Urethral stricture

Urethral stricture @ Dr.Garje Ayurved Panchakarma Clinic

Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by external pressure from an enlarging tumour near the urethra, although this is rare.

Increased risk is associated with men who have a history of sexually transmitted disease (STD), repeated episodes of urethritis, or benign prostatic hyperplasia (BPH). There is also increased risk of urethral stricture after an injury or trauma to the pelvic region. Any instrument inserted into the urethra (such as a catheter or cystoscope) increases the chance of developing urethral strictures.

Congenital (present at birth) paediatric strictures are rare, as are true strictures in women.


  •  Dysuria (painful urination)
  •  Difficulty urinating
  •  Slow urine stream (may develop suddenly or gradually)
  •  Spraying of urine stream
  •  Decreased urine output
  •  Increased urinary frequency or urgency
  •  Incontinence
  •  Blood in the semen
  •  Pelvic pain
  •  Lower abdominal pain
  •  Bloody or dark urine
  •  Discharge from the urethra
  •  Swelling of the penis
  •  Urinary retention

A physical examination may reveal the following:

  •  Decreased urinary stream
  •  Enlarged or tender lymph nodes in the inguinal (groin) areas
  •  Redness or swelling of the penis
  •  Urethral discharge
  •  Enlarged or tender prostate
  •  Distended bladder
  •  Hardness (indurations) on the under surface of the penis
  •  Sometimes the exam reveals no abnormalities

Tests include the following:

  •  Urinary flow rate may be measured
  •  Post-void residual (PVR) measurement
  •  Urinalysis
  •  Urine culture (if evidence of infection)
  •  Tests for chlamydia and gonorrhoea
  •  Cystoscopy to confirm diagnosis
  •  A retrograde urethrogram to confirm diagnosis

Ayurvedic Treatment for Urethral stricture @ DrGarje Ayurved Panchakarma Clinic

As per old saying “once a stricture always a stricture” in present era there are different modalities for Stricture Urethra are practiced such as Dilatation, Urethroplasty, Stent etc. but with all these modalities there is high rate of recurrence is known thus proving the old saying.

But with UttarBasti therapy there is complete resolution of Stricture with very less chance of recurrence is noted. Many cases have been treated with this therapy. The UttarBasti is OPD procedure with no need of admission or anaesthesia. Urethral stricture is an abnormal narrowing of the urethra (the tube that releases urine from the body).

Uttarbasti is the choice of treatment in Ayurved. Uttarbasti is per urethral administration of drugs under aseptic precautions.

Uttarbasti is an Ayurvedic procedure in which specific oil based medicine or decoction is administered in the urethra, through urethral meatus, with a syringe (urethral catheterization is not required).
Uttarbasti is a non invasive procedure with minimal or no pain, so anaesthesia is not required.
Procedure is carried out by an expert, under all aseptic precautions and sterilized medicine is used, so there are no chances of introducing any kind of infection into the urethra.
Being day care treatment no hospitalization is required and patient can resume work same day as bed rest is not required.
Most of the patients require ten sittings which are usually done on alternate days.
Total duration of treatment is approximately 20 days.

Complications of stricture: Urethral stricture may totally block urine flow, causing acute urinary retention, a condition that must be alleviated quickly.

Prevention: Practicing safer-sex behaviours may decrease the risk of contracting sexually transmitted diseases and subsequent urethral stricture.

Early treatment of urethral stricture may prevent complications such as kidney or bladder infection or injury.