UTIs in Men: Causes, Warning Signs, and When to See a Urologist

While urinary tract infections are more commonly associated with women, UTIs in men are a serious medical concern that often indicates an underlying urological issue. For men in Plantation, Fort Lauderdale, Coconut Creek, Delray Beach, and throughout South Florida, Dr. Christopher Vendryes, MD provides expert diagnosis and treatment for male UTIs and their root causes.

Why UTIs in Men Are Different

The male urinary tract is anatomically longer than the female tract, which generally provides greater protection against bacterial infections. When a man does develop a UTI, it's often a sign that something else is going on — such as an enlarged prostate (BPH), kidney stones, urinary retention, or a structural abnormality. This is why UTIs in men always warrant a thorough urological evaluation.

Symptoms to Watch For

Male UTI symptoms include a burning sensation during urination, frequent urge to urinate with only small amounts produced, cloudy or strong-smelling urine, blood in the urine (hematuria), pelvic or lower abdominal discomfort, and in more severe cases, fever, chills, and flank pain — which may indicate the infection has spread to the kidneys. Men over 50 with recurrent UTIs should be evaluated for prostate enlargement.

Risk Factors

Several factors increase UTI risk in men: age over 50, benign prostatic hyperplasia (BPH), history of kidney stones, diabetes, catheter use, urinary tract abnormalities, weakened immune system, and incomplete bladder emptying. Sexual activity can also introduce bacteria, though this is less common in men than women.

Diagnosis and Treatment

Dr. Vendryes diagnoses UTIs through urinalysis and urine culture to identify the specific bacteria involved. Additional testing may include imaging studies (ultrasound or CT scan), cystoscopy, and uroflow testing to evaluate for underlying conditions. Treatment typically involves a targeted course of antibiotics based on culture results, along with management of any contributing factors such as BPH or stones.

Preventing Recurrence

Preventing future UTIs often requires addressing the underlying cause. Staying well-hydrated — especially in South Florida's heat — is essential. Completely emptying the bladder, managing prostate enlargement, and treating kidney stones all reduce recurrence risk. Dr. Vendryes develops individualized prevention strategies based on each patient's specific risk profile.