Articles Male Urinary Health

Male Urinary Problems

Two men posing for photo.

Although most of our network of websites is devoted to dealing with female UTI and cystitis problems, urinary tract problems can be just as serious in men, and sometimes just as difficult to treat with standard allopathic antibiotic treatments. There is also the additional complication in men that there can be some prostate involvement. A bladder infection in men can be the result of cross-infection from the prostate gland, and the prostate can become infected as a result of cross-infection from the urine. Or there can be epididymitis infection of the testes or connecting tubes. The related infections can cause severe discomfort and result in continual bladder re-infection after antibiotics.

Therefore, first if you have not already done so, see your Doctor. If you have a urinary tract infection, cystitis symptoms, prostate symptoms, or epididymitis, you need to be diagnosed. It's probably just a simple infection, but worth having it investigated.

If you have any kind of penile discharge, pain in the perineum area, or any kind of testicular or perineal swelling or discomfort, it's especially important to see your Doctor.

Been there - done that

But if you've been thoroughly checked out, and perhaps already gone down the antibiotic route and it hasn't worked, then hello, welcome, and relax. Our experience with thousands of customers in the same situation has shown that D-Mannose will almost certainly quickly clear up your infection. Most of the time, you will feel considerably more comfortable within 24 hours. Again, most of the time, your symptoms will completely clear within a few days. (But keep the treatment going for a while after you feel better).

I'm Worried. Why didn't Antibiotics Work?

The usual course of events with urinary tract infections for men is similar to that of women. You somehow pick up an infection that rapidly develops resistance to antibiotics, or it can even be resistant right from the start. Antibiotics cause the infection to die down for a while, but it soon gets going again, and the symptoms return. You get more antibiotics, and the same thing happens again and again. Your Doctor becomes frustrated at not being able to solve the problem, and sends you to a urologist, who proposes a cystoscopic examination.

My urologist has recommended a cystoscopic examination. Is it worth going ahead?

It may well be absolutely necessary, and important for you to have the procedure done. But make an informed decision. Some urologists propose a scan and blood tests before considering a cystoscopy. Unless you've got bladder cancer or some equally serious condition, most of the time the urologist will confirm what you already knew - that you have an inflamed bladder from all the infections.

Here's what customers have reported as the result:

  • "Your bladder looks very inflamed - take these antibiotics and come back in a month and we'll have another look."
  • "There is a sore patch - we'll need to take a biopsy to see what's going on."
  • "Your bladder looks like raw meat. I'm going to prescribe a mild sedative to try to calm things down."
  • "There is nothing obvious going on. We could try a bladder instillation to see if it helps with the pain."
  • "There are a few white/red spots. I'm going to do a biopsy to investigate."
  • "Your urethra seems a bit narrow. I'm going to book you in to have it stretched."

You need to be aware of a few things:

  • A cystoscopic examination is just that - an examination, rather than a treatment. It's amazing how many people have said to us - "I had a cystoscopy done, but it didn't work."
  • Investigation with a cystoscope can exasperate simple urinary tract infections, occasionally causing urethral damage or more serious infections.
  • It's hard to sterilise the equipment properly, and even after coming out of the 'sterilising' fluid, if there is any mucous left from a previous patient, the equipment is unlikely to be sterile.
  • Many urinary tract operations provide only temporary relief from symptoms.
  • Sometimes operations fail or make things worse.

Plus, it can be one of the most painful things a man can experience. A soldier, who had been shot and incapacitated while serving in Iraq, recently told us that being shot was preferable to being catheterised. Others have told us of torn urethras, multiple hospital acquired infections, and pain from the procedure that persists long after the infection has disappeared. These things happen to a minority of patients, but it is unpleasant to be in that unlucky group.

It is also true that others have told us it didn't hurt that much, and there was no problem, and no additional complication of the infection.

Consider the options

It's worth ensuring that the procedure is not being done for trivial reasons. Less than half the cystoscopic examinations performed overall, provide useful information. When they are being performed as a result of simple repeat infections, rather than something found by a MRI scan, like a lump or diverticulum, it's much less common for the examination to add anything useful. Your surgeon may confirm that information if you ask.

And it is also worth looking at the alternatives. Could you have a scan instead? Could you pay to have your urine properly analysed out at a private lab to look for bacteria that might not have been found in less thorough NHS tests? What is the difference between the prognoses if you do and if you don't have the procedure? Ask, and you may be told. Focus on getting specific information rather than general non-committal answers.

It's worth looking at your Doctor's notes, and of course you have that right guaranteed under UK law.

And it is not offensive to ask how many times the person performing the procedure has done it before... You don't want to be one of the first few patients... before a high level of competency has been reached, do you?

Levels of competency naturally vary according to stage of training:

  • Unable to perform the entire procedure.
  • Able to perform the procedure with supervision.
  • Able to perform the procedure unsupervised.
  • Able to teach the procedure.

[Note from Anna] - Personally, I think I'd want someone with high level competency to perform the procedure. If you need to have a urological operation, the Chief Resident Urologist is going to be the real expert in the hospital. You can ask - "Who is the Chief Resident?" You might have to pay privately to see that person.

Blood in the Seminal Fluid: Hematospermia

It gives you a fright, but most of the time the presence of blood is not something to be alarmed by. Although it is worth getting yourself a thorough check-up from a competent and caring Doctor.

Most commonly, blood in the seminal fluid results from inflammation or infection of the urethra, prostate and/or seminal vesicles. The cause, despite investigation, might never actually be found - semen originates from multiple organs, including the testicles, seminal vesicles, epididymis, vas deferens, and prostate. The blood is most likely to be the result of a simple infection - usually E. coli - the cause of about 90 - 95% of hematospermia.

If hematospermia is present without other symptoms, one or two spoonfuls of D-Mannose will usually resolve the condition. If additional symptoms such like abdominal pain, pain in the perineum, or pain, are present a full 50 grams or more, may be required to completely eliminate the E.Coli.

What we suggest is that immediately upon noticing the symptoms you start on the D-Mannose, and also visit your Doctor for a check-up. There's a strong chance you'll get rid of the problem quickly with the D-Mannose, but you'll need to have antibiotics in hand just in case. Since D-Mannose works quickly, and does not have side effects, it's worth giving it a 24 hour chance to start sorting things out for you. But if you don't get relief fairly quickly, the antibiotics may be your only option.

Discharge the Pus

The immune system deploys white blood cells (leucocytes) to the site of infections, and this can cause painful swelling. Bacteria resist the immune response by releasing toxins which cause the leucocytes to die and form pus. Urinating frequently will help expel infected fluids from the urinary tract.

Critical symptoms

If the infection is located in your prostate and in an advanced stage, your prostate might swell causing an obstruction. Seek immediate medical attention if this happens. You are likely to need catherisation and strong antibiotics.

UTIs and Cystitis

Urinary Tract Infection affects around 3% of men under the age of 65. This climbs to around 10% for men aged over 65, compared to 20% women. The cause of most infections in both men and women is the E. coli and Klebsiella strains of bacteria. While many women realise the importance of personal hygiene, men are more likely to ignore the signs and symptoms.


The symptoms of a simple infection can be one or all of the following:

  • Rapid onset bladder pain (lower abdominal pain that is relieved when you urinate)
  • Smelly and/or cloudy urine.
  • Painful or uncomfortable urination.
  • Difficulty urinating.
  • Urinary urgency and frequency.

For more complicated cystitis symptoms, D-Mannose may take longer to work, but most of the time you will begin to see a difference within a short time. It is a natural anti-inflammatory, so even painful interstitial cystitis is often substantially relieved within a few days, and if you don't believe that, the only way to prove it is to try it. We have ample customer feedback from people telling us that D-Mannose is the only relief they have ever gotten from the symptoms. For some men and women, it's provided them with their best and only relief in many years.

[Note from Anna] - Our feedback suggests that more than 80% of people are getting real relief. Provided you have ensured with your Doctor that nothing more threatening is happening, try it! And don't think this is a placebo effect - it works for animals too.

Bacterial Prostatitis

D-Mannose has been used with great success over the years against bacterial prostatitis. This is a difficult problem that often does not respond well to antibiotic treatment because of bacterial resistance. D-Mannose gets around the resistance problem by operating in an entirely different way.

A blend of the alpha and beta anomers of mannose brings relief in four complementary ways for most prostatitis sufferers.

  • it latches onto the lectin attachment points on the fimbria of the bacteria that cause most prostate infections.
  • it coats the surface receptors of the prostate tissue cells, again preventing bacterial attachment.
  • as a natural anti-inflammatory it stimulates fibroblasts to make more collagen and proteoglycans
  • it works to correct over-active neutrophils which means that healing is sped up, pain is lessened, and tissue integrity returns to normal faster.

Finally, by helping to flush out bacteria from the urine, D-Mannose prevents reinfection of the prostate tissues. A major advantage is that it is just as effective against antibiotic resistant strains of E. coli and Klebsiella, the major cause of prostate infection, as it is against non-resistant varieties. D-Mannose uses the greatest strength of the bacteria - their ability to make glycoconjugate attachments, against them. It effectively tricks the bacteria into thinking they are attached to tissue, when in fact they are attached to the free mannose. It also fills up those attachment points in the tissue cells, preventing further bacterial attachment.

When Sweet Cures began production, we focused very much on providing a treatment for women with persistent urinary tract infections, and D-Mannose is highly effective for that problem. But we have gradually discovered that there are wider uses. Interstitial cystitis sufferers, for example, began using D-Mannose for its anti-inflammatory properties. We were delighted to discover that four heaped teaspoonfuls a day was reported to be sufficient to either clear up the problem for most sufferers, or at least, greatly ease the symptoms. The effect of D-Mannose on bacterial prostatitis can be just as dramatic.

We first of all make sure men know that if they have a prostate problem they should be thoroughly checked out by their Doctor. But what we are finding is that the people who come to us have usually already been down the allopathic route, without success. And they often see substantial improvement within a day or two of starting on D-Mannose, even when the problem has been with someone for months. In fact, an old gentleman who had been treated for prostate cancer, and picked up an infection in the process, took the trouble to come to our office. He was over the moon about the fact that he had just had his first pain free urination for two years. This was after just a few days of using D-Mannose.

All bacteria depend on glycoconjugate attachment and the importance of this is gradually becoming recognised as a new way to deal with bacteria when antibiotics fail. By supplying exogenic supplementation with D-Mannose, you can very simply interfere with their attachment mechanisms. You don't destroy the bacteria, you just make them slippery. You are taking them by the hand and gently escorting them out of the body. There are a few other steps that can be taken to enhance the effect of supplementation with D-Mannose when it is being used against prostatitis. Unlike the bladder, which is naturally flushed out every time someone urinates, the prostate has to be 'used' to expel the bacteria that the mannose is attached to. Otherwise they keep multiplying within the prostate tissues.

It is useful for prostatitis sufferers who can do so, to expel the bacteria in any seminal fluid remaining in the urethra by urinating. Although this advice does not appear to be commonly given elsewhere, feedback from prostatitis sufferers is that it makes a major difference to the success of the treatment, and is worth doing even if it is initially painful. If the treatment is successful, the pain usually reduces quickly.

Finally, most customers use a 'backflushing' technique, enabling mannose to flood around the prostate tissues; they do this by intermittently stopping the flow of urine. However, if the bladder is infected then this is not a good idea, because obviously you may introduce infected urine to the prostate. If there is no bladder infection it seems clear that this technique helps to flush away bacteria from the prostate, probably through the same path that the bacteria were introduced there. What we say is, try it. It is not going to damage anyone, and you may be very pleasantly surprised, as many others have been, by the results.