They put me on a prescription that took away the pelvic floor pain. Which was great. Uribel 118-10-40.8-36 mg capsule. Now I will have a second cystoscopy in a month to check progress of contraction. Scheduled for surgery early October. Your doctor should be able to diagnose the exact issue. Bladder neck contractures are usually caused by the HOLEP procedure but are rare. Also went through months of PT to help with pelvis floor pain and incontinace. Good luck.