Editing Urinary Tract Infections (section)

=== Cystitis in Males ===

* '''Diagnosis and Evaluation'''
** '''Labs'''
*** '''Urine cultures'''
**** '''Mandatory to identify the bacteria and its antibiotic susceptibility'''
** '''Imaging'''
*** '''Complicated UTI in an older male warrants urologic evaluation such as CT urogram and cystoscopy due to the high incidence of associated urologic abnormalities such as obstruction from either urethral or ureteral strictures, tumor, or stones'''
**** ≈50% of males with UTIs have a significant abnormality
*** '''Uncomplicated cystitis in a young sexually active male may not require investigation beyond a follow-up urine culture.'''

*'''Management'''
** '''Preferred:'''
*** '''Trimethoprim/sulfamethoxazole DS (160/800 mg) 1 pill PO BID'''
*** Levofloxacin 500 mg po daily
*** Ciprofloxacin 500 mg po BID
*** Ciprofloxacin ER 1000 mg po daily
** '''Treatment is generally for 7-14 days, optimal duration is not known'''