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I have a very similar problem, though the pain is more centered around the tip than the base. Also, when it happens I feel 'half-erect' - like the urethra is still 'firm', but the rest is flaccid. I too asked my urologist, and he suggested that it might be muscle spasms. It doesn't really feel like it, though, and he didn't have any real suggestions for fixing it. For me, it helps if I lay on my side, in a position that (so it seems) allows the little robot to drain. If I wait even a little bit before getting into a good 'draining' position (ie, the little robot pointing somewhat more down than horizontal), then I'm much more likely to have 'the pain'. And it is truly agonizing, so I try to avoid it as much as possible. It never seems to happen after I spank the robot in the shower, but if I do it flat on my back, and and don't roll over to my side asap...I know I'm likely to be in agony for the next 30 minutes or so. No fun at all.
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