Role of Uttara Basti in the Management of Obstructive Uropathy Due to Urethral Stricture: A Case Report

Abstract

Obstructive uropathy due to urethral stricture is a chronic urological condition that results in impaired urinary flow, recurrent lower urinary tract symptoms, and secondary inflammatory changes such as cystitis. Despite advances in surgical management, recurrence and functional obstruction remain common. In Ayurveda, similar clinical presentations are described under Mootraghata, primarily caused by vitiation of Vata dosha leading to obstruction of Mutravaha srotas. This case report describes the conservative management of obstructive uropathy secondary to urethral stricture in a young male patient using Sahacharadi Taila Uttara Basti along with internal Ayurvedic medications. Clinical improvement was objectively assessed using the International Prostate Symptom Score (IPSS) before treatment and after two weeks. Radiological evaluation using retrograde urethrogram (RGU) confirmed urethral narrowing with cystitis and diverticular formation. Significant symptomatic improvement and reduction in IPSS score were observed following treatment. This case suggests that Ayurvedic management may be beneficial in selected cases of obstructive uropathy by addressing both functional obstruction and associated inflammation.