Sorry to hear you have the same issue but there is hope! I had a pretty severe bladder neck contracture after turp which almost completely closed down. My urologist did a bladder neck incision under general anesthesia (similar to how the turp operation went - same day surgery). He left the Foley catheter in for a week and the recovery was smooth with little to no bleeding. He said he made 3 incisions that looked like a Mercedes symbol. He didn’t inject any anti proliferative or steroid, just the incision. I had my 6 year follow up last month and I still have a strong stream so this one procedure seems to have fixed the bladder neck for me. He said the probability of it closing now is very low. He said if this happened today he might inject triamcinolone to up the probability of success but seems I didn’t need it. He also said if the contracture wasn’t too severe, he’s had success with the Optilume dilation that also injects an ant proliferative to help reduce scarring. My contracture wasn’t too severe for this however. In summary, there is hope that a follow up procedure of a bladder neck incision can provide lasting relief and you won’t be stuck in the recurrent treatment loop. I did worry a lot after the incision though. It was probably a couple years after that he was able to get me to not worry so much if my stream changed at all. Good luck and let us know how you make out or if you have any other questions.