Evaluation of encircling anal canal by Kshara sutra therapy in rectal prolapse (Gudabhramsa)

Background and Aim: The anorectal diseases have been known from thousands of years. In Ayurveda, Acharya Sushruta has described Gudabhramsa (rectal prolapse) under the heading of Kshudra roga. Kshara sutra (medicated thread) has been proved to be a big revolution in the treatment of Anorectal diseases. Encircling of anal canal by Kshara sutra therapy is Kshara sutra therapy used in a rectal prolapse. Materials and Methods: A total of 33 patients of both genders of prolapse rectum have been selected randomly after taking written consent and treated with three different types of Kshara sutra followed in the “Anorectal clinic” of S. S. Hospital, Institute of Medical Sciences, Banaras Hindu University. Results: Udumber Kshara sutra (81.8%) was significantly equally effective in terms of pain reduction as compared to Guggulu Kshara sutra (81.8%), but Snuhi Kshara sutra (63.6%) was less effective. Udumber Kshara sutra (81.8%) is more effective in terms of discharge reduction as compared to Snuhi Kshara sutra (72.7%) and Guggulu Kshara sutra (72.7%) which was equally significant. Udumber Kshara sutra (90.9%) was significantly more effective in terms of tenderness reduction as compared to Guggulu Kshara sutra and Snuhi Kshara sutra. Discussion and Conclusion: Pain and tenderness were comparatively lower in group treated with Udumber Kshara sutra as compared to Guggulu Kshara sutra and Snuhi Kshara sutra. Udumber Kshara sutra is equally effective in terms of reduction in discharge observed during the treatment as Guggulu Kshara sutra and least by Snuhi Kshara sutra. Udumber Kshara sutra is equally effective as Guggulu Kshara sutra in terms of wound healing.