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UTIs in Men

Multiple Risk Factors

What You Should Know*

The male urethra is much longer than the female’s, not allowing bacteria quick access to the bladder. And this, together with the antibacterial actions of some secretions of the prostate gland, probably accounts for why men are less likely than women to develop urinary tract infections (1:30 male to female ratio).

More frequent in men than in women is urethritis that may cause painful burning in the penis. It often sets the stage for the development of bacterial cystitis.

Here’s the list factors that can increase the risk of developing urinary tract infection in men. Some men, however, are more prone to getting an infection than others.

Anal Sex

Cystitis is more common in men who practice anal intercourse. If you decide to go for it without a condom, make sure to pee soon after sex to flush out any E. coli bacteria that are climbing your urethra to your bladder.

Also, more likely to have cystitis are men who have unprotected sex with men.

Poor Personal Hygiene

Genitals must be kept dry and clean! Less than careful hygiene, is one of the most frequent causes of repeated urinary tract infections.

Failure to Completely Empty the Bladder

This is a common problem especially among the elderly men who are at increased risk for developing urinary tract infections due to incomplete emptying of the bladder. This failure is associated with such conditions, mainly obstructions, as:

  • urethral strictures (partial blockages of the urethra),
  • enlarged prostate, also called benign prostatic hyperplasia (BPH),
  • prostatitis, especially chronic prostate infection,
  • kidney stones,
  • tumor,
  • neurological diseases or conditions (like paraplegia).
  • bladder irritants (such as certain foods and beverages, including: coffee, tea and carbonated drinks, even without caffeine),
  • some medications (such as antidepressants and oral decongestants).

Aged 65 Years and Older

Older males are at higher risk for developing bladder infection with the incidence being as high as 33 out of 100 people. Here’s what may place the elderly at increased risk for developing bladder infection:

  • lack of adequate fluids (dehydration),
  • bowel incontinence, causing stool (feces) to leak unexpectedly from the rectum,
  • decreased mobility or immobility,
  • placement in a nursing home (a stress factor).

Urinary Incontinence

Urinary tract infection also can be one of the risk factors for a urinary bladder problem such as incontinence – leakage of urine that interferes with some of your normal activities, often causing embarrassment or discomfort in social situations.

Incontinence, however, is not a disease, but rather a symptom of another condition involving the urinary system, such as acute or frequent bladder infections.

A wide range of medical conditions, and even aging, can cause or contribute to incontinence. Some causes, such as urinary tract infections, may be temporary. Others can be long-lasting, such as prostate enlargement (BPH) blocking the urethra or – as an effect of prostate surgery (prostatectomy).

Urinary incontinence in many cases can be very distressing and embarrassing. The embarrassment prevents many men seeking help.

Urinary Tubes, Stents, or Catheters

Obstruction in the urinary tract, tending to increase the likelihood of infection, can be due to:

  • nephrostomy tubes (a tube inserted into the kidney to drain urine to the abdominal surface),
  • ureteral stents (a wire tube fitted in the urethra to keep the passage open),
  • urinary catheters (a small tube inserted into the bladder through the urethra to drain urine), especially in older men or those who lose bladder control, or are unconscious, or are critically ill due to nervous system disorder.

Catheterization in males is more difficult and uncomfortable than in females because of the longer urethra.

Although 25 percent of all hospitalized patients will receive a catheter at some point in their stay, nearly 1 out of every 3 patients undergoing catheterization does not need it! That much of this overcatheterization may be due to the fact that it makes the jobs of hospital staff easier.

However, once inserted, the devices often remain too long because doctors either forget or do not know which of their patients still have a catheter inserted.

It should be noted that catheterization in males is more difficult and uncomfortable than in females because of the longer urethra.

Catheters are considered necessary for patients who are:

  • bed-ridden,
  • incontinent or unable to control urine flow,
  • in post-operative recovery.
  • diagnosed with a bladder obstruction (for example, due to an enlarged prostate),
  • in need to have their urine levels observed.

Unfortunately, every day a catheter is left in, a patient has a 5 percent chance of developing a urinary tract infection, as bacteria from the patient’s genital area – in most cases pathogenic E. coli bacteria – migrate up the outside of the catheter and infect the otherwise sterile bladder.

Usually treated with antibiotics, the urinary tract infections have the potential to lengthen hospital stays and cause more serious side effects that can be life threatening (when infection spreads to the bloodstream).

For this reason, researchers are calling for a mandatory “stop-order” on all hospital catheterizations after 48 hours, with a daily review thereafter. The incidence of UTIs is reduced, however, when silver alloy catheters are used.

Chronic Illness

Urinary tract infections occur when the immune system is suppressed or compromised due to chronic illness such as:

  • diabetes (due to high blood glucose levels and incomplete bladder emptying)
  • multiple sclerosis (an autoimmune disease – the body’s immune system attacks healthy nerve tissue, which causes nerve damage throughout the entire body)
  • kidney disease (chronic kidney disease, being the most common form, kidney stones, glomerulonephritis, or polycystic kidney disease)
  • AIDS, or
  • cancer.

Theses diseases make the body less efficient in controlling the bacterial overgrowth and keeping the gut microbiota in balance, and subsequently – fighting off and flushing out the UTI-causing bacteria.

Diabetic Bladder

Diabetics are at a higher risk of a urinary tract infection due to the unfavorable metabolic changes, especially the elevated blood sugar levels, which suppress their immune system.

The incidence of the urologic complications of diabetes, such as autonomic neuropathy affecting the urinary bladder, ranges from 27 percent to 85 percent.

In addition to autonomic bladder dysfunction in diabetes, there is an increased incidence of asymptomatic and symptomatic bacteria, which can progress to kidney infection and kidney damage. It has been attributed to numerous etiologies, such as:

  • incomplete bladder emptying,
  • changes in bladder cell wall components,
  • immune dysfunctions in the urothelial cells.

Neurogenic Bladder

Neurological conditions like paraplegia, a spinal cord injury or impairment (SCI), usually result in neurogenic bladder – an unstable or atomic bladder, with no muscle tone.

Men with spinal cord injuries have lost, partial or complete, control over their bladder and sphincter due to the compromised nerve receptors that are responsible for contracting and relaxing the muscles of the bladder and the sphincter, and registering feelings of pressure or release.

Due to this condition, most paraplegics are exposed to the regular use of catheters and drugs. (The more traditional cap and bag, with continual drainage, is falling from favor even though it is a safer system).

However, catheters often increase the risk of urinary tract injuries and repeated bladder infections – a common problem in people with spinal cord impairment.

Exposed to repeated or long-term courses of antibiotics, in time, they also develop resistance to drugs what makes maintaining healthy urinary tract for them even more difficult.

However, these symptoms do not necessarily mean there is a bladder infection. They just mean there might be a bladder infection.

History of Childhood UTIs

A history of urinary tract infections or bladder infections in childhood also poses a risk for recurrences in adult life. Also, women who have had a UTI or multiple UTIs in adulthood are at an increased risk for infection.

Congenital Abnormality

Abnormal structure of the bladder can be something that you are born with or that develops later in life. Vesico-ureteric reflux (VUR) is a congenital abnormality of the urinary tract that some children are born with, in which urine flows back into the ureters or kidney during urination.

Blood Type

Men with certain blood types attract bacteria which attach to cells that line the urinary tract, causing recurrent urinary tract infections. It has been suggested that the A phenotype for the AB0 blood group constitutes risk for the emergence of urinary tract infections. The individuals with A phenotype are more likely to suffer from infection caused by E. coli bacterium – the most frequent pathogen.

*Based on various available sources and studies, our research and practical experience. Last modified on November 14, 2019.

Feel on Top of the World Again!

As you probably know by now, urinary tract infection (UTI) has become a common urological problem the last decades, with women being affected three times more than men. Also, children and young adults suffer from this painful and frustrating ailment.

In a nutshell, urinary tract infection is your body’s poor response to opportunistic uropathogenic bacteria. Unfortunately, most sufferers still have no idea that there are options other than medicinal drugs to address it

Also, many UTI sufferers believe, and/or have been told, that their condition is much TOO SERIOUS for natural measures to be the proper solution.

That’s why you should know about Uribiotic Formula. Along with other naturopathic specialty UTI supplements, it can be the right way to remedy UTIs, naturally and effectively.

This multi-herbal solution, accompanied by the time-tested practical steps, not only can help you fight the urinary infections, but also prevent them from coming back, so you will feel on top of the world again!

How Do I Know if I Have a UTI?

(Male Symptoms Questionnaire)

Think you might have a urinary tract infection

and/or interested in getting a second opinion?

Please fill in the six-part questionnaire below, answering all questions thoughtfully and to the best of your knowledge. By doing so, you will be much better prepared for an eventual doctor’s appointment. It might also help your doctor determine if you need a urine test, which is not always a routine practice.

As for the symptoms, they are sensations or perceptions of changes in health experienced by yourself or someone you know, or hold dear who too may be in need for help.

Within 12 to 24 hours, we will email* you back the results along with our brief recommendations (if necessary) that may help you get your urinary tract health back on track. The information given, however, is not intended to diagnose, prescribe or replace the advice of a physician or other healthcare professional..

*Confidentiality Assurance

As privacy is one of the most important issues for all of us on the Internet, please rest assured that all your answers in this questionnaire are strictly confidential. We do not share any part of the completed questionnaire with anyone. Also, your email address is safe with us. We will never rent, sell, or exchange your contact information with anyone.

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