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In sexually active men, Chlamydia trachomatis is responsible for two-thirds of acute cases, followed by Neisseria gonorrhoeae and E. coli (or other bacteria that cause urinary tract infection). Particularly among men over age 35 in whom the cause is E. coli, epididymitis is commonly due to urinary tract obstruction.
The symptoms of urethritis can include pain or a burning sensation upon urination (), a white/cloudy discharge and a feeling that one needs to pass urine frequently.For men, the signs and symptoms are discharge from the penis, burning or pain when urinating, itching, irritation, or tenderness.
Most infected men with symptoms have inflammation of the penile urethra associated with a burning sensation during urination and discharge from the penis. [19] In men, discharge with or without burning occurs in half of all cases and is the most common symptom of the infection. [ 22 ]
Symptoms from a lower urinary tract infection include suprapubic pain, painful urination , frequency and urgency of urination despite having an empty bladder. [1] Symptoms of a kidney infection, on the other hand, are more systemic and include fever or flank pain usually in addition to the symptoms of a lower UTI. [10]
Physical activity has been recommended as a treatment for urinary tract symptoms. A 2019 Cochrane review of six studies involving 652 men assessing the effects of physical activity alone, physical activity as a part of a self-management program, among others. [ 20 ]
Common symptoms include painful urination, continuous urge to urinate, itching, and urethral discharge. Additional symptoms vary based on sex. [ 1 ] Men may experience blood in the urine or semen, itching, tenderness, or swelling of the penis, enlarged lymph nodes in the groin area, and/or pain with intercourse or ejaculation.