Brief Answer: A Urodynamic evaluation is the best option Detailed Answer: Hi, I see no reason why you should not try drugs like Tosolin - there is a good chance that your symptoms could improve. However, if you are not keen on taking medication and are intent on knowing if there is a major problem, I recommend that you get a study called urodynamics - this would give an indicator of the pressure in the bladder and also tells us if you are exerting any abdominal pressure while voiding. This should not be done if you are taking drugs like Tosolin which can cause erroneous results at the time of testing. This could be important if you have very high pressures in bladder which might even be XXXXXXX to the kidneys in future. This information cannot be obtained by cystoscopy which is what you have undergone earlier. A recording of the muscle activity of your sphincters (EMG) will also be usually done at the same sitting, and this will also let us know if there is any 'dyssynergia' i.e. an incoordination between bladder and sphincter which might explain why graph was up and down instead of being smooth. The actual treatment would depend on what has been detected on the urodynamic evaluation. Hope I have been able to help you.

---