Adult

UTI, lower, (male)

UTI lower, non-severe, in male patients

Adult (over 15 years) male patients:-

  • Treat for 3-7 days
  • If associated with high fever, symptoms of prostatitis (low back, suprapubic, perineal, or sometimes rectal pain) treat as  Prostatitis, acute
  • If associated with high fever and/or loin pain treat as UTI, upper (acute pyelonephritis)
  • If suspect sepsis with urinary source see Urosepsis

Urinary tract infection (UTI) is diagnosed when there are lower urinary symptoms (dysuria, urgency and frequency) AND positive urinalysis.

Treat according to sensitivity test results. See UTI, lower treatment according to susceptibility tests

Consider sexually transmitted infection and referral to GUM clinic.

Preferred if culture and sensitivity not available

nitrofurantoin 50mg po qds (caution: do not use if eGFR is under 45mL/min/1.73m2)

Adverse effects have been reported with nitrofurantoin see Nitrofurantoin MHRA drug safety updates

Alternative if culture and sensitivity not available

For eGFR less than 45mL/min/1.73m2  

trimethoprim 200mg po bd

References

  1. NICE NG109 Urinary Tract Infection (lower): antimicrobial prescribing October 2018. Available: Overview | Urinary tract infection (lower): antimicrobial prescribing | Guidance | NICE
  2. NICE CK Urinary Tract Infection (lower) - Men February 2023. Available: Urinary tract infection (lower) - men | Health topics A to Z | CKS | NICE

Editorial Information

Last reviewed: 04 Sept 2023