Efficacy of Uttarbasti in the management of Recurrent Urethral Stricture-A Single Case Study

Abstract

Now a days urethral stricture disease is the common problem occurred in the patients after chronic urinary tract infection, urethral injury or post-surgical interventions performed through per urethra. In Ayurvedic literature urethral stricture may be correlated as mutrotsanga mentioned in Sushruta Samhita. There are advance surgeries available as the science advances with technology various surgeries like urethrolithotomy, Trans urethral removal of urethral stricture, dilatation of urethra. The way to overcome this problem is surgery i.e. urethroplasty. But the recurrence rate is high enough to think the alternative. In this case study, a 70 year old Male patient suffering from recurrent urethral stricture was came to Shalya Tantra OPD. Patient also undergone repeated urethral dilatations four times but not relieved. So after clinical examination and investigations the case diagnosed as urethral stricture and treated with Ayurvedic Para-surgical procedure   i.e  uttarbasti to avoid recurrent urethral stricture.  In Ayurvedic literature uttarbasti is the procedure in which some medicinal preparations are introduced per urethra. In this particular case study        apamargakshara tail for the uttarbasti procedure was used. The quantity of oil for first three setting was 30ml and 20ml for remaining setting.  After procedure study the results found in the case are encouraging enough.