Urethral stricture is a disease affecting the urethra. The urethra is the part of the urinary tract that connects the urinary bladder with the urinary meatus. Narrowing of the urethra occurs in the urethral stricture.
- SIGNS AND SYMPTOMS OF URETHRAL STRICTURE
- CAUSES OF URETHRAL STRICTURE
- PATHOPHYSIOLOGY OF URETHRAL STRICTURE
- DIAGNOSIS OF URETHRAL STRICTURE
- TREATMENTS FOR URETHRAL STRICTURE
- PROGNOSIS OF URETHRAL STRICTURE
- COMPLICATIONS OF URETHRAL STRICTURE
- URETHRAL STRICTURE AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF URETHRAL STRICTURE
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF URETHRAL STRICTURE
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF URETHRAL STRICTURE
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF URETHRAL STRICTURE
- AYURVEDIC PROGNOSIS OF URETHRAL STRICTURE
- CHIKITSA- AYURVEDIC TREATMENT FOR URETHRAL STRICTURE
- AYURVEDIC SAMANA TREATMENT FOR URETHRAL STRICTURE
- COMMONLY USED AYURVEDIC MEDICINES FOR URETHRAL STRICTURE
- HOME REMEDIES FOR URETHRAL STRICTURE
- DIET AND BEHAVIOUR FOR URETHRAL STRICTURE
- YOGA FOR URETHRAL STRICTURE
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF URETHRAL STRICTURE
SIGNS AND SYMPTOMS OF URETHRAL STRICTURE
- Straining during urination
- Urinating frequently or feeling the need to urinate frequently
- Discomfort during urination
- Decreased urine stream
- Incomplete emptying of the bladder
CAUSES OF URETHRAL STRICTURE
- The growing of scar tissue inside the wall of the urethra causes urethral stricture
- Scar tissue formation occurs due to:
- The injuries or trauma
- Radiation
- STDs
- Urinary tract infections
- Carcinoma of urinary tract
PATHOPHYSIOLOGY OF URETHRAL STRICTURE
Pathophysiology of urethral stricture is based on the cause of the disease. In the case of urinary tract infections, the bacterial infection spreads to the urethra then finally inflammation manifested. The inflammatory changes of the urethra may also be caused by chemical irritants and mechanical irritants. After the infection narrowing of the urethral cavity occurs. Injuries due to catheter, diagnostic techniques like cystoscopy also causes stricture in the urethra.
DIAGNOSIS OF URETHRAL STRICTURE
- History taking
- Physical examination
- Urine analysis and bacterial culture
- Imaging techniques
- Blood investigations
TREATMENTS FOR URETHRAL STRICTURE
- Treatment for underlying pathology
- Urethrotomy
- Urethroplasty
- Dilation
PROGNOSIS OF URETHRAL STRICTURE
- Prognosis is based on the cause of the disease, duration and condition of the patient
- Generally, it can be managed by surgical interventions
COMPLICATIONS OF URETHRAL STRICTURE
- Untreated urethral stricture may lead to cystitis, kidney damage, poor ejaculation in males
URETHRAL STRICTURE AND AYURVEDA
- In Ayurveda, the urethral stricture is symptomatologically refers to mootra krichra.
- Mootra krichra is a disease affecting mootravaha srothas.
NIDANA- AYURVEDIC CAUSES OF URETHRAL STRICTURE
- Excess consumption of ununctuous, cold food
- Suppression of urge for urination
- Agantu factors – infections, injuries
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF URETHRAL STRICTURE
- Difficulty in urination.
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF URETHRAL STRICTURE
In Mootra krichra, the vitiated Pitta Dosha along with Vata (mainly Apana Vayu) on reaching Vasti (bladder) afflicts the Mootravaha Srothas due to which the patient feels difficulty in micturition. The above-mentioned symptomatology has a close resemblance with urinary tract infections, as described in modern texts specifically lower urinary tract infections (urethritis). In urethral stricture particularly kapha avarana occur.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF URETHRAL STRICTURE
- Difficulty in urination
- Incomplete voiding of urine
AYURVEDIC PROGNOSIS OF URETHRAL STRICTURE
- Symptoms are manageable with proper Ayurvedic therapies
CHIKITSA- AYURVEDIC TREATMENT FOR URETHRAL STRICTURE
AYURVEDIC SAMANA TREATMENT FOR URETHRAL STRICTURE
General treatment for the diseases of mutravaha srotas:
- Dasamoolarishtam
- Intake of gokshura churna with yavakshara
- Chandanasava
- Brihatyadi kashaya
- Punarnava mandura
- Chandra prabha vati
- Gomutra hareetaki
- Yoni pichu – with jatyadi taila (in females)
- Uttaravasthi – Apamarga kshara taila
COMMONLY USED AYURVEDIC MEDICINES FOR URETHRAL STRICTURE
Internal administration
- Dhanwanthararishtam
- Chandanasava
- Brihatyadi kashaya
- Punarnava mandura
- Chandra prabha vati
HOME REMEDIES FOR URETHRAL STRICTURE
- Heat application on the lower abdomen by a towel dipped with hot water to relieve discomfort.
DIET AND BEHAVIOUR FOR URETHRAL STRICTURE
- Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Drinking water boiled with gokshura.
YOGA FOR URETHRAL STRICTURE
- Nadi Shuddi Pranayam – calms the mind and gets relief from the discomfort associated with urethral stricture
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Padmasana
- Makarasana
- Mandukasana
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF URETHRAL STRICTURE
- Clinical evaluation of Apamarga-Ksharataila Uttarabastiin the management of urethral stricture
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821247/
2. A Case Report on Mutrakricchra with Special Reference to the chronic cystitis with Bladder Atony
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