What is the recommended workup for a man with a first UTI?
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Obtain a urine culture in all men with suspected urinary tract infection (UTI), to reliably diagnose an infection (strength of recommendation [SOR]: C). For further evaluation, ultrasonography with abdominal radiography appears at least as accurate as an intravenous pyelogram (IVP) for detecting urinary tract abnormalities such as hydronephrosis, stones, or outlet obstruction (SOR:C; single small poor-quality cohort study).
Journal of Family Practice, 56(8) 2007: 657+.