Urethral dilation after radiation

[LiveLongAndPropser]

Reaching out to those who have had urethral dilation.

I completed SBRT in Sept 2023. I've had some minor incontinence issues on and off since before radiation with BPH being blamed. I've been using Tamsulosin for years and it helps prevent straining, but unfortunately I still have issues with fully emptying. I had somewhat hoped (though never promised) that my prostate would have shrunk enough with radiation to help resolve these issues, but it hasn't. I'm seeing a new urologist who is recommending urethral dilation. In reading medical literature, it sounds like this temporarily helps for a few years, but would likely need to be done again. Recovery doesn't sound pleasant. Anyone have success? If so, what was your experience?

[Beatles64]

I would not. Better to undergo a urethroplasty surgery. Dilation could leave you with scar tissue in the urethra, which will make things worse. That was my experience. Had the surgery then a few months later had a AUS device implanted that stopped my incontinence. Have had the device now for 6 years. It’s been a life changer.