Sushendra T, Joshi Foram P, Nakrani Hetal L, Kapadiya Manisha, Patel Saurabh P
Department of Shalyatantra, JS Ayurveda Mahavidhyalaya, Nadiad, Gujarat, India.
Department of Shalyatantra, All India Institute of Ayurveda, Goa, 403513, India.
J Ayurveda Integr Med. 2025 Mar-Apr;16(2):101084. doi: 10.1016/j.jaim.2024.101084. Epub 2025 Mar 17.
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.
经尿道前列腺电切术（TURP）后尿道狭窄的发生率据报道在2.2%至9.8%之间。尿流无力、复发性尿道感染、排尿困难、尿潴留等是临床病例的主要就诊主诉。苏什鲁塔描述了12种“穆特拉格哈塔”（大致相当于描述梗阻性尿路疾病的临床情况）。下尿路症状（LUTS）在“穆特拉格哈塔”中有单独的诊断标记及其描述。苏什鲁塔讲述了“穆特拉罗桑加”——一种确认下尿路尿液梗阻并发展为LUTS的临床情况。苏什鲁塔推荐尿道内灌洗（乌塔拉巴斯蒂）作为一种治疗方法，以消除各种原因引起的梗阻性尿路疾病。该病例是一名70岁的非糖尿病、非高血压男性，他报告有2个月的尿流无力、排尿烧灼感和排尿频率增加的病史。患者被诊断为尿道外口附近阴茎远端尿道狭窄以及中后尿道交界处狭窄。该病例采用了“萨迪约维雷查纳”（治疗性泻下）进行处理，随后采用尿道内灌洗（乌塔拉巴斯蒂）程序，使用贾蒂迪油以及其他辅助阿育吠陀药物，如埃兰达·布里什塔·诃子、戈克舒拉迪·古古尔和瓦鲁纳迪·夸塔，持续21天。在尿道狭窄完全逆转方面取得了令人鼓舞的结果，并且升序尿道造影（AUG）报告也证实了这一点。自过去1年的随访以来，患者一直无症状生活。LUTS，尤其是狭窄病变，可以通过像尿道内灌洗这样安全且无创的程序进行处理。
