Pathologist Questions Urinary Tract Infections

UTIs (male) with no symptoms?

It has happened a few times where I go to the doctor, give a urine sample, and results confirm UTI bacteria even though I never felt any symptoms. Is this a sign of something more serious?

4 Answers

Asymptomatic, bacteriuria is the presence of bacteria in a properly collected urine of patient that has no signs or symptoms of urinary tract infection (UTI). Asymptomatic bacteriuria is very common in clinical practice and its incidence increases with age. The incidence is 15 percent or greater for women and men aged 65 to 80 years and as high as 40 to 50 percent after age of 80. Most patients with asymptomatic bacteriuria will never develop asymptomatic urinary tract infections will not benefit from treatment. Thank you.
Improper collection of Urine samples may show bacteria in urine samples on analysis which may only reflect contamination, mostly UTIs are associated with symptoms of irritation and discomfort. Clinical evaluation is usually advised in such cases.
Don't think so.

Renee Thomas, MD
Urine should be a sterile fluid, meaning that bacteria should not be present. If the specimen is not collected correctly, it can be falsely positive for the presence of bacteria. It would be unlikely not to experience symptoms if it were truly positive. I am not a urologist who would be better suited to answer the possible meaning of this finding.