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UTIs in Men: When They Signal a Bigger Problem

Oct 15, 2025
Urinary tract infections (UTIs) are far more common in women, but they can also affect men. In some cases, a male UTI isn't just a simple infection: It's a sign of a deeper health problem that needs treatment now.

At Urology Specialists of Cypress, caring board-certified urologist Dr. James Stocks often sees men in our Cypress, Texas, office who are surprised to learn they have a urinary tract infection (UTI,) especially if it’s the first time. 

We understand: Women are up to 30 times more likely to have UTIs, so it's not a shock that this type of infection isn't on the radar for most men. But that doesn't mean you can discount or ignore it.

Some UTIs may be isolated and easy to treat, while others can signal a more serious underlying issue.

Dr. Stocks and our team provide patient-centered, empathy-based care for men who are struggling with UTI symptoms. Read on to find out what signs to look out for and when those symptoms could indicate a bigger issue.

Signs of UTIs in men

UTIs may affect the bladder, urethra, prostate, or kidneys in men. Symptoms can include:

  • Burning during urination
  • Painful urination
  • Increased urinary frequency 
  • Increased urge to urinate 
  • Difficulty starting to urinate
  • Cloudy, dark, or bloody urine
  • Smelly urine 
  • Lower abdominal or back pain
  • Fever or chills

If you have these symptoms, it’s important to reach out for an appointment with Dr. Stocks as soon as you can. In men, UTIs are often a sign of something more than just a bacterial infection.

When a UTI points to something bigger

Most UTIs in women are simple UTIs, often tied to hygiene (accidentally transferring bacteria from the anus to the vagina during wiping) or sexual intercourse. 

But in men, they’re automatically classified as complicated, which means it’s more likely that the infection is secondary to another urological issue. 

In younger men, a UTI may be linked to recent sexual activity, dehydration, or poor personal hygiene. 

However, UTIs in adult men, especially those over 50, are more often related to other health conditions. These may include:

  • Enlarged prostate (BPH)
  • Kidney stones
  • Prostatitis (inflammation of the prostate)
  • Diabetes or other conditions that affect immune system function
  • Urinary retention (incomplete bladder emptying)
  • Long-term catheter use
  • Structural abnormalities in the urinary tract

These conditions and situations can make it easier for bacteria to grow, or harder for the body to flush it out. That’s why recurring or severe UTIs in men often require a closer look.

Diagnosing UTIs in men 

If you have UTI symptoms, Dr. Stocks may perform several tests to diagnose it and pinpoint the source. He may recommend:

  • Urinalysis
  • Urine culture 
  • Imaging tests to view your bladder, kidneys, or prostate
  • A prostate exam
  • A cystoscopy to view the inside of your urethra and bladder

Dr. Stocks uses these tools to get to the root cause and help you understand what’s really going on, without making the process feel overwhelming.

Treatment of UTIs in men

Treatment usually begins with a course of antibiotics based on the type of bacteria found. Dr. Stocks may also recommend increasing hydration, temporarily avoiding bladder irritants like caffeine or alcohol, and addressing any underlying issues contributing to the infection.

If the cause is something like an enlarged prostate or kidney stones,  Dr. Stocks works with you to develop a plan tailored to your specific needs. In many cases, treating the root cause can prevent future infections and protect your long-term urinary health.

Don’t wait until symptoms become severe. UTIs should always be taken seriously.

At Urology Specialists of Cypress, we know how frustrating or even embarrassing these symptoms can feel. Dr. Stocks takes the time to answer your questions, explain your options, and make sure you feel heard.

You don’t have to guess at what’s going on. We’re here to help you get clarity, treatment, and peace of mind. Call our office to schedule a consultation today.