I am 34 years old.  I started getting pain in the groin while running
and doing almost any physical , sexual activity about 2 years ago.  To
make the long story short, after going thru 5 Urologists I finally
decided to settle on a uro that I was comfortable with  in July 2003.
Semen culture indicated enteroccocus bacteria in July 2003. The uro
did prostate massages for 3 weeks ( twice a week, August 2003) since
my prostate was mildly boggy and put me on Cipro while doing the
massage.  Pain the the groin subsided a lot after the massage. The
last 2 prostate massages did not bring out any fluid so we stopped and
finished with Cipro about 10 days later (in early September 2003)
after the final prostate massage.

I started getting frequent urination and dribbling after I went for
the prostate massage. I did not have dribbling before the prostate
massage.  I started getting a lot of itching sensation in the urinary
tract after completing the Cipro and prostate massage treatment.

I went to another Uro in November 2003. I went thru another semen
culture about a month ago.  I was prescribed Geocillin for 50 days for
enteroccocus bacteria found in my semen culture. I am on Geocillin
now.  It seems like although the prior prostate drainages helped a
lot, Cipro was not able to penetrate to get rid of the bacteria
completely. While on geocillin I went for prostate massages again for
about 2 weeks.  I also  went thru UroDynamics, Cystoscopy, Prostate
Ultrasound and was told yesterday that I had a narrow bladder neck.
He also mentioned that I had a small prostate.  My only options
according to the uro was to either take Uroxatral for the rest of my
life or invasive surgical procedure (which he advised against cuz of
me being young).

I went back to the Uro who had done prostate massages in August 2003.
He said, he would have to do cystoscopy again with a hard scope and
that he could dilate the bladder neck during the cystoscopy that could
relieve my frequent urination and dribbling symptoms. I have
researched dilation on the net and people who have their bladder neck
dilated seem to be happy with it.

My groin pain has significantly subsided to almost zero and I can run
and have sex again without pain but I will be on geocillin for another
20 days.

Do you think that the prostate massages could have caused the narrow
bladder neck (due to trauma from the the massages)? What do you think
about dilation of the bladder neck?

Can you please help and advise?

Thanks