Integrated management of Urethral Stricture - A case report
DOI:
https://doi.org/10.70066/jahm.v14i2.2587Keywords:
Ayurveda, Case report, Mutroutsanga, Urethral calibration, Uttarbasti, Yogabasti.Abstract
Background: Urethral stricture is a troublesome condition often difficult to treat. Complications often include obstructed urine flow, urine retention, calculi formation. Various surgical procedures are in practice but the outcome is limited due to various complications and limitations. In Ayurveda it is corelated with Mutroutsanga and often Uttarbasti along with medications are advised for the treatment. Clinical findings: A case of 34-year male, non-hypertensive, non-diabetic complaining of weak stream of urine, pain (VAS - 7) and burning sensation during micturition with increased urine frequency (15-20 times/day and 4 to 5 times/night) in the past 8 months. Ascending urethrogram showed urethral stricture and uroflowmetry showed increased voiding time and reduced flow. Intervention: A integrated integrative treatment approach was adopted, consisting of Yogabasti, Urethral calibration, Uttarbasti and medications for a period of 6 months and a 1 year follow up. Outcome: Adopted treatment has given good clinical outcome in terms of reduction in pain (0), burning sensation (absent) and urine frequency (4 to 5 times in a day and 1 time at night) with improved urinary stream. No adverse events or complications occurred during the treatment period. Conclusion: Integrative treatment approach done for a period of 6 months has given better results in the management of urethral Stricture. No adverse events occurred during the treatment and 1 year follow up period.
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