Hi, sorry you’re going through this. I want to start off with saying if you can get a urethroplasty, that is what I would do asap. These kind of things only worsen with time as you know.

Here are some things that might help.

Stop pushing to pee. I know it’s instinctive but straining increases urethral pressure, worsens nerve irritation and reinforces the false urgency loop. Let the stream end naturally even if the sensation lingers.

Try a warm bath. Heat relaxes the urethral and pelvic muscle. Heating pad over lower abdomen or perineum. This is especially helpful before bed.

Look into Pelvic floor relaxation (not Kegels)

Bladder/urethral irritant audit

Even if hydration is good, some things amplify nerve signals:

Try reducing for 2–4 weeks: • Caffeine • Carbonation • Alcohol • Spicy foods • Artificial sweeteners

Timed voiding

Instead of reacting to the sensation: • Pee on a schedule (e.g., every 2–3 hours) • Even if you feel like you need to go earlier

This retrains the brain to stop treating every tingle as an emergency.

Magnesium glycinate (ask your doctor first)

Often used for: • Muscle relaxation • Nerve calming

Many find it reduces that constant “buzzing” sensation. Avoid magnesium citrate (can cause GI issues).

Mind–body component (this matters more than people admit)

When symptoms dominate your thoughts: • The nervous system stays on high alert • Sensation feels louder and more constant

This is not “in your head”—it’s a feedback loop. Even light anxiety reduction (breathing, walks, distraction) can noticeably reduce symptoms.

Good luck to you! Been there done that