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Male Urinary Health - UTI, Hematospermia & Bacterial Prostatitis

UTIs affect Men far less than Women, however the underlying cause is often the same. This article describes UTIs as well as some related conditions including symptoms, causes, treatment and when you should see a Doctor.

Urinary Tract Infection Causes

Urinary tract health can be a huge issue for men. And there is 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.

When to see your Doctor

If you have a urinary tract infection, cystitis symptoms, prostate symptoms, or epididymitis, it is important that you see your doctor. If you have any of the following symptoms, seek medical advice.

  • Any kind of penile discharge
  • Hematospermia (Blood in the seminal fluid)
  • Pain in the perineum area (between anus and testes)
  • Testicular or perineal swelling or discomfort

Symptoms of Male Urinary Tract Infections

  • Rapid onset of 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

Hematospermia (Blood in the Seminal Fluid)

It is frightening but in most patients with hematospermia, the condition is self-limiting, resolving itself without treatment. However, in some patients, hematospermia may be the first indicator of other more serious urologic diseases and a thorough check-up from a specialist is needed.

Blood in the seminal fluid may result 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 (the duct that transports sperm from the testicle to the urethra), and the prostate. Most of the semen comes from the prostate and seminal vesicles, and therefore these are the mostly likely cause. More rarely, blood is most likely to be the result of a simple infection - usually caused by E.Coli.

Bacterial Prostatitis

Bacterial Prostatitis is the swelling of the prostate gland. Symptoms can include:

  • Chills
  • Fever
  • Blood in the urine
  • Painful urination
  • Strong smelling urine
  • Difficulty emptying the bladder

Painful Urination & Urinary Tract Blockages

If the infection is located in your prostate, and it's in an advanced stage, your prostate might swell and obstruct urination. It's critical to get immediate medical attention if this happens. You will likely need catherisation and strong antibiotics.

The usual course of events with urinary tract infections for men is similar to that of women. An infection may develop resistance to antibiotics, or it may even have been resistant to begin with. Sometimes the infection abates, then later worsens and the symptoms return. In this case, your Doctor may determine you are in a cycle of reinfection and suggest a cystoscopic examination to ascertain the cause.

Cystoscopic Examination

A cystoscopic examination is a procedure whereby a narrow hollow tube with a lens attached is inserted into the urethra. The tube is guided up to the bladder allowing the Doctor to examine the lining of the bladder as well as the urethra. It may well be necessary, and important for you to have the procedure done. Some urologists may propose a scan and blood tests before considering a cystoscopy.

A cystoscopic examination is an examination, not a treatment. It's amazing how many customers have said to us "I had a cystoscopy done, but it didn't work."

You may also choose to have your urine properly analysed at a private lab to look for bacteria that might not have been found before.

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