UTI in Men
Urinary tract infections most commonly occur in older men with prostatic disease, outlet obstruction or urinary tract instrumentation. These infections occasionally occur in young men who participate in anal sex, who are not circumcised or whose sexual partner is colonized with uropathogens.
In men (unlike in women), a urine culture growing
There is no Consensus regarding the need for a urologic work-up in men with urinary tract infections. Among young men with acute cystitis who respond to seven days of treatment, diagnostic work-ups beyond cultures are generally unrewarding. Urologic evaluation should be performed routinely in adolescents and men with pyelonephritis or recurrent infections. When bacterial prostatitis is the source of a urinary tract infection, eradication usually requires antibiotic therapy for six to 12 weeks and in rare instances even longer.
(a) Prostatic disease
(b) Outlet obstruction
(c) Urinary tract instrumentation
>1000 CFU/ml of urine is diagnostic (CF women), seven-day therapy TMP/SMX or Fluoroquinolone.
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