What is the recommended follow-up for a male with recurrent UTIs who denies acute symptoms?

Referring the patient to a urologist is a crucial step in managing recurrent urinary tract infections (UTIs) in males, particularly when acute symptoms are absent. Men typically have a lower incidence of UTIs compared to women, so recurrent infections may suggest an underlying condition that requires specific evaluation and treatment by a specialist.

A urologist can perform a thorough assessment, which may include a physical examination, imaging studies, and cystoscopy to identify any anatomical abnormalities, obstructions, or other possible causes of recurrent infections. This referral is essential to rule out conditions such as prostatitis, strictures, or tumors that could contribute to the persistence of UTIs.

In contrast, the other options do not address the underlying issues that may be causing the recurrent infections. Prescribing antibiotics without a thorough evaluation might not resolve the underlying problem. Advising the patient to void every two hours could be beneficial for symptom relief in some cases but does not substitute for investigation into the recurring infections. Referring the patient to the emergency department may be appropriate for acute severe issues but is not suitable for a patient who lacks acute symptoms. Hence, a referral to a urologist is the most appropriate and comprehensive approach in this situation.