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Anal Stricture and Pouchitis

I’ve had my pouch for 20+ years with no complications. Recently started having frequency, urgency, tenesmus and the “texture” of my pouch contents went from semi formed to appearing like wet sand. Was diagnosed with Anal Stricture and pouchitis. Immediately following scope and stretching of stricture things returned to normal for about a week. Was on an antibiotic following procedure. After a week symptoms began to return. Went in for a second scope still showed pouchitis and stricture. Again immediately after procedure things seemed normal. Put on Cipro. After about a week, mild symptoms started back and now a month later tenesmus is getting bad again. Thoughts?

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