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

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

  1. Terazosin
  2. Doxazosin
  3. Tamsulosin
  4. Alfuzosin
  5. Silodosin

  • 5-Alpha reductase inhibitor

  1. Finasteride
  2. Dutasteride

  • Botulinum (Botox) toxin injection therapy
  • Bladder neck incision

AYURVEDIC UROLOGICAL TREATMENT

  • Uttarbasti
  • Bladder wash
  • Basti
  • Oral medication
  • Yoga & Pranayama

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