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Hello Dr Whitney Im a urologist. Your problem is what we can see in reimplant and other bladder surgery. First issue is how are your bowels , constipation can give alot o the same symptoms. What you need is a CT urogram, an xray of your bladder to look for areas that may have stretched out called diverticuli of the bladder. The ureteral surgeries you had are complex and as such follow-up study is needed. Reconstruction of the urethra would be from the bladder to the penis. I hope that helped