Urine pH and UTI Risk in Men

Urine pH, which measures acidity or alkalinity, plays an important role in diagnosing urinary tract infections (UTIs) and kidney-related issues in men. While normal urine pH typically ranges from 4.5 to 8.0, elevated levels (pH 8.5–9) may signal a UTI, especially if caused by urease-producing bacteria like Proteus or Staphylococcus species.

In men, UTIs are less common but often more complicated due to underlying conditions such as prostate enlargement or catheter use. A high urine pH may indicate an infection, particularly if accompanied by symptoms like frequent urination, burning, or cloudy urine. Conversely, acidic urine (pH <5.0) may help prevent bacterial growth, making pH a valuable tool in UTI prevention and monitoring.

Doctors use a clean-catch urine sample or 24-hour urine collection to perform urinalysis, which includes a pH test. Along with pH, chemical dipsticks and microscopic analysis help identify bacteria, white blood cells, or crystals that suggest infection or kidney stones.

Urine pH alone cannot confirm a UTI diagnosis but can support it when considered with other symptoms. Factors like diet, dehydration, medications (e.g., acetazolamide), or underlying metabolic conditions (e.g., diabetes) can also alter urine pH.

For men, maintaining slightly acidic urine may reduce UTI risk, although some bacteria can adapt and raise the pH to enhance survival. While a high urine pH isn’t dangerous by itself, it often warrants further investigation, especially in men with recurrent or complicated UTIs. Prompt evaluation ensures appropriate treatment and prevents complications.

Nall, R. (2024, June 19). Urine pH: Normal ranges and what they mean. Medical News Today. https://www.medicalnewstoday.com/articles/323957