Non-Infectious Urethritis Treatment in Singapore

This type results from exposure to irritating substances such as soaps, douches, spermicides, or certain personal care products. The urethra’s delicate lining becomes inflamed when exposed to these chemicals, leading to discomfort and urinary symptoms.

Physical injury to the urethra from medical procedures, catheterisation, vigorous sexual activity, or accidents can cause inflammation. This type often resolves with proper care and time for healing.

Associated with autoimmune conditions like reactive arthritis, this form occurs when the body’s immune system mistakenly attacks healthy urethral tissue. It may accompany joint pain and eye inflammation.

Patients who have undergone radiation therapy for pelvic cancers may develop urethral inflammation as a side effect. This can occur during treatment or months to years afterward.

• Chemical exposure from personal hygiene products, contraceptives, or lubricants
• Physical trauma from medical procedures or injury
• Autoimmune disorders triggering inflammatory responses
• Radiation therapy to the pelvic region
• Allergic reactions to latex, medications, or other substances
• Hormonal changes, particularly in postmenopausal women

• Recent urological procedures or catheter use
• Use of harsh soaps or feminine hygiene products
• History of pelvic radiation therapy
• Autoimmune conditions such as reactive arthritis or lupus
• Menopause and associated hormonal changes
• Frequent or vigorous sexual activity
• Certain medications that may irritate the urinary tract

• Slight burning sensation during urination
• Mild urethral discharge (clear or whitish)
• Occasional pelvic discomfort
• Increased urinary frequency
• Slight itching at the urethral opening

• Persistent burning or stinging during urination
• Noticeable urethral discharge throughout the day
• Constant urge to urinate with little output
• Visible redness or swelling at urethral opening
• Discomfort during sexual activity
• Lower abdominal pain or pressure

• Intense pain during urination
• Blood in urine (haematuria)
• Inability to urinate comfortably
• Significant swelling of genital area
• Fever or systemic symptoms (requiring immediate evaluation)
• Complete urinary retention

Symptoms of non-infectious urethritis typically develop gradually over days to weeks, unlike infectious causes which often present more acutely. The severity and combination of symptoms vary significantly between individuals.

Experiencing these symptoms? Don’t wait for them to worsen.
Schedule a consultation with our MOH-accredited urologist for an accurate diagnosis and personalised treatment plan.

The first line of treatment involves identifying and eliminating exposure to potential irritants. This includes switching to hypoallergenic personal care products, avoiding harsh soaps or douches, and using unscented, dye-free products. Patients receive detailed guidance on safe product alternatives and proper hygiene practices that minimise urethral irritation.

Oral non-steroidal anti-inflammatory drugs (NSAIDs) reduce urethral inflammation and provide symptom relief. Treatment duration typically ranges from 2-4 weeks, with dosing adjusted based on symptom severity and patient response. Some patients benefit from prescription-strength formulations for more effective inflammation control.

Specialised urethral gels or suppositories deliver medication directly to inflamed tissue. These formulations may contain local anaesthetics for immediate symptom relief or corticosteroids for inflammation reduction. Application techniques ensure proper medication delivery while minimising further irritation.

These medications relax smooth muscle in the urethra and bladder neck, improving urine flow and reducing discomfort. Treatment typically continues for 4-12 weeks, with many patients experiencing significant symptom improvement within the first 2-3 weeks of therapy.

Specialised physiotherapy addresses muscle tension and dysfunction contributing to urethral symptoms. Therapists teach relaxation techniques, stretching exercises, and proper voiding habits. This approach particularly benefits patients with chronic symptoms or those with concurrent pelvic floor dysfunction.

Postmenopausal women with hormone-related urethral changes may benefit from topical oestrogen therapy. This treatment restores urethral tissue health and reduces inflammation. Various formulations allow customisation based on patient preference and response.

Patients with autoimmune-related urethritis may require medications that modulate immune system activity. Treatment plans coordinate with rheumatologists or immunologists to ensure comprehensive care while monitoring for potential side effects.

Every patient’s condition is unique. Our MOH-accredited urologist will assess your specific situation and recommend the most suitable treatment approach for you.