Urethral syndrome

This is a tough condition to treat and even tougher to beat. Women who suffer from it complain of chronic urethral pain or discomfort. They report a constant sensation of "knowing that I have a urethra.". It is maddening. Therapy consist of identifying and treating any treatable conditions, like UTIs and the rare urethral diverticulum. In most cases, though, the cause remains a mystery and treatment involves a "shotgun" approach: try one thing then another etc until something works. It is truly a frustrating malady.
These therapies can work in some:
Tricyclics medications
Alpha blocker therapy
Androgen therapy
Corticosteroids
Topical anesthetics
Urethral dilations

How about Botox? I'll let you know.

Dr S