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INTERSTITIAL CYSTITIS | Uttarbasti

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Interstitial cystitis is a chronic condition causing bladder pressure with a persistent urge to urinate, mild to moderate bladder pain, frequency and sometimes pelvic pain. CAUSES The exact cause of interstitial cystitis is not known. SYMPTOMS Persistent urge to urinate Frequency Pain & discomfort while the bladder fills & relieves after passing urine Lower abdominal pain Perineal pain (Pain between scrotum & anus in males & between vagina & anus in females) Dyspareunia (painful sexual intercourse) DIAGNOSIS Medical history Cystoscopy & Bladder wall biopsy Urine cytology Potassium sensitivity test MODERN UROLOGICAL TREATMENT There is no promising treatment for Interstitial cystitis. Different treatments are used in different combinations. Conservative treatment: Physiotherapy Oral medications – Non-steroidal anti-inflammatory drugs – Tricyclic antidepressants, such as amitriptyline or imipramine relax your bladder and

BLADDER OUTLET / NECK OBSTRUCTION (BOO / BNO) | UTTARBASTI

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BOO / BNO is a blockage at the base or neck of the bladder which reduces or stops the flow of urine. CAUSES Mootravegadharana  (Neglecting the urge of urine) BPH Bladder Neck Hypertrophy/stenosis Cure Urethral Stricture Bladder stones. Prostate cancer. Tumors of rectum, uterus or cervix Functional Bladder Neck obstruction SYMPTOMS Dysuria Hesitancy Constant urge Incomplete emptying Frequency & Nocturia Intermittency Reduced flow of urine Pelvic pain Void often with a small volume INVESTIGATIONS USG Uroflowmetry Urodynamic study (UDS) Ascending urethrogram Cysto-urethroscopy MODERN UROLOGICAL TREATMENT Alpha-Blockers Terazosin Doxazosin Tamsulosin Alfuzosin Silodosin 5-Alpha reductase inhibitor Finasteride Dutasteride Botulinum (Botox) toxin injection therapy Bladder neck incision AYURVEDIC UROLOGICAL TREATMENT Uttarbasti Bladder wash Basti Oral medication Yoga & Pranayama

BENIGN PROSTATIC HYPERTROPHY (BPH) OR PROSTATE GLAND ENLARGEMENT

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  As a result of aging, the Prostate gland enlarges & compresses the urethra, resulting in obstructed flow of urine. In many patients, the bladder is not emptying, as the enlarged prostate pushes the bladder base upward. SYMPTOMS Frequency Urgency Nocturia Hesitancy – Difficulty starting urination Weak urine stream Intermittency – the stream that stops and starts Dribbling at the end of urination Incomplete emptying INVESTIGATIONS Ultrasonography (USG) Serum Prostate-Specific Antigen (PSA) to rule out malignancy POST TURP STATUS Many patients suffer bladder neck stenosis, urethral stricture, or incontinence after TURP . Symptoms: Varying degree of lower urinary tract symptoms (LUTS) are seen Investigations: Ascending urethrogram USG Cysto-urethroscopy Modern Urological treatment: Clean Intermittent Self Catheterization (CISC) Redo TURP Bladder Neck Incision (BNI) Urethral Dilatation Visual Internal Urethrotomy (VIU) Ayurvedic

CONVENTIONAL TREATMENT

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  ·          In Urethral dilatation, either Metal or Teflon dilators of different size are introduced into urethra under anesthesia. ·          Dilators are introduced starting with a smaller size & then larger size ·          Also called as serial dilatation or birthday dilatation BALLOON DILATATION ·          The procedure of dilatation of urethra using a Balloon catheter. ·          It is done either under local anesthesia or under short general anesthesia. 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 Urethroplasty is supposed to be the last resort for the management of urethral stricture. It is major open surgery. There are different types of urethroplasty. For short seg

Uttarbasti

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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 Special Precautions Very rigid aseptic precautions Properly sterilized medicine Calibration of Urethra Calibration of the urethra is the procedure to restore the normal caliber of the urethra. For calibration, catheters are introduced into the urethra from a smaller size (10FG) to a bigger one (20FG) and it is to be done very gently. Calibration of the urethra is mainly done in the case of urethral stricture. It is done under local anesthesia using an anesthetic gel. Calibration is generally painless & bloodless as well. As a precautionary measure, an intensivist is kept standby during the whole procedure of calibration for apprehensive patients & patients with co-morbidities. Very rarely in patients with