Obviously there are many possibilities, including local irritation from the chemicals in the wipes or any soaps that you may not completely rinse from the opening to your vagina.
Why do you have urethral dilatations? Do you truly have a urethral stricture (very rare in women)? If you have a true stricture, then reconstruction of this area seems appropriate to get the problem treated for good.
Would your urethral burning get better with a mild urinary analgesic such as pyridium? Or Tylenol?
You mention IBS. Could your symptoms be caused by stress? You might try Ditropan or Detrol when your symptoms occur if you have associated frequency/urgency. A mild tranquilizer such as Librium when your symptoms occur may also be quite effective.
S.A.Liroff, M.D.
A related discussion,
Urethral Dialation & Scaring was started.
A urine culture will tell whether there is a true infection or not.
Lack of hormones results in some thinning of the lining of the urethra. The shape does not change. When you are dilated (and, yes, that is certainly not comfortable) the caliber of the tube changes for a short time, probably a few days. This does not enable your bladder to empty any better unless there was a true narrowing beforehand.
You may benefit from some estrogen cream in your vagina on a once a week basis. Estrogens post menopause are a very controversial subject, but the amount that gets into your blood stream from a vaginal application is quite small. Does this matter as regards the relationship between breast cancer and estrogens? No one knows, but there are those of us who think that such low levels are unlikely to put a woman at risk. Your stress incontinence may improve also.
As regards your incontinence, start doing Keigel's Exercises (look on line).
S.A.Liroff, M.D.
My Urologist told me 6 years ago when I started to having it done that it was because the tube was not round anymore due to a lack of hormones, so a little urine stays in the bladder creates bacteria creates cramps, althrough I feel like am peeing fine, maybe a little slower..I read all this dialating can cause incontinence. Now that I am post menopause. I do notice that when I sneeze or cough hard I have to be careful. My urologist said no, it has nothing to do with that. I have 2 friends that have the dialation done 3-4 times a year also, it is not a pleasant procedure and leaves you with residual burning and pain for a couple of days. when I have it done the pain and burning episodes go away for a few months and no cramps. How do you tell the difference between a real infection and just this annoying ureathral constriction....Thanks for the tips on the Pyridium I do use that occasionally and Lidocaine gel when the burning sometimes seems to be after I urinate on the tip of the ureathea.
Kind regards
Chris