There is some confusion about what may be causing inflammation, pain and urination problems in men. There are two conditions which are the most likely causes: a urinary tract infection (UTI) and prostatitis.
Both are caused by bacteria and have very similar symptoms, but they need to be treated differently.
Men who have tried to clear a UTI unsuccessfully should ask their doctor to be tested for prostatitis.
UTI Symptoms and Treatment
In men, a chronic UTI will typically be caused by an enlarged prostate, a condition known as Benign Prostate Hyperplasia (BPH). 70% of men over age 60 will have this problem.
As the prostate gland grows, it wraps around the neck of the bladder which makes it difficult for urine to flow freely.
Incomplete bladder emptying leads to stagnant urine in the bladder, which increases the risk of bacterial growth and infection.
When the immune system can’t manage the bacteria build-up, the result can be a painful UTI.
- Painful burning sensation when voiding
- Strong desire to urinate; inability to control urine, which may lead to leakage or incontinence
- Frequency of urination (usually small amounts) day and night
- Lower abdominal pain
- Severe obstructive symptoms, such as dribbling stream, a sensation that the bladder is not empty, waiting a long time to initiate voiding, and a weak stream.