Ayurveda management of post TURP urethral stricture: A case report

Abstract

Post TURP (Trans Urethral Resection of Prostate) Urethral stricture incident rates have been reported between 2.2 and 9.8%. Weak urine stream, recurrent urethral infections, dysuria, retention of urine, etc. are the chief presenting complaints of the clinical cases. Sushruta described 12 types of Mootraghata (∼clinical conditions stating obstructive uropathies). Lower Urinary Tract Symptoms (LUTS) have been provided with separate diagnostic notation with its description in Mootraghata. Sushruta narrated Mootrotsanga-a clinical condition confirming obstruction of urine in the lower urinary tract developing LUTS. Sushruta recommended Uttarabasti (intra-urethral douching) as a line of treatment to get rid of obstructive uropathies of various origins. This case is about a 70-year-old nondiabetic, nonhypertensive male who reported a 2-month history of weak urinary stream, burning micturition, and increased micturition frequency. The patient was diagnosed with stricture at the distal penile urethra near the external urethral meatus and stricture at the junction of the middle and posterior urethra. This case was managed by, Sadhyo Virechana (Therapeutic purgation), followed by Uttarbasti (intra-urethral douche) procedure with Jatyadi oil and other adjuvent Ayurveda medicaments like Eranda Bhrishta Haritaki, Gokshuradi Guggul and Varunadi Kwatha for 21 days. Encouraging outcome was achieved in terms of complete reversal from Urethral stricture and evident with Ascending Urethrogram (AUG) report. Since the last 1 years' follow-up, the patient has been living symptom-free. LUTS and especially, stricture pathologies can be managed through safe and noninvasive procedures like Uttarabasti.