I self catheterise 2x daily have bleeding a lot after urination any suggestions how to prevent this gretting very tired also?

Here are some ...: The following two scenarios may help you ease what you've been experiencing: 1. insert a suprapubic cystostomy tube for a certain duration or 2. refine the expectation & techniques of clean intermittent self-catheterization (CISC) so to minimize CISC-related injury to urethra resulting in less discomfort & bleeding. Principle for CISC may include: never let the urine inside the bladder > 400 cc.

Please see below: You had urethral stricture after brachytherapy for ca.prostate.So it is a bulbo-membranous urethral stricture.This occurs in 5-10% of patients like you.Has your urologist discussed options like cold knife internal urethrotomy,transurethral incision or laser incision to try and "get rid" of intermittent self-catheterization.These options don't always work but are worth trying.Best wishes to you.:)