Urethral Stricture, it's diseases and cure in ayurved ( India )

Lord Dhanwantari

Parameters for grading of symptoms and relief of the patients:

Symptoms of urethral stricture (mutra marg sankoch) present at first visit were graded and followed up after each uttarbasti as

	Severe	Moderate	Mild	Complete relief
Symptoms	+++	++	+	-

Profile of Patients:

Incidences of urethral stricture in relation with

1. Sex: More common in males (96.67%) and very less in females (03.33%).

2. Age: Most common in sexually active persons. 96.67% cases were of age group between 16 and 45 years and least common in children (no case recorded).

Age	No. of patients
00-15yrs.	00(00.00%)
16-30yrs.	98(46.67%)
31-45yrs.	105(50.00%)
46-60yrs.	07(03.33%)

Table 2: Age Profile

3. Marital status: 70% cases were married while 30% cases were unmarried

4. Aetiological factors: 70% of cases had history of exposure to unsafe sexual intercourse and urethritis was found as cause of stricture. The incidence was followed by instrumental cause which was 16.67% (Incidences shown in table 3).

Sr. No.	Aetiological factors	No. of patients
01	History of exposure (post gonorrheal)	147(70.00%)
02	Instrumental (Indwelling catheter)	35(16.67%)
03	Traumatic (Rupture urethra)	21(10.00%)
04	Post surgery (Renal calculi)	14(06.67%)
05	Meatal ulcer	07(03.33%)
06	Post meatectomy	07(03.33%)
07	Post circumcision	07(03.33%)

Table 3: Aetiological Factors

5. Prakruti: 83.33% cases were of vat-kapha prakruti and 16.66% of vata-pittaj prakruti

6. Site of Stricture:

· Membranous urethra- 119(56.66%)

· Junctional urethra- anterior and posterior- 56(26.66%)

· Prostatic part of urethra -21(10.00%)

· Penile urethra- 14(06.66%)

7. Recurrence: No recurrence was observed

8. Number of Uttarbasti required for complete relief -

Number of uttarbasti	No. of patients (%)
05	147(70.00%)
07	56(26.67%)
11	07(03.33%)

Table 4: Number of uttarbasti required for complete relief

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