Efficacy of Jatyadi Taila Uttarbasti in the Management of Urethral Stricture a Single Case Study

D. Varsadiya, Dr.Rajeshkumar Sharma, D. Kanani
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Abstract

In Ayurveda, Acharya Sushrut mentioned an excellent treatment named Uttarbasti for urethral stricture known as Mutrakruccha in classical scriptures. Mutrakruccha translates to difficulty in micturition. It can be associated with urethral stricture due to the similarity of symptoms. Urethral stricture disease is often seen in patients with recurrent urinary tract infections, urethral injuries, or post-surgical procedures conducted through the urethra. The most common causes of urethral stricture today are traumatic or iatrogenic. Inflammatory or infectious, malignant, and congenital aetiologies are less common. There is a low success rate of Western medical science treatment for urethral stricture disease. Surgical treatment of urethral stricture disease is indicated when the patient has severe voiding symptoms, bladder calculi, increased postvoid residual, urinary tract infection, or when conservative management fails. Urinary tract infections (UTIs) should be adequately treated before surgical intervention. In this case study, a 39-year-old male patient complained of suffering from symptoms like the strangury of urine, pain during micturition, the flow of urine is very poor, frequent micturition and occasionally burning micturition. After clinical examination and radiological testing, the patient was identified as having urethral stricture and treated with Jatyadi Taila Uttarbasti for 21 days at Shalyatantra OPD, Government Akhandanand Ayurved College and Hospital, Ahmedabad. After completion of treatment, the patient felt 75% relief in symptoms. So, we can conclude that non-invasive treatment such as Uttarbasti is highly advisable in patients having Urethral stricture.  
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Jatyadi Taila Uttarbasti 在治疗尿道狭窄方面的疗效--单个病例研究
在阿育吠陀中,阿查里亚-苏斯鲁特(Acharya Sushrut)提到了一种名为 Uttarbasti 的绝佳疗法,用于治疗经典经文中被称为 Mutrakruccha 的尿道狭窄。Mutrakruccha 的意思是排尿困难。由于症状相似,它可能与尿道狭窄有关。尿道狭窄症常见于反复尿路感染、尿道损伤或通过尿道进行手术后的患者。目前,尿道狭窄最常见的原因是外伤或先天性的。炎症或感染性、恶性和先天性病因则不太常见。西医治疗尿道狭窄的成功率很低。当患者有严重的排尿症状、膀胱结石、排尿后残余物增多、尿路感染或保守治疗无效时,就需要对尿道狭窄疾病进行手术治疗。手术治疗前应充分治疗尿路感染(UTI)。在本病例研究中,一名 39 岁的男性患者主诉有尿痛、排尿时疼痛、尿流不畅、频繁排尿和偶尔排尿灼热等症状。经过临床检查和放射学检测,确定患者患有尿道狭窄,并在艾哈迈达巴德政府阿甘达南德阿育吠陀学院和医院的 Shalyatantra OPD 接受了为期 21 天的 Jatyadi Taila Uttarbasti 治疗。治疗结束后,患者的症状缓解了 75%。因此,我们可以得出结论,对于尿道狭窄患者来说,Uttarbasti 等非侵入性疗法是非常可取的。
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