Thanks, folks. I appreciate the suggestions. I recall that my earlier dilations did indeed help for a year or even more before I'd have to go back for another one. This time was different. I'll continue to research options, and wish everyone good health.

David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18