Lower Urinary Tract Infection (UTI) in males

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1 Background Information / Scope of Pathway

Quick info:
This pathway has been developed jointly by the Leeds CCG planned care leads, Continence Urology and Colorectal Service (CUCS)
and consultants from Urology, Urogynaecology and Elderly Medicine within LTHT.

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2 Development & Updates to this Pathway

Quick info:
Developed November 2014

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4 Assess Red Flags Perform Urinalysis / MSU

Quick info:
GP Information:
Perform Urinalysis / MSU and treat appropriately with antibiotics
For further information about prescribing antibiotics please see Leeds Health Pathways guidance for: Lower UTI in Men (no fever of flank pain)

Pathway excludes the following:

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5 Systemically Compromised or High Risk Patient Refer As Emergency Admission

Quick info:
GP Information:
At risk patients:

  • Immunosuppressed
  • Systemically Compromised

For admission advice contact Primary Care Access Line (PCAL) Telephone: 0113 2065996

Operational hours:
Monday - Friday 7.00am to 10.00pm
Weekends and Bank Holidays - 8.00am to 10.00pm

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10 Refer One Stop UTI Clinic

Quick info:
LTHT One Stop UTI Clinic
Single visit process will include:

  • Consultation
  • USS
  • Flexible Cystoscopy

Please note if you are referring to an alternative provider please review provider guidance about required pre-referral tests (e.g. Ultrasound) prior to making referral.

Key Dates

Published: 21-Nov-2014, by Leeds
Valid until: 30-Nov-2017


This is a list of all the references that have passed critical appraisal for use in the care map Urology - Lower urinary tract infection
(UTI) in males

  1. Clinical Knowledge Summaries (CKS). Urinary tract infection (lower) - men. February 2013. Newcastle upon
    Tyne: CKS; 2011.
  2. Map of Medicine (MoM) Clinical Editorial team and Fellows, and independent reviewers invited by Map of
    Medicine. London: MoM; 2011.
  3. Scottish Intercollegiate Guidelines Network (SIGN). SIGN 88: Management of suspected bacterial urinary tract infection in adults. Edinburgh: SIGN; 2012.
  4. Anderson J, Fawcett D, Feehally J et al. Joint consensus statement on the initial assessment of haematuria.
    London: Renal Association (RA) and British Association of Urological Surgeons (BAUS); 2008. http://www.renal.org/Libraries/Other_Guidlines/Haematuria_-_RA-BAUS_consensus_guideline_2008. sflb.ashx
  5. European Association of Urology (EAU). Urological Infections. The Netherlands: EAU; 2013. http://www.uroweb.org/gls/pdf/18_Urological%20infections_LR.pdf
  6. Practice-informed recommendations, including contributors representing the Royal College of General
    Practitioners. 2013.
  7. Health Protection Agency (HPA). Management of infection. Guidance for primary care for consultation and local adaptation. London: HPA; 2010. http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1279888711402
  8. Health Protection Agency (HPA). Diagnosis of UTI. Quick reference guide for primary care. London: HPA;
    2011. http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1194947404720
  9. British National Formulary (BNF). BNF 65. London: BMJ Group and RPS Publishing; 2013. http://www.pharmpress.com/product/9780857110848/british-national-formulary-bnf-65
  10. National Institute for Health and Clinical Excellence (NICE). Referral guidelines for suspected cancer.
    Clinical guideline 27 (updated 2011). London: NICE; 2005. http://www.nice.org.uk/cg27