Fri Jul 25 23:56:19 SGT 2014  
    Urinary Tract Infection
Within 3 days after unprotected sex, stop HIV infection with Post-Exposure Prophylaxis treatment 10 days after unprotected sex, detect HIV infection with the DNA test 28 days after unprotected sex, accurately detect HIV infection with the 20 minute rapid test
Full & comprehensive sexually transmitted disease testing
Males: do not urinate for at least 4 hours before arriving
Females: testing is more accurate when you are not menstruating

Urinary Tract Infection | STD DOCTOR SINGAPORE™


Urinary Tract Infection | STD DOCTOR SINGAPORE™ @stddoctorsingapore_com: Urinary tract infection, Singapore. Private & confidential service.

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Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Last registration: one hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.


Table of Contents

Urinary tract infection (UTI) and corresponding inflammatory conditions:
  • In men, it is rare. But when it happens in sexually active men, it is frequently caused by STD.
  • In women, it is frequently caused by Escherichia coli originating from the anus.
Urethritis is inflammation of the urethra. The most common symptom is dysuria (painful urination), followed by urethral discharge / genital discharge. For treatment purposes, it is classified in two categories: In the UK, Non-specific urethritis (NSU) may be used to mean that either gonorrhoea alone, or both gonorrhoea and chlamydia has been ruled out.

Cystitis is inflammation of the bladder.

Lower UTI symptoms are

UTI treatment is usually with antibiotics like trimethoprim/sulfamethoxazole

Sexual risk (of HIV/STD/pregnancy), and what you can do before and after exposure.

Timeline Event / Available resources
HIV STD Pregnancy
Before exposure
Abstain from sex, Be faithful, or Condom use
Circumcision (males only)
(females only)
HIV PrEP (pre-exposure prophylaxis) STD vaccine:
- Hepatitis vaccine
- HPV vaccine
STD / HIV exposure
Unsafe sex / unprotected sex:
No condom / Condom broke / Condom slip
0-72 hours HIV prevention
HIV PEP (post-exposure prophylaxis) treatment
- Stop HIV infection after exposure.
STD testing
If STD symptoms appear, then do STD treatment.
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating.
Emergency contraception
(females only)
2 weeks HIV DNA PCR test
1 month 20 minute SD Bioline HIV Ag/Ab Combo HIV rapid test:
- Fingerprick blood sampling.
3 months 20 minute OraQuick® HIV rapid test:
- Oral saliva or
- Fingerprick blood sampling.
Full & comprehensive STD testing
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating.


Latest News

How Frequently Do Symptomatic Urinary-Tract Infections Actually Occur After Gynecologic Oncology Surgery?
Thu, 24 Jul 2014 20:15:51 +0100 | Journal of Gynecologic Surgery
Journal of Gynecologic Surgery , Vol. 0, No. 0. (Source: Journal of Gynecologic Surgery)

Continuous antibiotics not necessary for many children with common prenatal abnormality
Thu, 24 Jul 2014 04:00:00 +0100 | EurekAlert! - Medicine and Health
(Nationwide Children's Hospital) Up to 5 percent of all prenatal ultrasounds uncover antenatal hydronephrosis, or enlarged kidneys, the most commonly detected prenatal abnormality in the US. Many children with this abnormality are treated continually with preventive antibiotics for the first few years of life with the hopes of preventing the condition's associated urinary tract infections. But a new study found that, in most cases, continuous antibiotics for these children are unnecessary. (Source: EurekAlert! - Medicine and Health)

Prevalence of uropathogens and antimicrobial susceptibility profile in outpatient from Jataí-GO
Tue, 22 Jul 2014 16:02:13 +0100 | Jornal Brasileiro de Patologia e Medicina Laboratorial
Conclusion: These data demonstrate the need to know the reality of each region in order to establish an appropriate empirical therapy, when it is not possible to perform culture and antimicrobial susceptibility testing. Introdução: Infecções do trato urinário (ITU) afetam pessoas em todo o mundo. Escherichia coli é o principal agente de ITU, no entanto a etiologia pode variar de acordo com o sexo e a idade do paciente. Variações regionais quanto à prevalência e à resistência aos antimicrobianos devem ser consideradas para a escolha terapêutica. Objetivos: Este trabalho teve por objetivo realizar um levantamento sobre os principais agentes de ITU e avaliar o perfil de resistência desses microrganismos no período de março de 2010 a junho de 2012, na cidade de Jataí-GO. Mé...

Voided midstream urine culture is a good test for acute cystitis in premenopausal women
Fri, 18 Jul 2014 00:00:00 +0100 | Evidence-Based Medicine
Commentary on: Hooton TM, Roberts PL, Cox ME, et al.. Voided midstream urine culture and acute cystitis in premenopausal women. N Engl J Med 2013;369:1883–91. Context Uncomplicated acute cystitis is a common and uncomfortable condition in premenopausal women. Controversy exists over the value of culture data obtained from clean-catch midstream urine specimens for directing antimicrobial therapy, due to the risk of contamination by periurethral and vaginal organisms affecting the detection of true bladder bacteriuria. In the past, bacterial colony counts have been used to determine the threshold for clinically meaningful results. The authors attempt to clarify this issue by comparing culture results in premenopausal women displaying symptoms of acute cystitis from specimens obtained t...

Lower urinary tract dysfunction is frequently seen in urinary tract infections in children and is often associated with reduced quality of life
Fri, 18 Jul 2014 00:00:00 +0100 | Acta Paediatrica
ConclusionLower urinary tract dysfunction was frequently seen in patients with UTIs, but standard urotherapy was usually successful. Most of the patients in our study with LUTD also had an impaired QOL. (Source: Acta Paediatrica)

Risk of re-admission, reoperation, and mortality within 90 days of total hip and knee arthroplasty in fast-track departments in Denmark from 2005 to 2011.
Fri, 18 Jul 2014 00:00:00 +0100 | Acta Orthopaedica
Authors: Glassou EN, Pedersen AB, Hansen TB

Paediatric vesicoureteric reflux imaging: where are we? Novel ultrasound-based voiding urosonography.
Fri, 18 Jul 2014 00:00:00 +0100 | Hong Kong Med J
This article aimed to summarise the current literature and discuss the first local pilot study in our institution on detection of vesicoureteric reflux by contrast-enhanced voiding urosonography. Contrast-enhanced voiding urosonography is a valid alternative to micturating cystourethrography in assessing vesicoureteric reflux, based on its superior diagnostic performance, reliability, safety, feasibility, and radiation safety for children. Therefore, it should be incorporated in the guideline for investigating paediatric urinary tract infection.

The role of patient's profile and allogeneic blood transfusion in development of post-cardiac surgery infections: a retrospective study
Thu, 17 Jul 2014 00:00:00 +0100 | Interactive CardioVascular and Thoracic Surgery

Erm(X)-mediated resistance to macrolides, lincosamides and streptogramins in Actinobaculum schaalii
Wed, 16 Jul 2014 00:00:00 +0100 | Journal of Antimicrobial Chemotherapy

CTX-M-137, a hybrid of CTX-M-14-like and CTX-M-15-like {beta}-lactamases identified in an Escherichia coli clinical isolate
Wed, 16 Jul 2014 00:00:00 +0100 | Journal of Antimicrobial Chemotherapy