Advice wanted

[Xaciki]

Hi all,

I would be grateful for any advice on my issue. My problems started at the end of last year after an injury I received left me with some minor urinary problems (urgency and frequency) that eventually, in time settled down. However, during the worst period I met up with a urologist who arranged for a diagnostic cystoscopy to be performed, so as to rule out a stricture of the urethra. This was originally due to take place in March, but had to be delayed due to Covid.

The procedure eventually went ahead at the end of July, and during it I tensed up rather badly as the telescope examined my prostatic urethra. Since then, I have been left with several issues, including what I would describe as a feeling of fullness of the rectum, sciatic-like symptoms down my left leg while sitting and much poorer erections. I have minimal pain but will occasionally have a dull ache that goes away quickly. I am very concerned that some sort of damage has been done, and it's entirely possible that the procedure has aggravated what was an already dysfunctional pelvic floor even further. Of course, had I of known from the start that it was likely to be my pelvic floor then I would have seen a P.T, and not had the cystoscopy done.

Obviously I cannot turn back the clock and have just got to make the best of my situation now, so any advice would be greatly appreciated.

[webslave]

Cystoscopies can result in, at worst, a stricture.

Complications of cystoscopy are generally minor and may include urinary tract infection, hematuria (blood in urine), dysuria (painful urination) and injury to the bladder or urethra. Development of an iatrogenic (surgeon-caused) urethral stricture is a known possible complication of instrumentation
https://www.ncbi.nlm.nih.gov/books/NBK493180/

More likely is that the procedure unfortunately exacerbated the existing tension and spasm, and resulting neuronal windup, thus pushing you further into the CPPS condition.

It's unlikely the procedure gave you a stricture, unless you notice NEW symptoms along the lines of

• Decreased urine stream
• Incomplete bladder emptying
• Spraying of the urine stream
• Difficulty, straining or pain when urinating
• Increased urge to urinate or more-frequent urination