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      Clinical evaluation of Apamarga-Ksharataila Uttarabasti in the management of urethral stricture

      Medknow Publications & Media Pvt Ltd
      Mutramarga Sankocha, stricture urethra, urethral dilatation, Uttarabasti

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          Stricture urethra, though a rare condition, still is a rational and troublesome problem in the international society. Major complications caused by this disease are obstructed urine flow, urine stasis leading to urinary tract infection, calculi formation, etc. This condition can be correlated with Mutramarga Sankocha in Ayurveda. Modern medical science suggests urethral dilatation, which may cause bleeding, false passage and fistula formation in few cases. Surgical procedures have their own complications and limitations. Uttarabasti, a para-surgical procedure is the most effective available treatment in Ayurveda for the diseases of Mutravaha Strotas. In the present study, total 60 patients of urethral stricture were divided into two groups and treated with Uttarabasti (Group A) and urethral dilatation (Group B). The symptoms like obstructed urine flow, straining, dribbling and prolongation of micturation were assessed before and after treatment. The results of the study were significant on all the parameters.

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          Extended complications of urethroplasty.

          An extensive study of complications following urethroplasty has never been published. We present 60 urethroplasty patients who were specifically questioned to determine every possible early and late complication. Retrospective chart review of urethroplasty patients between August 2000 and March 2004. An "open format" questioning style allowed maximal patient reporting of all complications, no matter how minor. 60 patients underwent 62 urethroplasties (24 anterior anastomotic, 19 buccal mucosal and 10 fasciocutaneous, 9 posterior anastomotic) with mean follow-up of 29 months. Early complications occurred in 40%, but only 3% were major (rectal injury and urosepsis). Early minor complications included scrotal swelling, scrotal ecchymosis and urinary urgency. Late complications occurred in 48%, but only 18% were significant (erectile dysfunction, chordee and fistula). Late minor complications included a feeling of wound tightness, scrotal numbness and urine spraying. Fasciocutaneous urethroplasty caused the most significant complications, and buccal mucus urethroplasty the least, while also resulting in the lowest recurrence rate (0%). Serious complications after urethroplasty (3% early and 18% late) appear similar to those reported elsewhere, but minor bothersome complications appear to occur in much higher numbers than previously published (39% early and 40% late). While all the early complications were resolved and most (97%) were minor, less than half of the late complications were resolved, although most (82%) were minor. These complication rates should be considered when counseling the urethroplasty patients, and generally tend to support the use of buccal mucosal onlay urethroplasty as it had the lowest rate of serious side effects.
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            Urology in Ayuveda

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              Ambikadatta Shastri, Bhaishajya Ratnavali, Vidyotini Hindi Commentary, Varanasi: Karnaroga Chikitsa 62/25


                Author and article information

                Medknow Publications & Media Pvt Ltd (India )
                Apr-Jun 2013
                : 34
                : 2
                : 180-183
                [1]Associate Professor, Department of Shalya Tantra, R.A. Podar Medical (Ayu) College, Worli, Mumbai, Maharashtra, India
                Author notes
                Address for correspondence: Dr. K. Rajeshwar Reddy, Surana Regancy, Flat No-403, Sasmira Road, Near Worli Bus Depo, Worli, Mumbai - 400 030, Maharashtra, India. E-mail: reddyrajeshwar@ 123456rediffmail.com
                Copyright: © AYU (An International Quarterly Journal of Research in Ayurveda)

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Clinical Research

                Complementary & Alternative medicine
                mutramarga sankocha,stricture urethra,urethral dilatation,uttarabasti


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