Urinary Tract Infection (UTI) in Males Questions & Answers

Updated: Jul 19, 2018
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Questions & Answers

Overview

Why are urinary tract infections (UTIs) in males considered complicated?

What are the signs and symptoms of urinary tract infection (UTI) in men?

Which clinical findings indicate urinary tract infection (UTI) in males?

What is the role of lab testing in the diagnosis of urinary tract infection (UTI) in males?

When should imaging studies be used in the diagnosis of urinary tract infection (UTI) in men?

When is inpatient management recommended for urinary tract infection (UTI) in males?

How is urinary tract infection (UTI) in males treated?

When is surgery indicated in the treatment of urinary tract infection (UTI) in males?

What is the incidence of urinary tract infection (UTI) in men?

What are possible complications of urinary tract infection (UTI) in males?

What are the risk factors for developing complications in males with urinary tract infections (UTIs)?

What do male patients with urinary tract infection (UTI) need to know?

How does male anatomy protect against urinary tract infection (UTI)?

What are the causes and complications of epididymitis?

What is the pathophysiology of urinary tract infection (UTI) in males?

How does the etiology of acute and chronic prostatitis differ?

How does the NIH categorize chronic prostatitis?

What causes relapsing urinary tract infection (UTI) in men?

What is the pathophysiology of epididymitis?

What is the etiology and pathophysiology of orchitis?

What is the etiology and pathophysiology of pyelonephritis?

Which clinical findings indicate bacterial cystitis?

What is the pathophysiology of gonococcal urethritis?

How does the presence of a urinary catheter affect the risk of urinary tract infection (UTI) in males?

What are the risk factors for urinary tract infection (UTI) in males?

Which pathogens cause prostatitis?

Which are the most common pathogens associated with epididymitis?

Which pathogens cause orchitis?

Which pathogens cause pyelonephritis and cystitis in males?

Which pathogens cause urethritis in men?

What is the prevalence of catheter-associated urinary tract infection (UTI) in men and how does it develop?

What is the prevalence of urinary tract infection (UTI) in males?

What is the prevalence of prostatitis?

How does the etiology of epididymitis differ by age groups?

Among which demographic groups is gonococcal urethritis more common?

What is the prevalence of mumps orchitis?

Presentation

What should be considered in the medical history of men with urinary tract infection (UTI)?

Which physical exams should be performed in males who present with genitourinary complaints?

Which physical findings are associated with urinary tract infection (UTI) in males?

What are signs and symptoms of prostatitis syndromes?

What is the typical presentation of acute prostatitis and which physical exams should be performed?

How is chronic prostatitis differentiated from similar clinical entities such as prostatodynia or nonbacterial prostatitis?

What are the symptoms and physical findings of epididymitis?

What are the symptoms and physical findings of cystitis in males?

What are the common presentations of orchitis?

What are the symptoms and physical findings of pyelonephritis?

What are the differential diagnoses of pyelonephritis in men?

What is the incubation period and symptoms of gonococcal urethritis in men?

How is urinary tract infection (UTI) in catheterized and/or hospitalized males diagnosed?

DDX

How is urinary tract infection (UTI) differentiated from urethritis in males?

What are the infectious and noninfectious causes of pyuria in males?

Which possible comorbidities should be considered in the differential diagnoses of prostatitis?

How are the diagnoses of epididymitis, torsion of the spermatic cord, and torsion of a testicular appendage differentiated?

What factors should be considered in the differential diagnosis of cystitis in men?

How are emphysematous and xanthogranulomatous pyelonephritis diagnosed in men?

How is male genital tuberculosis diagnosed?

What are the differential diagnoses for Urinary Tract Infection (UTI) in Males?

Workup

What is the routine workup of suspected urinary tract infection (UTI) in males?

What is the role of urinary studies in the diagnosis of urinary tract infection (UTI) in males?

What is the role of imaging studies in the diagnosis of urinary tract infection (UTI) in males?

Is plain film imaging useful for the diagnosis of urinary tract infection (UTI) in males?

When is ultrasonography performed in males with urinary tract infection (UTI)?

What is the role of CT scanning in the diagnosis of urinary tract infection (UTI) in males?

Which histologic findings are associated with prostatitis?

Which tests should be performed in the diagnosis of pyuria in men?

Which tests should be performed in the diagnosis of prostatitis?

Which tests are helpful in the diagnosis of epididymitis?

Which tests are helpful in the diagnosis of orchitis?

Which workup findings are associated with cystitis in males?

Which tests should be performed in the diagnosis of urethritis in males?

Treatment

What should be considered prior to beginning treatment of urinary tract infection (UTI) in men?

When should a urologist be consulted in the treatment of urinary tract infection (UTI) in men?

In addition to a urologist, what other consultations are advisable in the treatment of urinary tract infection (UTI) in men?

When is consultation with a pain specialist advisable for males with a urinary tract infection (UTI)?

When is inpatient treatment of men with urinary tract infection (UTI) recommended?

Which antimicrobials are used in the treatment of urinary tract infection (UTI) in males?

What is the prevalence antibiotic resistance in the treatment of urinary tract infection (UTI) in men?

What are the possible adverse effects of prolonged use of aminoglycoside in treatment of urinary tract infection (UTI) in males?

Which dietary modifications are useful in the treatment of males with urinary tract infection (UTI)?

Which activity restrictions are helpful in males with urinary tract infection (UTI)?

What are the challenges during treatment of prostatitis?

Which antibiotics are most effective in the treatment of prostatitis?

Why is trimethoprim-sulfamethoxazole avoided in the treatment of prostatitis?

Should rifampin be used to treat prostatitis?

What is the role of quinolones in the treatment of prostatitis?

Which antibiotic concentrations should be used in the treatment of prostatitis?

What are the indications for nonantimicrobial agents in the treatment of prostatitis?

What are the benefits of prostate massage in the treatment of prostatitis?

How is acute bacterial prostatitis treated?

How is chronic bacterial prostatitis treated?

When is surgery indicated for prostatitis and which surgical interventions should be considered?

Which antibiotics are used to treat epididymitis in young men?

Which antibiotics are used to treat epididymitis in older men?

When is inpatient treatment indicated for patients with epididymitis?

How is acute scrotum treated?

How is pyelonephritis treated in males?

When is urologist consultation indicated for male patients with pyelonephritis?

How can diabetes affect a male patient's risk of pyelonephritis?

How is orchitis treated?

What is the antimicrobial treatment for uncomplicated cystitis in men?

What is the treatment for urethritis in men?

How can urinary tract infection (UTI) in males be prevented?

What is the efficacy of preoperative prophylaxis for male patients with urinary tract infection (UTI)?

What are the AHA guidelines for antimicrobial prophylaxis to prevent bacterial endocarditis following urologic procedures?

Which antibiotic regimens are indicated to prevent urinary tract infection (UTI) in males undergoing urologic procedures?

Which prophylactic antibiotic regimen is used to reduce the risk of urinary tract infection (UTI) in male kidney transplant recipients?

Which prophylactic antibiotic regimens are available for men who are at moderate risk of urinary tract infection (UTI)?

How can STD-related infection be prevented in men?

What are the IDSA guidelines for reduction in the use of catheterization in order to prevent catheter-associated urinary tract infections (CAUTIs) in men?

What are the CDC guidelines for antimicrobial therapy to prevent catheter-associated urinary tract infection (CAUTI) in men?

What are the CDC guidelines for acute care hospitals to reduce the risk of catheter-associated urinary tract infection (CAUTI) in men?

What steps can be taken to reduce the risk of catheter-associated urinary tract infection (CAUTI) in men?

What should be considered if antibiotic treatment fails in a male patient with urinary tract infection (UTI)?

When are follow-up urine cultures necessary in male patients with urinary tract infection (UTI)?

Which comorbidities may indicate the need for inpatient treatment for urinary tract infection (UTI) in men?

Medications

What are the CDC guidelines for fluoroquinolones to treat gonococcal infection?

Which medications in the drug class Antibiotics are used in the treatment of Urinary Tract Infection (UTI) in Males?

Which medications in the drug class Analgesics, Urinary are used in the treatment of Urinary Tract Infection (UTI) in Males?