Urinary tract infections in men

Patients should be instructed that recurrence of urinary tract infection (UTI) symptoms requires follow-up, because this may indicate underlying functional or anatomic abnormalities of the urinary tract and a need for further diagnostic evaluation.

Men with symptoms of obstructed urinary flow such as hesitancy or nocturia should seek care to identify a potentially correctable disorder (e.g., benign prostatic hyperplasia [BPH]) before UTI re-occurs.

Little and inconclusive evidence exists for preventing UTI in men using cranberry products.[38]Jepson RG, Williams G, Craig JC. Cranberries for preventing urinary tract infections. Cochrane Database Syst Rev. 2012 Oct 17;(10):CD001321. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001321.pub5/full http://www.ncbi.nlm.nih.gov/pubmed/23076891?tool=bestpractice.com This may be offered as a trial but should not be a substitute for detailed urinary tract evaluation when indicated.

Alteration of sexual practices may be needed, such as abstinence from anal sex in those who acquired UTI in this manner. Also, use of condoms may prevent introduction of bacteria into the urethra.