So, you are under a doctor's care, which is the right thing here. A urologist should be able to keep helping you explore the cause for your sensation. I do want to point out that anxiety can play a role at times. We are nervous and feel EVERYTHING and things don't feel right. So, try to make sure that isn't impacting this. I would have thought stricture. But you say that has been ruled out? You don't state your age but uroflowmetry delines with age to 5.5 for men of 80 years old. Sounds like yours is prematurely in the range it is in for you? https://my.clevelandclinic.org/health/diseases/15537-urethral-stricture-in-men The information on stricture is just to read. I'm so surprised they don't feel this is the case with you. The alfo worked for you? What about continuing it? What about inflammation levels? If you reduce inflammation with say something like ibuprofen, does this improve?