Which clinical findings indicate urinary tract infection (UTI) in males?

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

Perform a thorough physical examination in males presenting with genitourinary complaints. Focus particularly on the patient’s vital signs, kidneys, bladder, prostate, and external genitalia.

Examination findings may include the following:

  • Fever
  • Tachycardia
  • Flank pain/costovertebral angle tenderness
  • Abdominal tenderness in the suprapubic area
  • Scrotal hematoma, hydrocele, masses, or tenderness
  • Penile meatal discharge
  • Prostatic tenderness, although the author of this article advises against routine examination of the prostate (The most frequent cause of UTI in older men is chronic prostatitis. The chronically infected prostate is generally nontender. Such examinations theoretically could promote bacteremia.)
  • Inguinal adenopathy

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