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Urinary Tract Infection in Males.
Urinary tract infections (UTIs) are rare in adult males younger than 50 years but increase in incidence thereafter. Causes of adult male UTIs include prostatitis, epididymitis, orchitis, pyelonephritis, cystitis, urethritis, and urinary catheters. Owing to the normal male urinary tract’s many natural defenses to infection, many experts consider UTIs in males, by definition, to be complicated (ie, more likely to be associated with anatomic abnormalities, requiring surgical intervention to prevent sequelae).
Signs and symptoms:
Dysuria is the most frequent chief complaint in men with UTI. The combination of dysuria, urinary frequency, and urinary urgency is about 75% predictive for UTI, whereas the acute onset of hesitancy, urinary dribbling, and slow stream is only about 33% predictive for UTI.
Relevant clinical history includes the following:
Previous UTI(s)
Nocturia, gross hematuria, any changes in the color and/or consistency of the urine
Prostatic enlargement
Urinary tract abnormalities: Personally and within the family
Comorbid conditions (eg, diabetes )
Human immunodeficiency virus (HIV) status
Immunosuppressive treatments for other conditions (eg, prednisone)
Any previous surgeries or instrumentation involving the urinary tract.
Urinary tract infections (UTIs) are rare in adult males younger than 50 years but increase in incidence thereafter. Causes of adult male UTIs include prostatitis, epididymitis, orchitis, pyelonephritis, cystitis, urethritis, and urinary catheters. Owing to the normal male urinary tract’s many natural defenses to infection, many experts consider UTIs in males, by definition, to be complicated (ie, more likely to be associated with anatomic abnormalities, requiring surgical intervention to prevent sequelae).
Signs and symptoms:
Dysuria is the most frequent chief complaint in men with UTI. The combination of dysuria, urinary frequency, and urinary urgency is about 75% predictive for UTI, whereas the acute onset of hesitancy, urinary dribbling, and slow stream is only about 33% predictive for UTI.
Relevant clinical history includes the following:
Previous UTI(s)
Nocturia, gross hematuria, any changes in the color and/or consistency of the urine
Prostatic enlargement
Urinary tract abnormalities: Personally and within the family
Comorbid conditions (eg, diabetes )
Human immunodeficiency virus (HIV) status
Immunosuppressive treatments for other conditions (eg, prednisone)
Any previous surgeries or instrumentation involving the urinary tract.