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Yeast infections are a very rare and serious complication in a male patient. The reason for this is because our anatomy typically protects against having yeast infections commonly seen in the female population. Without going into too much detail about the anatomical differences, typically the urethras in women that transfer urine from the bladder into the toilet bowl are much shorter compared to the urethras found in men. This difference is the reason why bacteria that are found on the surface of our skin are able to easily traverse the canal in women and become problematic in the bladder for women. Because the penis is a longer structure, the urethra is longer so bacteria will not be able to typically get into the bladder to cause problems. 

Poor hygiene is a common cause of this rare infection in males. Males who do not typically clean the foreskin of their penis or who are not circumcised are more likely to develop these types of infections under the foreskin of the penis.

This can lead to symptoms of white fluid collected on the surface of the skin as a by-product of the yeast colonies growing on the penis surface. There can be a foul-smelling stench also associated with this condition. Patients may also complain of redness and itchiness throughout the day so treatment will be necessary to try to rid yourself of this condition.

As a side note, male patients are also prone to recurrent UTI infections as they get older due to problems with urinary incontinence.

When managing a standard patient with a yeast infection, it is important for doctors to take a careful history to make sure that the patient is not at an increased risk for sexually transmitted diseases. In most cases, Candida infections from their female partners are the cause of their infection in the first place so preventative measures should be taken. 

Doctors will need to take a urine analysis and may even swab the foreskin of the penis to test to determine what specific microbe could be the culprit in this situation. Patients should be worked up for common infections like Chlamydia and Gonorrhea infections. If this is a type of infection complicated by an underlying STD will result in you needing to take a strong combination of medications like ceftriaxone and azithromycin. This should be able to help resolve your UTI. 

If you find that you are free of any underlying STD, the treatment will be much more simple. Patients will be usually prescribed a medication from the "floxacin" family. These could include drugs like ciprofloxacin, levofloxacin. This should be used in all cases of complicated UTIs. By the very nature of you being a male patient with a UTI, this automatically qualifies you to be classified as having a complicated UTI. You also may be given a topical anti-fungal medication like ketoconazole in order to help the superficial yeast infection as well

The last step that you will need to do is to prevent these infections in the future. This can include things like taking precautionary measures during sexual intercourse such as condom use. Your partner should also be given medication if they are found to have a fungal infection to help prevent you being inoculated with the bacteria once again. [1]

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