infection requiring immediate treatment.
Using Telehealth for UTI Care
Convenient Access to Medical Advice
Telehealth platforms like Doctronic.ai offer fast and affordable access to qualified doctors from the comfort of home. You can get a diagnosis, treatment recommendations, and prescriptions without waiting in a clinic.
How Doctronic.ai Supports UTI Patients
Doctronic’s AI-powered system provides quick, personalized answers based on the latest medical research. It remembers your history and offers 24/7 video visits with licensed doctors across all 50 states for under $40. This makes managing UTIs easier and more accessible, especially for those who need care outside regular office hours.
Preventing UTIs in Men
Simple Steps to Lower Risk
Drink plenty of water to flush bacteria from the urinary tract
Urinate regularly and avoid holding it for long periods
Practice good genital hygiene
Urinate soon after sexual activity
Avoid irritating soaps or hygiene products
Manage chronic health conditions like diabetes effectively
Regular Medical Checkups
Men over 50 or those with urinary symptoms should have regular checkups to monitor prostate health and urinary function. Early detection of issues can prevent infections.
Taking Charge of Your Urinary Health
UTIs in men can be uncomfortable and sometimes serious, but with awareness and timely treatment, they are manageable. Knowing the symptoms and causes helps you act fast. Telehealth services like Doctronic.ai provide a modern, convenient way to get expert care anytime you need it. Don’t wait to address symptoms-getting the right diagnosis and treatment early can prevent complications and keep you healthy.
Frequently Asked Questions
Yes, some men may have asymptomatic bacteriuria, where bacteria are present without symptoms. This usually does not require treatment unless there are risk factors or planned procedures.
With proper antibiotic treatment, symptoms often improve within a few days. Full recovery depends on completing medication and addressing any underlying causes.
UTIs themselves are not contagious, but the bacteria causing them can be transmitted through sexual contact, so practicing safe sex is important.
Home remedies like hydration and pain relief can ease symptoms, but medical evaluation and antibiotics are usually necessary to clear the infection.
If you have symptoms like painful urination, frequent urination, fever, or blood in urine, it is important to seek medical advice promptly. Telehealth services like Doctronic.ai make it easy to get care quickly.
References
The Bottom Line
Male UTIs are red flags that demand thorough investigation since they're often secondary to treatable conditions like prostate enlargement or kidney stones. Quick antibiotic treatment prevents serious complications like pyelonephritis or sepsis, but addressing the root cause is essential for preventing recurrence. If you're experiencing burning urination or other concerning symptoms, Doctronic can help you get prompt evaluation and appropriate treatment.