Hi! I wish your Dr. would consider a dilation "in office." I think it was actually my colo-rectal surgeon who did them. I remember him saying if they aren't done right they can cause fistulas? I developed fistulas/abscessed not long after I had the dilations. Not sure if it was related? I did end up with Crohns in my JPouch so the fistulas may have been because of this. I hope you can find relief... quickly. I am embarrassed to post the pics of my catheter but thought even if it could help one person it was worth it. Please keep us updated.... I am very interested to know what the PT would involve. It sounds like you have been through so much.