Urinary tract infections in healthy university men

Acute symptomatic urinary tract infections occurred spontaneously in healthy university men. The mean incidence was 5 symptomatic infections per 10,000 men per year. Men with symptomatic infections were older than other students (p = 0.001) and 90% were sexually active. Of 38 patients 35 (92%) responded to a single course of antimicrobial therapy. Factors implicated in other male populations, such as anatomical abnormalities, urinary tract instrumentation, bacterial prostatitis and lack of circumcision, were seldom identified. Extensive evaluation appears unnecessary for young men with bacteriuria who respond to antimicrobial therapy.