Role of Sahacharadi Taila Uttarbasti in the management of post operative urethral stricture- A case report

Abstract

The urethra is the tube that carries urine out of the body. This tube can become narrow and cause difficulty and discomfort when a man urinates. Narrowing of lumen of urethra is known as urethral stricture.70% of urethral stricture is insidious at bulb. Trauma, infections like (TB, Gonorrhoea), TURP are the main causes of urethral stricture. Symptoms include varying amount of urethral discharge, morning dew drop, difficulty in micturition, dribbling of urine, increased frequency, incomplete voiding of urine etc. In Ayurveda urethral stricture can be correlated with Mutramarga samkocha-Mutrotsanga. Urethral stricture is not explained or mentioned as a separate disease in Ayurveda but the symptoms correlate with Mutrotsanga which is one of the 12 types of Mutraghata explained by Sushruta in Utttar tantra. There are advance surgeries available as the science advances with technology various surgeries like Urethroplasty, Visual Internal Urethrotomy, and Dilatation of urethra, but the recurrence rate is high enough approaching an alternative option. According to Sushruta Samhita Uttarbasti is one of the effective procedures for Mutrotsanga. The present paper is the case presentation of a 73 yrs. old male patient who came to Shalya Tantra OPD at Matrusri Davalba Ayurved Hospital, Vadodara, with the chief complaints of Pain during urination, there is obstructed urine flow, straining, dribbling and prolonged micturition after undergoing operative procedure for BPH, Patient also undergone repeated urethral dilatations but had no relief. Hence the treatment planned for the case was of Sahacharadi taila Uttarbasti. Improvement was obtained after 7 sittings at an interval of 3 days. This single case manifests that Mutrotsanga-Urethral stricture can be treated well with Uttarbasti.