Abstract

AYURVEDIC MANAGEMENT OF GRADE II PROSTATOMEGALY (MUTRASTHILA) USING SHUDDHA SHILAJIT: A CASE REPORT

Dr. Subhajit Pahari*, Dr. Shreyanti Nansi, Dr. Sangita Haldar, Dr. Tapas Bhaduri,

Abstract

Background: Prostatomegaly, clinically correlated with benign prostatic hyperplasia (BPH), is an age-related condition leading to lower urinary tract symptoms (LUTS) such as nocturia, hesitancy, and poor urinary stream. In Ayurveda, it is described under Mutraghata and Mutrasthila, conditions characterized by vitiated Vata obstructed by Kapha and Mamsa granthi. Conventional management provides temporary relief but is limited by adverse effects or surgical invasiveness. Shuddha Shilajit, a Rasayana, possesses mutrala (diuretic), vata-kapha hara, and yogavahi (bio-enhancing) properties, making it suitable for urinary disorders. Case Presentation: A 57-yearold male presented with nocturia (3–4 times/night), weak urinary stream, hesitancy, and frequency. Ultrasonography revealed Grade II prostatomegaly with a prostate volume of 36 cc. The patient was treated with Shuddha Shilajit (250 mg twice daily with lukewarm water) for 45 days. Outcome: Significant clinical improvement was observed within six weeks: nocturia reduced to 1–2 times/night, hesitancy subsided, and flow improved. At six-month follow-up, ultrasonography confirmed reduction of prostate size to 24 cc, within normal limits. No adverse effects were noted. Conclusion: This case highlights the efficacy of Shuddha Shilajit in Grade II prostatomegaly (Mutrasthila), producing not only symptomatic relief but also anatomical regression. It underscores the potential of Ayurvedic Rasayana therapy in integrative urological care.

Keywords: Prostatomegaly, Mutrasthila, Shuddha Shilajit, Ayurveda, Benign Prostatic Hyperplasia.