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

Updated: Aug 27, 2019
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Dysuria is the most frequent chief complaint in men with UTI. The combination of dysuria, urinary frequency, and urinary urgency is about 75% predictive for UTI, whereas the acute onset of hesitancy, urinary dribbling, and slow stream is only about 33% predictive for UTI.

Relevant clinical history includes the following:

  • Previous UTI(s)

  • Nocturia, gross hematuria, any changes in the color and/or consistency of the urine

  • Prostatic enlargement

  • Urinary tract abnormalities: Personally and within the family

  • Comorbid conditions (eg, diabetes )

  • Human immunodeficiency virus (HIV) status

  • Immunosuppressive treatments for other conditions (eg, prednisone)

  • Any previous surgeries or instrumentation involving the urinary tract

See Clinical Presentation for more detail.


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