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Urinary Tract Infection (UTI) in Men

A urinary tract infection occurs when bacteria enter and multiply in any part of the male urinary system, from the kidneys to the urethra. While UTIs affect men less frequently than women due to their longer urethra and the antibacterial properties of prostate fluid, these infections can lead to complications if left untreated. The condition may impact the lower urinary tract (bladder and urethra) or the upper urinary tract (kidneys and ureters).

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Symptoms Causes Types Diagnosis Pricing Treatment Prevention FAQ
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Symptoms
Causes
Types
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Treatment
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FAQ

Symptoms of UTI in Men

Men experiencing a urinary tract infection may notice several distinct signs that indicate the need for medical attention.

Burning During Urination

A stinging or burning sensation occurs while passing urine, caused by inflammation of the urethra due to bacterial infection.

Increased Urinary Frequency

Multiple trips to the bathroom throughout the day and night occur as the infected bladder becomes more sensitive to pressure.

Cloudy or Strong-Smelling Urine

The presence of bacteria and white blood cells in urine alters its appearance and odour.

Lower Abdominal Pressure

A feeling of heaviness or discomfort in the lower abdomen develops due to bladder inflammation.

Blood in Urine

Small amounts of blood may appear in the urine when the infection causes damage to the urinary tract lining.

Causes and Risk Factors

Urinary tract infections in men can arise from various causes, influenced by underlying conditions and lifestyle factors.

  • Sexually Transmitted Diseases (STDs)

    Infections like chlamydia and gonorrhoea can directly irritate the urinary tract, increasing susceptibility to bacterial overgrowth.

  • Prostate Issues

    An enlarged prostate (benign prostatic hyperplasia) can obstruct urine flow, leading to incomplete bladder emptying. Retained urine creates an environment for bacteria to multiply.

  • Underlying Medical Conditions

    Chronic illnesses promote bacterial growth by raising blood sugar levels. Conditions like HIV weaken immunity, reducing the body’s ability to fight infections.

  • Urinary Catheter Use

    Catheters provide a direct entry point for bacteria into the urinary tract. Long-term catheter use further increases infection risk.

  • Kidney Stones

    Stones can block urine flow, trap bacteria, and cause irritation, increasing infection risk.

  • Lifestyle and Hydration

    A sedentary lifestyle and insufficient water intake reduce the natural flushing of bacteria from the urinary system, increasing susceptibility to infection.

  • History of UTIs

    Men with previous urinary tract infections are more prone to recurrence due to residual bacterial colonisation or underlying anatomical issues.

  • Recent Urinary Tract Surgeries

    Surgeries involving the urinary tract can disrupt normal function, introduce bacteria, or cause temporary changes that raise infection risk.

Types of UTIs

The classification of urinary tract infections depends on which part of the urinary system becomes infected.

Urethritis

Urethritis is usually due to sexually transmitted infections like chlamydia, gonorrhoea or mycoplasma. The infection causes inflammation of the urethra and can spread upward if not treated promptly.

Cystitis

A bladder infection represents the most common type of UTI in men. When bacteria reach the bladder, they multiply and cause inflammation of the bladder lining. Without treatment, cystitis can progress to more severe infections of the upper urinary tract.

Pyelonephritis

This kidney infection occurs when bacteria travel up from the lower urinary tract or spread through the bloodstream to the kidneys. Pyelonephritis requires immediate medical attention as it can cause permanent kidney damage or systemic complications if left untreated.

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Diagnostic Methods

Urinalysis

This initial test examines a urine sample for white blood cells, red blood cells, and bacteria. The test also checks for nitrites and leukocyte esterase, which indicate bacterial infection. Multiple samples may be needed for accurate results.

Urine Culture

Laboratory analysis grows bacteria from the urine sample to identify the specific type causing the infection. The culture also determines which antibiotics will work most effectively against the identified bacteria. Results typically take 48-72 hours.

Urine PCR testing

To rule out STI infections like chlamydia, gonorrhoea or mycoplasma, it is best to send for PCR testing to confirm the presence of these infections. It can be done as early as 7 days after exposure and results will be ready around 3 to 5 working days.

Digital Rectal Examination

Doctors perform this examination to check for prostate enlargement or tenderness that may contribute to or complicate the UTI. The examination helps determine if prostate infection coexists with the urinary tract infection.

Imaging Tests

CT scans, ultrasounds, or X-rays may be ordered if structural abnormalities, kidney stones, or other complications are suspected. These tests provide detailed images of the urinary tract and help identify any underlying conditions.

Screening Package

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STI 7

Multiplex PCR

$240
  • Chlamydia trachomatis
  • Neisseria gonorrhoeae
  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Trichomonas vaginalis
  • Ureaplasma urealyticum
  • Ureaplasma parvum
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Treatment Options

The treatment approach for UTIs in men focuses on eliminating the infection and addressing any underlying conditions that may have contributed to its development.

Non-Surgical Treatment

  • Oral Antibiotics: A prescribed course of antibiotics targets the specific bacteria causing the infection. The type and duration of antibiotic treatment depend on the severity of infection and bacterial culture results. Treatment typically lasts 7-14 days.
  • Pain Management: Over-the-counter pain relievers help reduce discomfort and fever associated with the infection. These medications provide symptom relief during antibiotic treatment.
  • Catheter Care: AFor catheter-associated UTIs, timely removal or replacement is often necessary to resolve the infection. Healthcare providers follow strict sterile techniques when inserting new catheters to minimise reinfection risk

Surgical Treatment

  • Circumcision: In certain cases, circumcision may be recommended, especially when recurrent UTIs are associated with hygiene issues or conditions like phimosis, where the foreskin traps bacteria and increases infection risk.

Prevention and Management

Preventing UTIs in men involves regular urination to flush bacteria, staying hydrated, and practicing good genital hygiene. Using condoms during sex and urinating afterwards can reduce infection risk. Men using catheters should follow hygiene protocols and change schedules. Managing underlying conditions and addressing enlarged prostate symptoms with regular check-ups and prescribed treatments are also necessary. After UTI treatment, follow-up urine tests ensure the infection has cleared. These measures help maintain urinary health and minimise the risk of recurrence.

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Contact Dr Taufiq

Dr Muhammad Taufiq Rashid

MBBS (NUS)

Member of SASO

Member of SMHS

Member Of ISSM

With over 15 years of experience in clinical practice and healthcare management, Dr Muhammad Taufiq Rashid focuses on men’s health and weight management. He is also a member of the International Society for Sexual Medicine (ISSM), reflecting his continued commitment to men’s wellness.

His care approach incorporates evidence-based medical procedures and tailored solutions designed to meet individual needs.

Dr Taufiq’s professional background spans a range of medical disciplines, equipping him with the knowledge and skills to guide patients in achieving their health goals. He is certified in circumcision techniques using the Shang Ring and ZSR Stapler methods, offering efficient and minimally invasive procedures completed in less than 15 minutes.

Education, Experience & Affiliations

Dr. Taufiq began his medical career as a Medical Officer under MOHH from 2006 to 2014, gaining valuable experience in multidisciplinary healthcare at Alexandra Hospital, KK Hospital, Bright Vision Hospital, and AMK THK Hospital.

From July 2017 to March 2021, he served as Chief Resident Physician at DTAP Clinic Somerset Branch, focusing on men’s health and providing holistic, patient-centered care.

As Medical Director at Pulse Medical Centre from April 2021 to December 2024, Dr. Taufiq led multidisciplinary care and advanced patient-first practices.

He holds certifications in ShangRing Circumcision, ZSR Stapler Circumcision, SCOPE certification, and ShangRing Training (Wuhu, Snnda, 2018). He is also a Certified Trainer for ShangRing Circumcision, ZSR Stapler Circumcision, Touchstone Circumcision, and the Storz T-Top Duolith Shockwave Therapy Machine.

In 2024, he completed the Androcourse under the Society of Men’s Health Singapore. Dr. Taufiq is a member of the Society of Men’s Health Singapore (SMHS), the Singapore Association for the Study of Obesity (SASO), and the International Society of Sexual Medicine (ISSM), reflecting his ongoing commitment to men’s health and weight management.

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    Frequently Asked Questions

    Can UTIs resolve without antibiotics?

    While mild UTIs occasionally clear without medication, untreated infections may spread to the kidneys. Bacterial infections of the urinary tract typically require antibiotic treatment to prevent complications.

    How long do UTI symptoms last after starting antibiotics?

    Symptoms typically improve within 24-48 hours of starting antibiotics. However, completing the entire prescribed course prevents recurrence and antibiotic resistance.

    Does having a UTI indicate a sexually transmitted infection (STI)?

    UTIs and STIs share some symptoms but have different causes. While some STIs can lead to urethritis, most male UTIs develop from bacteria entering the urinary tract through other means.

    Why do some men experience recurring UTIs?

    Recurring infections often relate to underlying conditions such as kidney stones, prostate enlargement, or structural abnormalities in the urinary tract. Identifying and treating these underlying causes helps prevent future infections.