When it comes to urinary tract infections (UTIs), the situation looks a bit different for men compared to women. While women are far more likely to experience a UTI—about one in five will get one at some point in life—men can get them too, though it’s much rarer. Generally, young men don’t face this issue, but as men age, especially after 50, the risk of a UTI rises. So, while most men won’t have to worry about UTIs, it’s still something to be aware of as you get older.

What Increases the Risk of UTIs in Men?

A number of factors can make men more susceptible to urinary tract infections. Here are some of the key culprits:

• Enlarged Prostate: As men age, the prostate can enlarge, making it harder to completely empty the bladder. This leftover urine can create the perfect breeding ground for bacteria, leading to an infection.
• Urinary Catheters: If you’ve ever had to use a catheter to help pass urine, you’re at a higher risk of UTIs. These tubes can introduce bacteria into the urinary tract, increasing the chances of infection.
• Kidney and Bladder Issues: Any problems with your kidneys or bladder, such as kidney stones, can prevent you from fully emptying your bladder, giving bacteria the opportunity to linger and cause infection.
• Weakened Immune System: If your immune system is compromised by conditions like AIDS, chemotherapy, or other illnesses, you’re more prone to infections in general—including UTIs.

Additionally, any recent procedure involving the urinary tract, like a camera inserted to examine the urethra or a drainage tube, can also increase the risk. Even if you don’t have issues with your prostate or bladder, a UTI can still sneak up on you.

Symptoms of UTIs in Men

The symptoms of a UTI in men are pretty similar to those in women. You’ll likely experience painful urination, a constant urge to go, and urine that may appear cloudy, bloody, or have a strong odor. You could also feel some discomfort in your lower back or abdomen.

What makes a male UTI unique, though, is the potential for fluid to leak from the penis. If you notice this, don’t wait—contact your doctor immediately. It could be a sign of a UTI, but it could also point to something more serious, especially if you’re also feeling feverish or nauseous.

How Are UTIs in Men Treated?

A urinary tract infection is typically caused by bacteria (sometimes a virus or fungus). The good news? UTIs are treatable with antibiotics. Once you start your treatment, you’ll usually feel better within about seven days.

In addition to antibiotics, your doctor may suggest over-the-counter pain relief like ibuprofen or paracetamol to ease any discomfort. Drinking plenty of fluids is also important because it helps flush the bacteria from your system. The more you urinate, the more the bacteria are expelled.

If the infection gets severe, it’s essential to seek immediate medical help. UTIs can spread quickly, and what starts in the bladder can move to the kidneys or other parts of the urinary tract.

How to Prevent UTIs in Men

While it’s great that UTIs are treatable, prevention is always better. Here are some practical tips to lower your risk:

• If you’re not circumcised, make sure to regularly clean underneath the foreskin.
• Drink plenty of water every day—hydration is key!
• Don’t hold it in. When you feel the urge to go, make sure to use the bathroom regularly to flush out any bacteria.
• Practice good hygiene before and after sex to reduce the risk of infection.
• Use condoms to protect against sexually transmitted infections that could lead to a UTI.

What’s the Outlook for UTIs in Men?

The good news is that most men see a significant improvement in their symptoms within just a few days of starting antibiotics. If the symptoms persist, your doctor might switch up your antibiotics or run tests to figure out which specific bacteria is causing the infection, as some bacteria are resistant to certain treatments.

If left untreated, a UTI can spread from the bladder (causing cystitis) to the kidneys (pyelonephritis) or even affect the prostate gland, causing painful swelling. To avoid complications, always complete your prescribed antibiotic course and follow your doctor’s advice.

In short, UTIs in men are treatable, and with the right steps, they can often be prevented. So, keep an eye out for symptoms and talk to your doctor if anything feels off.