This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Referral criteria from primary care - UTI in men

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Further investigation/referral depends on various factors (1,2)

  • referral for assessment is not routinely indicated
    • however, referral for assessment should be considered for men who have:
      • symptoms of upper urinary tract infection (pyelonephritis) (1)
      • failure to respond to appropriate antibiotic therapy (1)
      • frequent episodes of urinary tract infection (UTI) - this is stated as two or more episodes in a 3-month period (1)
      • features of urinary obstruction (e.g. in older men, enlarged prostate)
      • history of pyelonephritis, calculi, or previous genitourinary tract surgery
    • urgent referral is indicated for men with suspected cancer
      • any age with painless macroscopic haematuria:
        • if haematuria is associated with symptoms of UTI
          • culture the urine before referring
          • if UTI is not confirmed by urine culture, or if haematuria does not resolve with treatment of the UTI
            • refer urgently
      • recurrent or persistent UTI associated with haematuria, in a male aged 40 years or older
      • unexplained microscopic haematuria, in a male aged 50 years or older
      • with an abdominal mass identified clinically or on imaging that is thought to arise from the urinary tract


Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.


Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.