Abstract

EFFECTIVE MANAGEMENT OF URETHRAL STRICTURE (MUTRAMARG SANKOCH) WITH UTTARBASTI – A CASE STUDY

Dr. Pradnya R. Kapse* and Dr. Shubhangi Jare

Abstract

Urethral stricture is a rare disease mainly found in male patients. It is a rational and troublesome problem of the international society. Sushruta has explained diseases of mutravaha strotas in uttartantra. Mutramarg sankoch can be correlated with stricture of urethra. Major complications caused by this disease are urine outflow obstruction, urine stasis leading to urinary infection, calculi formation, etc. The suggested treatment of modern science is urethral dilatation, visual internal cystoscopic urethrotomy or stricturotomy and urethroplasty which may cause bleeding, false passage, fistula formation, where surgery has its own complications and limitations. In ayurveda, all aacharyas, highlighted the use of uttarbasti – a parasurgical procedure for the diseases of mutravaha strotas. here a case of urethral stricture treated with uttarbasti is illustrated. A single case study of a male patient 38 yrs old suffering from a urethral stricture since 8 months. He had complaints of dribbling micturition, painful micturition, increased frequency of micturition. He had taken allopathic treatment for 2 months, but no significant results were found. After thorough general and physical examination we decided to give uttarbasti in this condition. (As per reference given in sushruta samhita) Uttarbasti was done at 3 days interval for 4 weeks. After 2nd sitting patient got 40% relief. Thus we can conclude that uttarbasti can be considered as a golden choice of treatment for urethral stricture in ayurveda.

Keywords: Urethral Stricture, Mutramarg Sankocha, Urethral Dilatation, Uttarbasti.