Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment bladder exercises diet drugs specialist surgery Home Care warning signs Prevention Underlying Cause Anatomy

Painful Urination after Intercourse Treatment

The goal of treatment in urethral syndrome is to relieve the discomfort and urinary frequency. Treatment for urethral syndrome may include behavioral therapy and meditation, Kegel exercises, medication, or surgery. Your doctor may need to try several approaches or combinations of treatments before finding one that is most effective.

Specific treatment for urethral syndrome may include:

  • Medication for urethral syndrome:
  • Bladder exercises for urethral syndrome:
  • Diet therapy for urethral syndrome:
    • Reduce the consumption of foods that irritate the bladder.
    • Increasing urinary pH may help with symptom
  • Behavioral therapy for urethral syndrome:
    • Meditation and relaxation for urethral syndrome
    • Biofeedback
  • Surgery for urethral syndrome:
    • Urethral dilation
    • Laser therapy
    • Electrical stimulation

Painful Urination after Intercourse Bladder Exercises

Kegel Exercises
Kegel exercises can help lessen the symptoms of urethral syndrome. These exercises can suppress the urge to urinate by contracting the muscles that control urination. This gradually increases the time between voiding. The goal is to have at least 2 hours between voiding during the day, and 6-8 hours between voiding at night.

How to perform Kegel exercises:

  • Contract your muscles upward and inward while voiding, so that you can stop the flow of urine.
  • Hold this position for a count of 6 seconds.
  • Release the urine for a count of 6 seconds.
  • Repeat the above one more time before emptying your bladder.

Painful Urination after Intercourse Diet

With urethral syndrome, avoid foods that irritate the bladder.

Foods that irritate the bladder include:

  • Beverages
    • Alcohol
    • Coffee
    • Soda
    • Tea
  • Condiments
    • Barbecue sauce
    • Capers
    • Chutney
    • Cocktail sauce
    • Corn relish
    • Cranberry sauce
    • Horseradish
    • Hot pepper sauce
    • Ketchup
    • Mustard
    • Pickles
    • Relishes
    • Roasted peppers
    • Salsa
    • Sauerkraut
    • Sweet and sour sauce
    • Tartar sauce
    • Vinegar
    • Worcestershire sauce
  • Fruits and fruit juices (acidic)
    • Apples
    • Bananas
    • Cantaloupe
    • Grapefruit
    • Grapes
    • Kiwi
    • Lemon
    • Lime
    • Mango
    • Nectarines
    • Oranges
    • Peaches
    • Pears
    • Pineapple
    • Plums
    • Star fruit
    • Strawberries
    • Tomatoes (all varieties)
  • Salad dressings
    • Bleu cheese
    • Caesar
    • French
    • Honey mustard
    • Italian
    • Poppy seed
    • Ranch
    • Thousand Island
    • Vinaigrette
  • Snacks
    • Applesauce
    • Chocolate
    • Gelatin (e.g. Jell-O)
    • Spicy crackers
    • Spicy nachos
    • Spicy potato chips
  • Vegetables
    • Beets
    • Cabbage
    • Canned or jarred artichokes
    • Peppers

Painful Urination after Intercourse Drugs

Medications used to treat urethral syndrome include:

Painful Urination after Intercourse Specialist

Physicians from the following specialties evaluate and treat urethral syndrome:

Painful Urination after Intercourse Surgery

Surgical procedures for a urethral syndrome may include:

  • Urethral dilation:
    • Gradually-increasing sizes of metal rods are placed in the urethra, in order to stretch the urethra.
    • Useful only in those women who have a narrowed urethra.
  • Implantable electrical stimulator:
    • Stimulate muscles that control urination, in order to reduce symptoms
    • InterSym system
  • Laser therapy for urethral syndrome:
    • A laser is used to burn inflamed areas of the urethra.

Continue to Painful Urination after Intercourse Home Care

Last Updated: Jun 8, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Painful Urination after Intercourse References
  1. Haarala M, Kiilholma P, Lehtonen OP. Urinary bacterial flora of women with urethral syndrome and interstitial cystitis. Gynecol Obstet Invest. 1999;47(1):42-4. [9852391]
  2. Mutlu B, Mutlu N, Yucesoy G. The incidence of Chlamydia trachomatis in women with urethral syndrome. Int J Clin Pract. 2001 Oct;55(8):525-6. [11695072]
  3. Skerk V, Schonwald S, Krhen I, Rusinovic M, Strapac Z, Vukovic J. Azithromycin and doxycycline in the treatment of female patients with acute urethral syndrome caused by Ureaplasma urealyticum: significance of duration of clinical symptoms. Drugs Exp Clin Res. 2001;27(4):135-9. [11822223]
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