This topic is about someone who had an abdominoperineal resection, often referred to as "Barbie-butt" surgery, and is experiencing bladder pain and painful urination several months after the procedure. They are seeking advice from others who might have had similar experiences. Here are some helpful insights and advice:

1. It's important to consult both your colorectal surgeon and a urologist as soon as possible. This can help rule out any structural or nerve issues that might be causing the discomfort.

2. A medication called Flomax (tamsulosin) has been helpful for some people. It was prescribed to two individuals and quickly relieved their urinary hesitancy and pain.

3. If you have received pelvic radiation, be aware that:
- Radiation can sometimes injure the bladder and worsen urinary problems.
- Arriving for each radiation session with a full bladder might help reduce the amount of radiation the bladder wall receives. After the session, it's a good idea to empty your bladder immediately to minimize discomfort.