✅ What is Urethral Stricture?

Urethral stricture is a narrowing of the urethra due to scar tissue, which obstructs urine flow. It can affect men more commonly than women and may lead to serious complications if untreated.

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🧬 CAUSES OF URETHRAL STRICTURE

INFECTIONS:

• Sexually transmitted infections (STIs) – e.g., gonorrhea, chlamydia
• Urinary tract infections (UTIs)

TRAUMA/INJURY:

• Pelvic fracture
• Straddle injuries (e.g., bicycle accidents)
• Blunt perineal trauma

IATROGENIC (MEDICAL PROCEDURES):

• Repeated catheterization
• Endoscopic procedures
• Radiation therapy

INFLAMMATORY CONDITIONS:

• Lichen sclerosus (balanitis xerotica obliterans)
• Urethritis
• Congenital (rare): Present from birth

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⚠️ SIGNS & SYMPTOMS

• Weak or slow urine stream
• Straining to urinate
• Incomplete bladder emptying
• Urinary retention or dribbling
• Spraying of urine stream
• Increased urinary frequency or urgency
• Urinary tract infections (recurrent)
• Blood in urine (hematuria) or semen
• Painful urination (dysuria)

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🧪 INVESTIGATIONS

• Uroflowmetry- Measures the rate and pattern of urine flow
• Post-Void Residual (PVR) Test= Checks if the bladder empties completely
• Retrograde Urethrogram (RUG)- X-ray with contrast to visualize stricture location and length
• Voiding Cystourethrogram (VCUG)- Assesses bladder and urethra while urinating
• Cystoscopy- Direct visual inspection of the urethra using a scope
• Urine tests- To rule out infection (urinalysis and culture)

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MANAGEMENT AND TREATMENT

• URETHRAL DILATION. During this procedure, a urologist uses long, thin rods that gradually increase in thickness to open the stricture. Internal urethrotomy. An internal urethrotomy involves using a cystoscope with a small knife (scalpel) at the end. A urologist uses the cystoscope to cut away scar tissue.
• BALLOON DILATATION- The procedure of dilatation of urethra using a Balloon catheter. It is done either under local anesthesia or under short general anesthesia.
• URETHRAL RECONSTRUCTION. A urologist will remove the stricture and reconnect the healthy ends of your urethra.
• URETHROTOMY VIU / DVIU In this under anesthesia a cysto-urethroscope is introduced into the urethra, the fibrotic scar tissue is cut open to release the stricture. Different techniques are used including simple blade i. e. urotome, cold knife, and different lasers such as Holmium and Thulium laser.
• URETHROPLASTY-
• Self Catheterization / Self Dilatation / Clean Intermittent Self Catheterization (CISC)

🔬 Urethral Stricture Ayurvedic Treatments:@ Dr.Garje Ayurved Panchakarma Clinic Navi Mumbai

At Dr.Garje Ayurved Panchakarm,a clinic , our experienced Ayurvedic doctors offer Ayurvedic procedures and treatments such as Uttar Basti, which is the best Ayurvedic treatment for urethral strictures in Navi Mumabi , with excellent treatment results and minimal chances of recurrence.

1) 🧪 Ayuved Medicines for Urethral Stricture.

• Reduces urinary discomfort
• Restores normal urinary function
• Supports bladder and kidney function
• Reduces stricture & stone formation
• Strengthens urinary system
• Detoxifies and reduces inflammation
• Supports tissue healing
• Lekhana & anti-granulomatous
• Useful in fibrotic tissue reduction

2) Dietary Modifications: Following a diet that promotes urinary health and reduces inflammation. Emphasis is placed on avoiding spicy and acidic foods while incorporating more cooling and hydrating foods.

3) Panchakarma Therapy: Detoxification procedures that help cleanse the body and support healing. This includes therapies like Virechana (therapeutic purgation) and Basti (medicated enema), Uttarbasti

UTTARBASTI - A HIGHLY SPECIALIZED AYURVEDIC UROLOGICAL PROCEDURE

• Can cure urethral stricture of any age group patient
• Non-invasive with minimal or no pain
• No need of anesthesia
• Urethral catheterization is not required
• Daycare treatment
• Proving to be a very promising treatment

RESULTS OF UTTARBASTI

• Results of Uttarbasti treatment may vary from patient to patient.
• Results of Uttarbasti are assessed clinically and by comparison between pre and post-treatment investigations like Urethrogram and Uroflowmetry.
• Uroflowmetry is done before the commencement of the treatment & is repeated after calibration (generally on 14th day).
• Urethrogram is recommended after one month of the last sitting as sometimes the procedure or the dye used may irritate if done immediately after the treatment.
• The results of Uttarbasti are irrespective of site, size, and extent of stricture.
• Very rarely some patients may require additional sittings after some years.
• According to my experience in this field, Uttarbasti is proving to be a CURE for urethral stricture.

ADVANTAGES OF UTTARBASTI

• Non-invasive treatment with minimal or no pain
• No need of anesthesia
• Urethral catheterization is not required
• Daycare treatment
• No need of Hospitalization
• No need for rest
• The results of Uttarbasti are irrespective of site, size, and extent of the stricture
• Negligible recurrence
• Does not affect sexual life

RECURRENCE AFTER UTTARBASTI

Rarely, in some patients, the flow of urine gets compromised after some time (a few months to years) of the Uttarbasti treatment & they require additional sittings of Uttarbasti. Patients with the following conditions may require additional sittings of Uttarbasti:

• Who have very hard stricture scar tissue
• Who underwent multiple surgeries
• After urethroplasty
• After multi-stage hypospadiasis repair
• Who were on regular clean intermittent self-catheterization since long

PRECAUTIONS TO BE TAKEN DURING & AFTER THE TREATMENT OF UTTARBASTI

• Drink a lot of water to keep urine white – just like water
• The urge of urine should neither be ignored nor forced
• Avoid any kind of sexual activity during & at least for three months after Uttarbasti
• Avoid unnecessary catheterization or instrumentation in the urethra

🍲 Diet & Lifestyle Recommendations:

• Warm, Vata-pacifying diet: Avoid dry, cold, and spicy foods.
• Hydration: Drink warm herbal water with Gokshura or Coriander seeds.
• Avoid holding urine or suppressing natural urges.
• Do light Yogasanas: Baddha Konasana, Malasana, Pawanmuktasana to support pelvic health.

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