{"id":59687,"date":"2026-03-30T15:35:57","date_gmt":"2026-03-30T14:35:57","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=59687"},"modified":"2026-04-01T16:29:46","modified_gmt":"2026-04-01T15:29:46","slug":"infecao-urinaria-no-homem-causas-sintomas","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/infecao-urinaria-no-homem-causas-sintomas\/","title":{"rendered":"Infe\u00e7\u00e3o Urin\u00e1ria no Homem: Causas, Diagn\u00f3stico e Tratamento"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"59687\" class=\"elementor elementor-59687\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Introdu\u00e7\u00e3o<\/strong><\/h2><p>Embora a <b>infe\u00e7\u00e3o urin\u00e1ria<\/b> seja mais frequente nas mulheres, os homens n\u00e3o est\u00e3o imunes a esta patologia, sobretudo ap\u00f3s os 50 anos. A infe\u00e7\u00e3o urin\u00e1ria no homem \u00e9 sempre considerada complicada do ponto de vista cl\u00ednico, exigindo uma investiga\u00e7\u00e3o mais aprofundada para identificar causas subjacentes. Segundo a European Association of Urology (EAU), a incid\u00eancia aumenta significativamente com a idade, em grande parte devido \u00e0 hiperplasia benigna da pr\u00f3stata.<\/p><p>A menor incid\u00eancia nos homens jovens deve-se ao comprimento superior da uretra masculina e \u00e0s propriedades antibacterianas do l\u00edquido prost\u00e1tico. No entanto, a partir dos 50 anos, o aumento da pr\u00f3stata pode causar obstru\u00e7\u00e3o ao fluxo urin\u00e1rio, favorecendo a estase de urina e a prolifera\u00e7\u00e3o bacteriana. A Associa\u00e7\u00e3o Portuguesa de Urologia (APU) alerta que a infe\u00e7\u00e3o urin\u00e1ria num homem jovem sem fatores de risco identific\u00e1veis deve sempre motivar investiga\u00e7\u00e3o urol\u00f3gica.<\/p><h2><strong>Sintomas e Apresenta\u00e7\u00e3o Cl\u00ednica no Homem<\/strong><\/h2><p>Os sintomas podem incluir dis\u00faria, polaqui\u00faria, urg\u00eancia miccional, dor suprap\u00fabica ou perineal e, menos frequentemente, hemat\u00faria. Quando a infe\u00e7\u00e3o envolve a pr\u00f3stata (prostatite aguda), surgem febre alta, calafrios, dor p\u00e9lvica intensa e dificuldade em urinar. A prostatite aguda \u00e9 uma emerg\u00eancia urol\u00f3gica que requer tratamento antibi\u00f3tico imediato e prolongado.<\/p><p>A Sociedade Portuguesa de Medicina Interna (SPMI) salienta que a prostatite cr\u00f3nica bacteriana pode manifestar-se com sintomas mais subtis e recorrentes, incluindo desconforto p\u00e9lvico, dor ejaculat\u00f3ria e <b>infe\u00e7\u00f5es urin\u00e1rias de repeti\u00e7\u00e3o<\/b>. Esta condi\u00e7\u00e3o exige tratamento antibi\u00f3tico prolongado e seguimento urol\u00f3gico.<\/p><h2><strong>Diagn\u00f3stico e Exames Complementares<\/strong><\/h2><p>O diagn\u00f3stico requer sempre a realiza\u00e7\u00e3o de urocultura com antibiograma. Nos homens, a\u00a0<a href=\"https:\/\/www.mediconanet.pt\/produto\/tricomoniase-tratamento\/\" target=\"_blank\" rel=\"noopener\">infe\u00e7\u00e3o urin\u00e1ria\u00a0<\/a>justifica a realiza\u00e7\u00e3o de exames complementares: ecografia renal e vesical com medi\u00e7\u00e3o do res\u00edduo p\u00f3s-miccional, determina\u00e7\u00e3o do PSA e, em casos selecionados, urofluxometria ou cistoscopia. O toque retal permite avaliar o volume e a consist\u00eancia da pr\u00f3stata.<\/p><p>A DGS recomenda que todos os homens com um primeiro epis\u00f3dio de infe\u00e7\u00e3o urin\u00e1ria sejam referenciados para avalia\u00e7\u00e3o urol\u00f3gica, dado o risco de patologia obstrutiva subjacente. O European Centre for Disease Prevention and Control (ECDC) documenta um aumento preocupante das resist\u00eancias bacterianas, refor\u00e7ando a import\u00e2ncia do antibiograma na escolha do antibi\u00f3tico.<\/p><h2><strong>Tratamento: Diferen\u00e7as em Rela\u00e7\u00e3o \u00e0 Mulher<\/strong><\/h2><p>O tratamento antibi\u00f3tico no homem \u00e9 mais prolongado do que na mulher, com dura\u00e7\u00e3o m\u00ednima de 7 a 14 dias. As fluoroquinolonas (ciprofloxacina, levofloxacina) e o cotrimoxazol s\u00e3o op\u00e7\u00f5es frequentes, dada a boa penetra\u00e7\u00e3o no tecido prost\u00e1tico. A fosfomicina em dose \u00fanica, frequentemente usada nas mulheres, n\u00e3o \u00e9 recomendada nos homens devido \u00e0 menor efic\u00e1cia na erradica\u00e7\u00e3o bacteriana no sexo masculino.<\/p><p>No caso de prostatite aguda, pode ser necess\u00e1rio tratamento durante 4 a 6 semanas. Em situa\u00e7\u00f5es de reten\u00e7\u00e3o urin\u00e1ria aguda, pode ser necess\u00e1ria algalia\u00e7\u00e3o tempor\u00e1ria ou, em casos selecionados, cistostomia suprap\u00fabica.<\/p><h2><strong>Preven\u00e7\u00e3o e Seguimento<\/strong><\/h2><p>A preven\u00e7\u00e3o passa pela hidrata\u00e7\u00e3o adequada, pelo esvaziamento regular e completo da bexiga e pelo tratamento das causas obstrutivas. Homens com hiperplasia benigna da pr\u00f3stata devem ser seguidos regularmente pelo urologista. O uso de alfa-bloqueantes (tansulosina, alfuzosina) pode melhorar o esvaziamento vesical e reduzir o risco de infe\u00e7\u00e3o.<\/p><p>O seguimento p\u00f3s-tratamento com urocultura de controlo \u00e9 recomendado para confirmar a erradica\u00e7\u00e3o da infe\u00e7\u00e3o, particularmente nos casos de prostatite e em doentes com fatores de risco. A atividade f\u00edsica regular e a manuten\u00e7\u00e3o de um peso saud\u00e1vel tamb\u00e9m contribuem para a sa\u00fade urol\u00f3gica global.<\/p><p><em>Na <strong>M\u00e9dico na Net<\/strong>, oferecemos avalia\u00e7\u00e3o cl\u00ednica de sintomas urin\u00e1rios no homem, requisi\u00e7\u00e3o de an\u00e1lises e ecografia, orienta\u00e7\u00e3o terap\u00eautica e referencia\u00e7\u00e3o para urologia quando indicado, garantindo uma abordagem integrada e personalizada.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-375973d elementor-widget elementor-widget-image\" data-id=\"375973d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-28.jpg\" title=\"Consulta Online R\u00e1pida e Segura a Partir de Casa\" alt=\"Homem em casa a realizar consulta m\u00e9dica por v\u00eddeo no port\u00e1til para diagn\u00f3stico de infe\u00e7\u00e3o urin\u00e1ria com m\u00e9dico.\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A infe\u00e7\u00e3o urin\u00e1ria no homem \u00e9 mais grave do que na mulher? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>\u00c9 sempre considerada complicada porque \u00e9 menos frequente e geralmente indica a presen\u00e7a de fatores predisponentes como a obstru\u00e7\u00e3o prost\u00e1tica. Por isso, requer investiga\u00e7\u00e3o complementar e tratamento mais prolongado.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A hiperplasia da pr\u00f3stata causa infe\u00e7\u00e3o urin\u00e1ria? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sim, o aumento da pr\u00f3stata pode obstruir o fluxo urin\u00e1rio, causando esvaziamento incompleto da bexiga. A urina residual favorece a multiplica\u00e7\u00e3o bacteriana e aumenta o risco de infe\u00e7\u00e3o.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O PSA pode estar alterado por causa de uma infe\u00e7\u00e3o urin\u00e1ria? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sim, o aumento da pr\u00f3stata pode obstruir o fluxo urin\u00e1rio, causando esvaziamento incompleto da bexiga. A urina residual favorece a multiplica\u00e7\u00e3o bacteriana e aumenta o risco de infe\u00e7\u00e3o.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7083\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7083\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quanto tempo dura o tratamento no homem? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-e6b82d0 e-con-full e-flex e-con e-child\" data-id=\"e6b82d0\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-ff98332 e-flex e-con-boxed e-con e-child\" data-id=\"ff98332\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b745fb3 elementor-widget elementor-widget-text-editor\" data-id=\"b745fb3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>O tratamento antibi\u00f3tico no homem dura habitualmente 7 a 14 dias para cistite complicada. No caso de prostatite, pode ser necess\u00e1rio tratamento durante 4 a 6 semanas, conforme orienta\u00e7\u00e3o do m\u00e9dico.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7084\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7084\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A infe\u00e7\u00e3o urin\u00e1ria no homem afeta a fertilidade? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-7547615 e-con-full e-flex e-con e-child\" data-id=\"7547615\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-8c9a957 e-flex e-con-boxed e-con e-child\" data-id=\"8c9a957\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f07efa elementor-widget elementor-widget-text-editor\" data-id=\"2f07efa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A <b>infe\u00e7\u00e3o urin\u00e1ria<\/b> simples n\u00e3o afeta a fertilidade. Contudo, a prostatite cr\u00f3nica e as infe\u00e7\u00f5es recorrentes do trato genital podem, em alguns casos, afetar a qualidade do s\u00e9men e a fun\u00e7\u00e3o reprodutiva.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"A infe\\u00e7\\u00e3o urin\\u00e1ria no homem \\u00e9 mais grave do que na mulher?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"\\u00c9 sempre considerada complicada porque \\u00e9 menos frequente e geralmente indica a presen\\u00e7a de fatores predisponentes como a obstru\\u00e7\\u00e3o prost\\u00e1tica. Por isso, requer investiga\\u00e7\\u00e3o complementar e tratamento mais prolongado.\"}},{\"@type\":\"Question\",\"name\":\"A hiperplasia da pr\\u00f3stata causa infe\\u00e7\\u00e3o urin\\u00e1ria?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim, o aumento da pr\\u00f3stata pode obstruir o fluxo urin\\u00e1rio, causando esvaziamento incompleto da bexiga. A urina residual favorece a multiplica\\u00e7\\u00e3o bacteriana e aumenta o risco de infe\\u00e7\\u00e3o.\"}},{\"@type\":\"Question\",\"name\":\"O PSA pode estar alterado por causa de uma infe\\u00e7\\u00e3o urin\\u00e1ria?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim, o aumento da pr\\u00f3stata pode obstruir o fluxo urin\\u00e1rio, causando esvaziamento incompleto da bexiga. A urina residual favorece a multiplica\\u00e7\\u00e3o bacteriana e aumenta o risco de infe\\u00e7\\u00e3o.\"}},{\"@type\":\"Question\",\"name\":\"Quanto tempo dura o tratamento no homem?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"O tratamento antibi\\u00f3tico no homem dura habitualmente 7 a 14 dias para cistite complicada. No caso de prostatite, pode ser necess\\u00e1rio tratamento durante 4 a 6 semanas, conforme orienta\\u00e7\\u00e3o do m\\u00e9dico.\"}},{\"@type\":\"Question\",\"name\":\"A infe\\u00e7\\u00e3o urin\\u00e1ria no homem afeta a fertilidade?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A infe\\u00e7\\u00e3o urin\\u00e1ria simples n\\u00e3o afeta a fertilidade. Contudo, a prostatite cr\\u00f3nica e as infe\\u00e7\\u00f5es recorrentes do trato genital podem, em alguns casos, afetar a qualidade do s\\u00e9men e a fun\\u00e7\\u00e3o reprodutiva.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Conclus\u00e3o<\/strong><\/h2><p>A <strong>infe\u00e7\u00e3o urin\u00e1ria<\/strong> no homem \u00e9 uma condi\u00e7\u00e3o que exige investiga\u00e7\u00e3o cuidadosa e tratamento mais prolongado do que na mulher. A identifica\u00e7\u00e3o e o tratamento das causas obstrutivas, nomeadamente a hiperplasia benigna da pr\u00f3stata, s\u00e3o essenciais para prevenir recorr\u00eancias e complica\u00e7\u00f5es a longo prazo.<\/p><h2><strong>Refer\u00eancias<\/strong><\/h2><p><a href=\"https:\/\/uroweb.org\/guidelines\/urological-infections\" target=\"_blank\" rel=\"dofollow noopener\">European Association of Urology (EAU). Guidelines on Urological Infections<\/a><\/p><p><a href=\"https:\/\/apurologia.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">Associa\u00e7\u00e3o Portuguesa de Urologia (APU). Infe\u00e7\u00e3o Urin\u00e1ria no Homem \u2014 Orienta\u00e7\u00f5es Cl\u00ednicas<\/a><\/p><p><a href=\"https:\/\/spmi.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">Sociedade Portuguesa de Medicina Interna (SPMI). Prostatite aguda \u2014 Abordagem diagn\u00f3stica e terap\u00eautica<\/a><\/p><p><a href=\"https:\/\/www.dgs.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">Dire\u00e7\u00e3o-Geral da Sa\u00fade (DGS). ITU na Comunidade<\/a><\/p><p><a href=\"https:\/\/www.ecdc.europa.eu\/\" target=\"_blank\" rel=\"dofollow noopener\">European Centre for Disease Prevention and Control (ECDC). Antimicrobial Resistance Surveillance in Europe<\/a><\/p><p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMra1503950\" target=\"_blank\" rel=\"dofollow noopener\">Schaeffer AJ, Nicolle LE. Urinary Tract Infections in Older Men<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o Embora a infe\u00e7\u00e3o urin\u00e1ria seja mais frequente nas mulheres, os homens n\u00e3o est\u00e3o imunes a esta patologia, sobretudo ap\u00f3s os 50 anos. A infe\u00e7\u00e3o urin\u00e1ria no homem \u00e9 sempre considerada complicada do ponto de vista cl\u00ednico, exigindo uma investiga\u00e7\u00e3o mais aprofundada para identificar causas subjacentes. Segundo a European Association of Urology (EAU), a incid\u00eancia [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":59800,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[254],"tags":[],"class_list":["post-59687","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-urologia"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-33.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/59687","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=59687"}],"version-history":[{"count":11,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/59687\/revisions"}],"predecessor-version":[{"id":60029,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/59687\/revisions\/60029"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/59800"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=59687"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=59687"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=59687"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}