Hi Jeff
Umm. I was actually going to reply to Alex. See. his post.
Unbearable pain on urination post TWoC post RARP
I had 'similar' to both of you. Excruciating pain post voiding like you. 20 seconds after. Alex's pain I understand was not post voiding though.
Mine came from zero. I took no medication post op. Apart from fragmin. Looking back at my notes. I did pass a hem-o-lok . Very small . Looked like 1mm or less. I didn't realise what it was at the time. The only reason I saw it was after catheter removed I always urinated in a glass to look at colour and volume for a few days. I never kept it and thought it was debris.
My pains only lasted 3 days elapsed. Ie only for about 5 mins after each voiding. I've had no issues since, now over 5 years.
Other than I think everyone gets. Ie Phantom aches and pains, bladder still seems to trigger a need to empty after about 1 hr yet I can leave for 5 to 6 hours etc. Flow is excellent.
I don't think this was spasms, cause was never discovered and I've never had anything like it since. I mentioned to consultant, at first review, and he didn't seem to have any answers. I very much doubt you have any leakage, my own concern at the time. I was not re catherised so can't add anything. I'm sure it will be fine, obviously it's ideal if the join heals with minimal scar tissue forming.
My consultant was very helpful and informative, basic stuff yet not always made clear. Ie bladder will reposition as sits lower. Numerous nerves will grow over time. I had zero nerve sparing. Treat the bladder kindly for a few months. Ie caffeine reduction. . Hopefully all sorted very soon.
Regards Gordon