URINARY TRACT INFECTION SYMPTOMS IN MEN

learn about URINARY TRACT INFECTION SYMPTOMS IN MEN.

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Urinary tract infection in men is also caused by organisms such as bacteria.
What are the risk factors for men getting it?
What are the symptoms?
Whats the difference between UTI in men and UTI in women?
Should you see a doctor if you have symptoms of male UTI?

Now the urinary system in men is very much the same as the female except for 2 differences.
The upper urinary system is made up of the kidneys and ureters.
The lower urinary system is made up of the bladder, prostate and urethra.

The 2 biggest differences of the male urinary system from the female’s are
1) In males, we have this walnut sized organ called the prostate just below the bladder and
2) the urethra that brings the urine from the bladder out of the body is much longer in the male due to the presence of the penis.

Like I’ve shared with you in the other video on female UTI, it is very common for ladies to have urinary tract infection and it is usually not very worrying.
On the other hand however, it is uncommon for younger men to have a UTI, simply because the urethra is longer and that is a form of natural protection against bacteria climbing up the urinary system.
In fact it’s estimated that women are at a 30 times higher risk of getting UTI than men.
Therefore whenever I see a male patient with first onset UTI in my practise , I almost always refer the patient to the Urologist for further investigations and scans to find out the underlying cause.

Some of the causes of male urinary tract infection includes
1) prostate enlargement ( either by Benign prostate hyperplasia or prostate cancer )
2) urethra tightening - that could be due to previous surgeries or scopes or infections
3) Recent instrumentation - meaning medical instruments has been inserted into the urinary tract such as a urine catheter or a scope
4) Urinary stones
5) Sexually transmitted infection such as chlamydia or gonorrhoea
6) Poor immune system due to diabetes or HIV

As a guide, the top cause of urinary tract infection in men above 50 is benign prostate hyperplasia whereas the top cause of Urinary tract infection in men below 50 is usually sexually transmitted disease.

Men with lower urinary tract infection may present with symptoms of
1) burning sensation during urination
2) increased urgency to urinate
3) frequent sensation of needing to pass urine
4) cloudy smelly urine
5) blood in urine
6) pain in the lower abdominal area
7) penile discharge

And if this infection spreads upwards to the urinary system, it can lead to an upper urinary tract infection.
The patient can have additional symptoms of
- fever and chills
- pain in the upper back and sides
- nausea and vomiting
- extreme feeling of unwell.

Male Urinary tract infection must be properly investigated and treated. In addition, the underlying cause of the infection must be sought out.

Some of the initial physical examinations and investigations I would do in my clinic includes
1) a digital prostate examination : so based on the feel and size of the prostate, we can make an educated guess if this patient has prostate infection or if the prostate is enlarged.
In certain situations, we may even be able to detect a prostate cancer.
2) Urine dipstick : these are very convenient tests that can be done in the clinic with results obtained within 5-10 minutes. This allows me to confirm the diagnosis of urinary tract infection on the spot.
3) Urine formed element microscopic examination or UFEME for short and urine cultures.
These tests are done and sent to the laboratory for visual confirmation of the urine infection and for identification of the bacteria that is causing the infection.
4) Urine PCR ( polymerase chain reaction ) to detect sexually transmitted bacteria like chlamydia and gonorrhoea.
These bacterias cannot be grown on urine cultures and a PCR test is needed to identify them.

Following which I would definitely start the patient on the appropriate antibiotics before I refer them to Urologists for further investigations.

If you are a guy and you do have symptoms of UTI, please see your doctor as soon as possible to have it investigated and treated.

0:00 introduction
0:44 Urinary system in men
1:57 Causes of Male UTI
2:43 Symptoms of Male UTI
3:19 Investigation and physical examination

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[ringer]

I’ve have a UTI currently and have had one multiple times. They usually go away over time and I take medication when it happens but it makes my Anxiety levels go crazy. Thanks for this video

[fredeb]

I have had UTIs two times and neither time did the doctor try to find the underlying cause and just gave me antibiotics. This was very informative.

[Jooa_K]

I've had UTI two times. Hate it SO much. I never want it again

[DuolNguotGatdoar]

That's great Dr I do appreciate you in your teaching online every day life situation
I will learning when I follow your channel thanks keep teaching online

[jamesbroomfield]

Do y'all realize that a urinary tract infection that goes untreated can turn into sepsis which could then cause similar traits to schizophrenia and you'll never know that your loved one has an infection the whole time. You'll sit there and think they're having some type of psychotic episode when it was really a bacterial infection in their bloodstream

[steveward]

You did a great job to answer my question. I am a prostate cancer survivor. This would make sense.

[pinkfreud]

We could always tell when my dad who had dementia had UTI because he would get irritable and angry. He normally was a quiet, mild man. It was the same with the old man across the hall in the nursing home. Nurse said it's common patients to get angry out of the blue when they get a UTI. Once treated, they are back to their norm.

[nokkturtle]

I haven't seen a doctor in over 8 years, now im worried

[cellsubs]

Hello Doctor! Could you please do a video for the scientific mechanism about how UTI is caused and how to cure UTI for men and women?

[No-dyzk]

I’m a virgin so that helps. I better go see a doctor. (I’m under 50) I am confident in saying that I have an infection.

[StuartBaird-il]

I am a generally healthy 40yr old man who hasn't had sex in two and a half years and u had a period where I had a succession of utis and have been on a variety of antibiotics I was referred to urologist department at my local hospital I went had a ct scan and a few other tests I currently feel like I have one now and can't understand why I am very very stressed out over this I hope everyone is OK and in good health stay safe and be kind to one another god bless you all and I mean this guys keep the faith I regularly pray to our lord and saviour jesus christ amen 🙏 ❤

[Xiaolongbaokid]

Hi doc. Can you develop rashes in the body from UTI? I am negative on HIV and STDs but I have rashes accompanied by UTI.

[GaryWalker-lqfd]

Thanks, good video. I'm 95% certain I have a UTI. I'm feeling very unwell, got a GP calling me by phone in a couple days, (UK), am hoping to get the antibiotics prescribed.

[omegayt]

Males around here, would like to tell u something that we males don't get uti easily like women... If a male gets uti Or urine infection then it might be something big is going on... Most of the time either it is Acute prostatitis or chronic bacterial prostatitis or kidney stone or urethral stricture or narrow bladder neck.... So find the root cause what causing it

[DAce-vuct]

I've had one for two months, three courses of antibiotics won't leave
I've become very fearful, I'm trying to get in with a urologist but it's hard

[alvinho]

Thank you for the concise and easy to understand information!

[jakejamesmoore]

Can you get a uti or any other diseases from masturbating because ive been worried about this for a while. Ive never had sex so i just wanna know?

[richarddavies]

I'm currently infected with upper uti and the symptoms are real. Vomiting, high temperatures from 38+ chills and sweating, just feeling terrible drained not wanting to get up, only to pee of course. I had smelly urin with a brown disharge. Not so much pain when peeing but a tingling sensation. No appetite (feel like I'm wasting away) and to much food and i vomit.
I am on antibiotics, just wish i started it earlier. Cause my symptoms were covid "like" at the start with high temps and shivering, it was assumed i had it. Only the smelly urin and brown disharge revealed the truth. I will get a prostate examination when i can. I just hope the course of antibiotics do the trick cause this trully feels bloody awful.

[ericlim]

I have a uti, i take cipro for 7 days twice a day, my lower back pain was gone but my urge to pee and the burning sensation still there. Got my urine examined, everything was fine but i still have this slight burning sensation.

[danielboston]

Thank you Dr for sharing such valuable information and giving us your time as we know you don’t have to do this.
I was wondering can your results come back negative for a uti and sti but should still have some signs of a bladder infection? My signs are when dehydrated my urine will sting right before exiting. Also occasionally there is a funny dripping feeling depending on how I move after urinating. Thirdly I feel like my urethra is sensitive after urinating at times . Just wanted to share .
Thank you you Dr.