URETHRAL STRICTURE MANAGED WITH HOMEOPATHIC MEDICINE: A STUDY OF FOUR CASES

Authors

  • Nazmul Hasan Mirpur-1, Dhaka-1216. Bangladesh

DOI:

https://doi.org/10.3329/brc.v9i1.63605

Keywords:

homeopathy in stricture, clematis erecta, urethrotomy, urethroplasty

Abstract

Urethral stricture is the narrowing of the urethral mucosa, commonly resulting from trauma followed by inflammation and fibrous changes of the corpus spongiosum along the male urethra. Clinical manifestation contains gradual deterioration of hesitancy, intermittency, dribbling of urine, and in association with a sensation of incomplete voiding of the bladder, increased frequency, urgency, straining, and urethralgia during micturition. A low Qmax in Uroflowmetry will give a primary idea of stricture; however, a Retrograde Urethrography (RUG) confirms the stricture location, length, and other identifiable pathology affecting the urethra. In this particular disease, the scope of conventional medicinal treatment is limited, however, there transurethral (dilation, internal urethrotomy) and open surgical (stricture resection and anastomosis, urethroplasty, and perineal urethrostomy) procedures are available, and recurrence is common. Homeopathic medicine is mostly an individualized medicine with a minimum number and high dilution. The use of homeopathic medicine for urological diseases is an opportunistic option. However, a group of patients with similar set of symptoms might be treated with a specific homeopathic medicine. The author is reporting a study of four urethral stricture cases treated with homeopathic medicines, namely Clematis erectaMedorrhinum, and Aurum metallicum; within 6-24 weeks of homeopathic medicine treatment, all four patients experienced improved uroflowmetry and RUG. The current study results shows homeopathic medicine helped the patients in a harmless, cost-effective way which might encourage awareness among the medical practitioners regarding the available homeopathic medicinal treatment of urethral stricture. 

References

Latini JM, McAninch JW, Brandes SB, Chung JY, Rosenstein D. SIU/ICUD consultation on urethral strictures: epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, strictures, and pelvic fracture urethral disruption injuries. Urology. 2014 Mar 1;83(3):S1-7.

Lumen N, Hoebeke P, Willemsen P, De Troyer B, Pieters R, Oosterlinck W. Etiology of urethral stricture disease in the 21st century. The Journal of urology. 2009 Sep;182(3):983-7.

Bhuiyan ZH. Male Urethral Strictures: Management Options. Bangladesh Journal of Urology. 2018;21(2):158-63.

Hillary CJ, Osman NI, Chapple CR. Current trends in urethral stricture management. Asian journal of Urology. 2014 Oct 1;1(1):46-54.

Mundy AR, Andrich DE. Urethral strictures. BJU international. 2011 Jan;107(1):6-26.

Lazzeri M, Sansalone S, Guazzoni G, Barbagli G. Incidence, causes, and complications of urethral stricture disease. European Urology Supplements. 2016 Jan 1;15(1):2-6.

Lazzeri M, Sansalone S, Guazzoni G, Barbagli G. Incidence, causes, and complications of urethral stricture disease. European Urology Supplements. 2016 Jan 1;15(1):2-6.

Mahesh S, Jaggi L, Jaggi A, Tsintzas D, Vithoulkas G. Individualised homeopathic therapy in ANCA negative rapidly progressive necrotising crescentic glomerulonephritis with severe renal insufficiency–a case report. Journal of Medicine and Life. 2019 Jan;12(1):49.

Saruggia M, Corghi E. Effects of homoeopathic dilutions of china rubra on intradialytic symptomatology in patients treated with chronic haemodialysis. British Homoeopathic Journal. 1992 Apr 1;81(2):86-8.

Banerji P, Campbell DR, Banerji P. Cancer patients treated with the Banerji protocols utilising homoeopathic medicine: A Best Case Series Program of the National Cancer Institute USA. Oncology Reports. 2008 Jul 1;20(1):69-74.

Barbagli G, Bandini M, Balò S, Sansalone S, Butnaru D, Lazzeri M. Surgical treatment of bulbar urethral strictures: tips and tricks. International braz j urol. 2020 Jun 1;46:511-8.

Sangkum P, Levy J, Yafi FA, Hellstrom WJ. Erectile dysfunction in urethral stricture and pelvic fracture urethral injury patients: diagnosis, treatment, and outcomes. Andrology. 2015 May;3(3):443-9.

Sharma, B., Mehra, P., Oberai, P., Roja, V., Reddy, G.R.C., Arya, D.D., Mohanan, P.G., Padmanabhan, M., Manchanda, R.K. and Kumar, B.S.J., 2018. Homoeopathic treatment for lower urinary tract symptoms in men with benign prostatic hyperplasia: An open label randomised multicentric placebo controlled clinical trial.

Hasan N, Kayes ME, Alom MJ, Kayes MK. Hydrangea arborescence and Berbaris vulgaris Ease Ureteric Calculi Emission: Single Case Report. International Journal of Medical and Pharmaceutical Case Reports. 2018 Feb 15:1-5.

Murphy R. Lotus materia medica. B. Jain Publishers; 2003.

Manchanda RK, Miglani A, Gupta M, Meena BS, Chadha V, Joseph F, Kalsi A, Konthembath P, Sharma K, Rama KN, Kaur P. Homeopathic remedies in COVID-19: prognostic factor research. Homeopathy. 2021 Aug;110(03):160-7.

Van Zandvoort R. The complete repertory. Institute for Research on Homeopathic Information and Symptomatology; 1994.

Chirumbolo S, Bjørklund G. Homeopathic dilutions, Hahnemann principles, and the solvent issue: must we address ethanol as a “homeopathic” or a “chemical” issue?. Homeopathy. 2018 Feb;107(01):040-4.

Yesilada E, Küpeli E. Clematis vitalba L. aerial part exhibits potent anti-inflammatory, antinociceptive and antipyretic effects. Journal of Ethnopharmacology. 2007 Apr 4;110(3):504-15.

Boericke W. Pocket Manual of Homoeopathic Materia Medica & Repertory: Comprising of the Characteristic and Guiding Symptoms of All Remedies (clinical and Pahtogenetic [sic]) Including Indian Drugs. B. Jain publishers; 2002.

Sheeba, S., Narayan, M., Sylum, S., Reghu, R. and Sheeba, S., 2020. Clinical study on the anti-miasmatic approach of patients with cervical spondylosis and its Homoeopathic Management.

Downloads

Published

28-12-2022

How to Cite

Hasan, N. (2022). URETHRAL STRICTURE MANAGED WITH HOMEOPATHIC MEDICINE: A STUDY OF FOUR CASES. Bioresearch Communications - (BRC), 9(01), 1245–1251. https://doi.org/10.3329/brc.v9i1.63605

Issue

Section

Original Article