Abstract

AYURVEDIC MANAGEMENT OF HOLEP (HOLMIUM LASER ENUCLEATION OF PROSTATECTOMY) COMPLICATION: A CASE REPORT

Mohd Imran*, Avinav Pandey and A. K. Dwivedi

ABSTRACT

Surgery of prostatectomy like TURP (trans urethral resection of prostate) and laser both the techniques have many complications in which urethral stricture is one of them and it is due to unwillingly endoscope that causes friction in urethra causing stricture and high energy source use in laser causes small dissipation of energy that damages urethra and forms stricture with the symptom of decreased urine stream, incomplete bladder emptying, UTI, straining, etc. case report- a 66-year-old male patient reported to the mutraroga OPD of Ayurveda wing BHU with chief complaint of poor stream of urine, increased frequency of micturition, incomplete bladder evacuation from last one year. He had the treatment history of HoLEP (Holmium Laser Enucleation Prostatectomy), CIC (Clean Intermittent Catheterisation) and OIU (optical internal urethotomy). Investigations revealed 8.1ml/sec maximum urine flow rate and RGU confirming partial stricture at bulbo urethral junction. He was admitted for 7 days and was given basti therapy with Narayana taila(50ml) and dashmool kwath (150ml) mixed with madhu(1/2tsf), saindhav (1/4 tsf) and Narayana taila (30ml) alternately for 7 days. He was discharged with the advice of 50ml Narayana taila basti to be done daily at home for 21 days. On improvement he was then planned for shilodbhidadi taila (20ml) uttarbasti for 7 days. He had marked improvement in symptoms along with it the maximum urine flow rate was increased to 27 ml/sec. Hence it can be concluded that ayurvedic management is definitely a better way in combating these types of complications arise from modern techniques.

Keywords: TURP, HoLEP, Basti, Uttarbasti.