Urinary Tract Infection in Men

Question 1

Define urinary tract infection in men.

Answer 1

Urinary tract infection (UTI) is an inflammatory reaction of the urinary tract epithelium in response to pathogenic microorganisms, most commonly bacteria.

Question 2

Explain the aetiology/risk factors of urinary tract infection in men.

Answer 2

Benign prostatic hypertrophy
Urinary tract stones
Urological surgery, instrumentation
Urethral strictures
Age >50
Previous UTI
Catheterisation

Question 3

Summarise the epidemiology of urinary tract infection in men.

Answer 3

Combined data for men and women from all patient-care settings identify urinary tract infection (UTI) as the most common infection, and it is the second most common infection among non-institutionalised patients.

Question 4

Recognise the presenting symptoms of urinary tract infection in men. Recognise the signs of urinary tract infection in men on physical examination.

Answer 4

Dysuria
Urgency
Frequency
Suprapubic pain
Hesitancy
Nocturia
Enlarged prostate

Question 5

Identify appropriate investigations for urinary tract infection in men and interpret the results.

Answer 5

Dipstick urinalysis
Urine microscopy
Urine culture

Question 6

Generate a management plan for urinary tract infection in men.

Answer 6

Antibiotics e.g. nitrofurantoin, trimethoprim, ceftriaxone, cefalexin

Question 7

Identify the possible complications of urinary tract infection in men and its management.

Answer 7

Renal function impairment
Prostatitis
Pyelonephritis
Sepsis

Question 8

Summarise the prognosis for patients with urinary tract infection in men.

Answer 8

Younger men with UTI less often have complicated infection. In the absence of a complicated UTI, antibiotic therapy is more effective and results in fewer failures. Younger men have a good prognosis.