Urinary tract infections, often referred to as UTIs, are commonly associated with women. However, men can also get them, even though it is less frequent. When it does happen, the symptoms can be just as uncomfortable and disruptive. 

Understanding how a man gets a urinary tract infection is key to recognising the risks, preventing complications, and getting timely treatment.

If you’ve ever wondered what triggers this condition in men, you’re in the right place.

What is a urinary tract infection?

A urinary tract infection is caused by bacteria entering the urinary system. This includes the kidneys, ureters, bladder, and urethra. In men, the most common site for infection is the lower urinary tract, which includes the bladder and urethra.

While women tend to experience UTIs more often due to their shorter urethra, men are not immune. When a man develops one, it’s often linked to other underlying issues and may require closer attention.

Why UTIs are less common in men

Men have a longer urethra than women, which makes it more difficult for bacteria to reach the bladder. This natural barrier helps reduce the chance of infection. However, this also means that when a man does get a urinary tract infection, it may indicate a more serious problem, such as a blockage or an enlarged prostate.

Causes of urinary tract infection in men

Several factors can lead to a urinary tract infection in men. These often involve physical blockages or changes in the urinary system that allow bacteria to grow.

Prostate enlargement

An enlarged prostate, particularly in older men, can press against the urethra and restrict urine flow. This prevents the bladder from emptying properly. When urine remains in the bladder, it becomes a breeding ground for bacteria.

Kidney stones

If stones form in the kidneys or along the urinary tract, they can block urine flow and cause irritation. This disruption allows bacteria to multiply, increasing the risk of infection.

Catheter use

Using a catheter to help drain urine increases the risk of infection, especially if it’s left in place for long periods. Bacteria can enter through the catheter and settle in the bladder.

Unprotected sex and anal intercourse

Unprotected sexual activity, especially anal intercourse, can introduce bacteria from the rectal area into the urethra. Men who are sexually active and do not practise good hygiene are more likely to develop a urinary tract infection.

Poor hygiene

Poor genital hygiene can cause bacteria to enter the urinary tract. This is especially relevant after using the toilet or during sexual activity.

Weakened immune system

Men with conditions such as diabetes or those undergoing treatments that suppress the immune system (like chemotherapy) are more prone to infections, including UTIs.

Common symptoms to watch for

Men with a urinary tract infection often notice several uncomfortable symptoms. These may vary depending on which part of the urinary tract is affected.

• Burning feeling while urinating
• Frequent urge to urinate
• Passing small amounts of urine
• Cloudy or strong-smelling urine
• Blood in the urine
• Pain in the lower abdomen or groin
• Fever or chills (if the infection spreads to the kidneys)

When to seek medical advice

You should not ignore signs of a urinary tract infection. If you notice burning, blood in your urine, or feel generally unwell, contact a healthcare provider. This is especially important if the symptoms persist for more than a day or get worse.

Early treatment can prevent the infection from spreading to the kidneys or bloodstream, both of which can be serious if left untreated.

Treatment options available

Treatment usually involves antibiotics. The specific type and duration depend on how severe the infection is and what bacteria is found in your urine. Most men start to feel better within a few days of starting treatment.

In some cases, pain relievers may be recommended to reduce discomfort during urination. Drinking more water can also help flush out bacteria from the system.

If the infection is linked to another issue such as a blockage, enlarged prostate, or kidney stones, these will need to be addressed separately to prevent future infections.

Can UTIs in men be prevented?

Yes, there are simple steps you can take to reduce your chances of getting a urinary tract infection.

• Stay well hydrated to help flush bacteria from your system
• Urinate regularly and avoid holding in urine
• Practise good hygiene, especially after using the toilet or engaging in sexual activity
• Wear loose-fitting cotton underwear to reduce moisture
• Avoid using perfumed soaps or powders around the genital area
• Urinate after sex to help remove any bacteria that may have entered the urethra

Is it more common with age?

Men over the age of 50 are more likely to develop a urinary tract infection, largely due to changes in the prostate. As the prostate enlarges, it can interfere with normal urine flow, making it easier for bacteria to multiply.

Older adults may also have other health conditions or be on medications that affect bladder control, increasing the risk of infection.

Can it lead to complications?

If left untreated, a urinary tract infection in men can spread to the kidneys or even enter the bloodstream. This can lead to a serious condition known as urosepsis, which requires hospital treatment.

Chronic or repeated infections may also signal a deeper issue such as a structural problem, which should be investigated by a specialist.

Closing notes

Understanding how a man gets a urinary tract infection is the first step in staying healthy. While it might not be something most men expect, the causes are often treatable, and the symptoms manageable. Whether it’s staying hydrated, practising good hygiene, or getting checked for underlying conditions, the choices you make every day can help protect your urinary health.

If something doesn’t feel right, act early. Talk to a healthcare professional, get checked, and follow through with treatment.