Dr. Giri Seema Rajesh*, Dr. Saroj Suman and Dr. Qudri M. J.


Urethral stricture is narrowing of the urethra due to scar tissue.it produces Obstructive and irritative urinary symptoms and can ultimately impair renal function which converts the pleasure into pain. management of urethral stricture is depends on the charecteristics of the stricture. In modern surgery treatment of stricture urethra is palliative i.e. urethral dilatation a procedure which is painful and having drawback that it has to be repeated again and again. Repeated instrumentation carries the risk of local trauma, false passage formation and introduction of infection. Apart from dilatation of urethra other modalities of treatment are internal urethrotomy (stricturetomy) secondly is urethroplasty which is very expensive and results are not that satisfying. Other newer techniques include laser urethrotomy which is also costly and requires repetitions. Recurrence and least encouraging results of urethral dilatation also the cost of other procedures lead to think for a procedure which may prove remedy for stricture urethra (Mutramargsankoch). Uttarbasti is described by Sushruta under the heading of shasthi upkramas which is the unique treatment for mutramargagat vyadhis and vrana. Uttarbasti is an easy procedure which can be performed in out patients department under aseptic precautions without any anaesthesia, less painful to the patients with least chances of complications and no post procedure rest is required.

Keywords: Mutramargasankoch, urethral stricture, uttarbasti, til taila, saindhava.

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