The urinary tract infections also affect
men. Although the prevalence is lower than in women, in men the treatment
tends to be longer. In the symptoms and causes, it can be seen that men
and women are different. The urologist in West Delhi
help us to know the peculiarities of these infections.
Prevalence of urine
infections in men
Men do not get rid of urine infections, however the
prevalence is a little lower than in women. "While urinary tract
infections affect between 10 and 12 percent of women of sexually active age and
25 or 30 percent in postmenopause, in young men they are around 2 or 3
percent and when the prostatic volume increases, around 45 or 50 years
of age, that figure rises to 7 or 10 percent, "says urologist in Palam.
According to urologist in Janakpuri,
in the adult male, the prevalence and incidence of urinary tract infections
(UTI) increase after the age of 50, most often related to benign prostatic
disease (benign prostatic hyperplasia or BPH). UTIs can affect
up to 30 percent of men over 65, and it is estimated that 12 percent of
men will experience UTIs throughout their lives. This risk in
men is greater in diabetic patients,
immunosuppressed, patients with urinary lithiasis and
in carriers of urinary catheters transient or permanent.
Causes in man
Urologist in Dwarka
says that there is no single cause for the development of a UTI in
men. "There are anatomical, hormonal and behavioral factors that can
favor the development of an infection. Some diseases such as BPH increase
the risk of developing UTI, but also other diseases such as diabetes, urinary
stones, neurodegenerative diseases, vesicoureteral reflux ... Sexual
activity can favor the appearance of these infections due to the
bacterial translocation of germs that cause infection".
The most common bacteria in UTIs are Escherichia
coli (responsible for 80 percent of cases), Staphylococcus
saprophyticus, Klebsiella pneumoniae and Proteus
mirabilis.
Urologist in Uttam
Nagar, on the other hand, points out that there are great
differences between the causes that cause urinary infections in men and women,
among other things due to the different length of the
urethra. " Chlamydiae or ureaplasmas can colonize
the prostate in young men of sexually active age. In those who
already have an enlarged prostate and the emptying of the bladder
is more inappropriate, usually the germs that condition the infection are other
bacteria: Escherichia coli, Klebsiella and Proteus ",
specifies this urologist in Dwarka.
Less intense
symptoms
Roughly speaking, the pain and stinging when urinating (dysuria), the bad smell of urine, the presence of dark color or blood in the urine (hematuria), fever with chills and malaise are symptoms.
Roughly speaking, the pain and stinging when urinating (dysuria), the bad smell of urine, the presence of dark color or blood in the urine (hematuria), fever with chills and malaise are symptoms.
"Unlike women, who usually have UTIs with bladder
(cystitis) or kidney (pyelonephritis) seats, in men the most frequent seats are
the prostate (prostatitis) and the testicle (orchitis or
orchiepididymitis), "Says urologist in West Delhi.
More in detail, kidney hospital in Uttam Nagar
distinguishes the symptoms of urine infections typical of young men from those
of men over 50 years of age. Classify them as follows:
- In
young men, urine infection usually occurs as a prostatitis, which can
be acute (high fever, difficulty urinating, severe pain and stinging when
urinating, feeling of weight in the area of the anus and genitals) or
chronic ( disorders in ejaculation - including haemospermia or blood in
the semen - pain in the genitals and in the lower part of the lumbar
area).
- In
men of more advanced age, the symptoms are pain and itching when
urinating or, in some cases, inability to void, which requires the
placement of a probe in the bladder.
"As the symptomatology of urine infections in men is
less intense on debut, it takes longer to go to the urologist's office. In
other words, the acute symptoms make the woman go to the doctor before,
"says urologist at kidney hospital in Hari Nagar.
Longer antibiotic
treatment than in women
Urologists at kidney hospital in West Delhi
indicate that the treatment of
UTIs in men is the same as in women, and their mainstay is
antibiotics. The difference is that, because they are considered in the
male as complicated infections due to anatomical and local factors, the
duration of the antibiotic cycles is usually longer to ensure that the
infection disappears (usually between two and three weeks, compared
to short patterns of two, three or seven days in the woman).
In some forms of chronic prostatitis, antibiotic treatment
must be continued until six weeks.
Recurrence of urinary
tract infections in men
The recurrence of UTIs in the presence of a correct
antibiotic treatment is low. Risk factors for recurrence are the
concomitant presence of prostatic hypertrophy (BPH), urinary lithiasis, immunodeficiencies
or voiding disorders of the urinary tract.
According to the best urologist in West Delhi,
"the usual thing about women is to have a reinfection. On the other
hand, in the man many times the antibiotic removes the symptoms, but there remains
a small latent source of infection and weeks later it becomes active again,
starting the symptomatology again ".
Advice for prevention
The most important prevention, in the words of best urologist in Janakpuri,
"is the control and/or treatment of the predisposing condition, which in
the adult male is usually BPH. In general, effective measures for the
prevention of UTIs are considered to be adequate water intake (2
to 3 liters of water daily), bladder emptying regularly (urination
every 2 or 3 hours) and proper genital hygiene. "
For the young man who suspects a urinary tract infection
because he has some symptoms, Burgos recommends, as a preventive measure,
"to go to the specialist in Urology soon
to avoid becoming chronized." For the over 50, the advice is
to go to the urologist, at least once a year, to keep track of your
prostate. It will be useful to screen for prostate cancer and
to rule out the presence of benign prostatic hyperplasia or, if there is one,
to avoid urine infection.