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Cystitis in men

Cystitis means inflammation of the bladder, usually caused by a urinary tract infection. It may not cause any symptoms at all, or it may cause pain or burning when you pass urine, or a need to pass urine more frequently than normal.

  • In young men, true cystitis is uncommon. It may mean that the urinary system has some abnormality that is allowing germs (bacteria) to take hold. The abnormality could be a pocket-shaped pouch sticking out from the wall of the bladder, or a stone in the bladder.
  • Young men sometimes think they have cystitis if urinating is painful, but the cause is more likely to be inflammation of the urethra (the tube that runs from the bladder, along the penis to the pee hole). Inflammation of the urethra is called urethritis. It is often caused by a sexually transmitted infection such as chlamydia.
  • Older men (in their 50s and older) are more likely to get cystitis than younger men. This is because the prostate gland often starts to enlarge in middle age. An enlarged prostate stops the bladder emptying efficiently, and bacteria can breed in the stagnant urine in the bladder.

What you can do

  • If you have pain passing urine, the best plan is to go to a genitourinary medicine clinic, because they can do all the necessary tests very easily. They will check for sexually transmitted infections such as chlamydia and gonorrhoea that can inflame the urethra, and will give you the correct treatment. They will also do a urine test to see if you do have true cystitis (bladder infection). Alternatively, you could see your own doctor.
  • If you do have a urine infection, you will need antibiotic treatment. If the infection comes back, you will need more investigations to look for abnormalities of your urinary system. Your doctor will arrange an X-ray and an ultrasound test, or an IVU (intravenous urogram).

Written by: Dr Margaret Stearn
Edited by: Dr Margaret Stearn
Last updated: Thursday, May 17th 2012

 


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Comments on this article

Posted by Optional on 26/11/2012 at 07:07

i have a testicle pain and swelling. in 2003 I jumped from a spring and got pain. after that my left side swollen. when i went to doctor. doctor suggested me only a vitamin B,12 and brufen. but it didn't worked. but, i didn't have more swollen. it's about 3 months when i was playing wrestle with my cousin. his knee unintentionally impact my testicles. but, very strongly. i don't know that this problem caused my testicles pains and swelling or it's about infections. please help me because in Kabul/Afghanistan it is difficult to find a reputable doctor. i scare of more damaging and lose what i have to day.

Posted by solutiano on 30/06/2012 at 02:15

thank you foryour advices but ineed more

Posted by mike on 19/06/2012 at 06:56

How long after having cytitis can my wife give me oral sex. I have been feeling better for only two days is it safe for her. I have finished my antibiotics.

Posted by kevin on 14/04/2012 at 09:07

I have alot of pain in my penis and burning when i urinate aswell as burnin when i ejaculate. Had test's done recently but nothing found.

Posted by Optional on 06/09/2011 at 06:47, Jamaica

Mu woman told me tat she has cystitis but I dont hve any syntoms. Could I stil possible have it. I uninate very often but I am taking medicene for diabetic and high blood pressure

Posted by Female cystitis sufferer on 29/07/2011 at 09:16, Australia

Don't know if it's the same in men but I suffered from cystitis for many years. For me cranberry capsules solved it - I'm still taking these as a preventative and it works well. While you have an attack, drink a lot of water - a cup each hour should be enough, use ural (urinary alkaliser powder) to stop your pee being so acidic so it doesn't burn, and I found that codeine is a good painkiller. Hot packs on your tummy and back can help too, or a warm bath. Above all, get to a doctor, have a urine test and get on antibiotics. In most cases it will clear up completely in a couple of days. Get checked out for anything that might be contributing to the problem.

Posted by peter jan on 27/06/2011 at 12:13, Nigeria

Thank you for your website. I am well informed on men cystitis which I am suffering from. Keep it up for humanity health awareness.

Posted by Optional on 18/06/2011 at 08:20, United Kingdom

I have pain in my testicle,..had an ultra sound,..its all clear,..i also have a little tingling feeling in the head of my penis and sometimes the skin around my pubis and scrotum,..feel as if its on fire,..could this be csytitis,...its driving me nuts,..i also find sex is very uncomfortable.

Posted by Tom magee on 23/05/2011 at 11:33, United Kingdom

I found this extremely interesting and helpful and i dont need to be worried any more

Posted by paul Optional on 14/05/2011 at 03:12, United Kingdom

I was diagnosed with a carcinoma on the bladder, aggressive but not invasive two years ago. this was removed and I have been free ever since. The BCG treatment I received had to be stopped after 15 sessions last November as I had such an adverse reaction to it. I have just had an endoscopy under a general anesthetic and am told all well and that I'm clear but biopsy showed "chronic cystitis". I seem to be expected to live with it. But I am in such discomfort there must be something I can take? Cranberry juice seems to inflame it more! Please help.

Posted by Mr. j w on 04/11/2010 at 08:42, United States

When I go urinate it burns something terrible had a protate exam told that gland was not enlarged at all. There are days my urethea just hurts especially in the area of my penis head. It is like an itchy pain and a touch pain at the same time. Any one experienced this before, I am a widower so I havent had sex for a good while so stds are out.

Posted by ranga on 14/09/2010 at 06:13, India

I am suffering with cystitis since 7 years.in the begining of this deases,after urination i got heavy pain at my bladder,later the pain goes to testis.i tested for ultrascan.the report shows i am suffering from cystitis.i used medicine "amicasin injection".but it is not completely cured.when i met girls also same pain coming.pls recommend good suggestions and medicaton.

Posted by pete fynn on 01/08/2010 at 03:19, United Kingdom

HAD CTSTITIS, VERY PAINFULL WHEN MICTURATING. GP. GAVE AUGMENTIN ANTIBIOTICS, WITH GOOD RESULTS IN A FEW DAYS. HOWEVER, SENT ME FOR CYSTOSCOPY, TOMORROW. CANT.T WAIT. TO SEE IF THERE ARE ANY OTHER REASON, APART FROM RESIDUAL URINE, WHICH COULD BE CAUSING THE PROBLEM. SPEAK TO YOU AFTER TOMORROW. P.F.

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