How Is Cystitis Treated in Men?

Apr 01, 2022 Source: Cainiu Health
Dr. Wang Jianlong
Introduction
Treatment of cystitis in males is the same as in females, primarily involving increased fluid intake and frequent urination. If a male patient presents with typical urinary tract irritation symptoms—such as urinary frequency, urgency, and dysuria—and urinalysis reveals positive leukocytes (≥2+ or 3+), oral antibiotic therapy is indicated. First-line antibiotics include fluoroquinolones, such as levofloxacin and ciprofloxacin.

In general, patients with cystitis—particularly those with severe cases—may experience urinary incontinence. On average, if a patient urinates 5–6 times per hour but produces only small volumes each time (sometimes just a few drops), and experiences lower abdominal pain at the end of urination, medical evaluation and treatment under a physician’s guidance are strongly recommended. So, how is cystitis treated in men? Below, we address this question.

How Is Cystitis Treated in Men?

The treatment approach for male cystitis is similar to that for females, with emphasis on increased fluid intake and frequent urination. If typical urinary tract irritation symptoms—such as urinary frequency, urgency, and dysuria—are present, and urinalysis reveals positive leukocytes (2+ or 3+), oral antibiotic therapy is indicated.

First-line antibiotics include fluoroquinolones (e.g., levofloxacin or ciprofloxacin), or cephalosporins such as cefixime or cefdinir. Patients should complete a full one-week course of antibiotics while maintaining high fluid intake and frequent urination. A follow-up urinalysis after one week should show normalization of results to confirm clinical resolution. During active cystitis, sexual intercourse must be avoided to prevent transmission of urethral bacteria to a female partner’s vagina, which could lead to vaginitis.

Additionally, adjunctive treatment with traditional Chinese patent medicines possessing heat-clearing and detoxifying properties is recommended. During treatment, patients should avoid spicy and irritating foods and drink ample plain water to promote diuresis and reduce inflammation.

We hope the above information is helpful to you.

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