Our expert says:
It sounds to me as if you have a recurring physical problem in the urethra and or the bladder, the repeated operations to remedy the problem can again cause scar tissue that can cause recurring problems. You are entitled to a second opinion, ask your urologist to give you a referral letter and copies of all your tests etc to discuss with another doctor, or ask your GP to write a letter to another Urologist for second opinion - he need not treat you, he can just evaluate your problem.
If you have permanent physical damage to the bladder, you may need to consider doing clean intermittent catheterization - a thin metal catheter of about 12 cm long is used 4 or so times a day to empty your bladder with. Paraplegics often use this as stay-in catheters tend to cause infection. An overly distended bladder often goes into spasm and may be the reason for your pain and the force you need to use to empty your bladder. You can also use medication to prevent bladder spasms (like Ditropan)
Sometimes you need to ask your doctor to explain alternative options of management of the problem to you as they may not fully realize how badly this is affecting you in your everyday life.
Let me know if you managed to get a second opinion?
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