Balanitis Xerotica Obliterans-Related Panurethral Stricture Managed with Ayurvedic Uttar Basti therapy: A Case Report and Mini Literature Review.

OVERVIEW: Urethral stricture in male patients is a common problem, often necessitating surgical intervention. Sushruta has described Mootra marg sankoch (~urethral stricture) as a type of Mootraghat (~urinary retention). Pathologically, it involves the progressive fibrous narrowing of the urethral lumen. Generally, Balanitis Xerotica Obliterans begins at the prepuce and glans and gradually affects the entire urethra.

CASE REPORT: We treated a 32-year-old male patient who had undergone repeated surgical interventions over the past nine years for urethral stricture. .

INTERVENTION: The patient was managed with Ayurvedic Uttar Basti therapy (procedure in which medicated oil is administered through urethral route) over approximately nine months.

RESULT: During this period, significant improvements were observed in Uroflowmetry (UFM) parameters. Retrograde urethrography returned to normal after seven sessions of Ayurvedic Uttar Basti therapy. Specifically, there was approximately a 25% improvement in Maximum Flow rate, a 143% improvement in Average Flow Rate, and a 35.66% reduction in Voiding time. Additionally, the pin-hole meatus normalized, and the patient avoided further surgical procedures.

CONCLUSION

The use of Uttar Basti, a traditional Ayurvedic treatment, in multiple sessions, provided significant improvement in flow rate and voiding time in this case, highlighting an effective alternative therapeutic approach for a condition typically managed with surgery.