Hi Daenval. Sorry to hear about your difficulties. I actually went to the ER a few days after that post due to perceived acute retention. Same as you, I had diagnosed everything in my head and knew i was getting a SP. Apparently, the type of liquid they use for the Retrograde Urethrograms can have the effect of making you feel you need to go. It turned out just fine (no cath at all), but was quite scary.
Also, it’s interesting you bring up a 2-3 day worsening. I’ve had similar things happen. My stricture is generally worsened by sex unfortunately. The day after having sex, my flow will drop significantly, and about 2-3 days later it will ease up (but still well short of what it was prior). The last episode dropped me from ~16 ml/s to ~8 ml/s and I have had to swear off sex until this is fix (girlfriend not happy about this).
I’ve done the same research as you I’m guessing. I definitely saw research articles on sexual side effects between the methods. My doc believes that there shouldn’t be any sexual side effects of this surgery and has told me he plans to do end-to-end. The only drawback I’ve seen on the buccal side is that it seems to have a slightly lower success rate. Although I don’t think there’s been enough research to fully determine which type is preferred.
I’ve been scheduled to have my urethroplasty done 11/26. Also have family over for Thanksgiving… So that should be interesting.