SUCCESSFUL AYURVEDIC MANAGEMENT OF CHRONIC KIDNEY DISEASE STAGE 5 (ESRD) WITH CHRONIC CYSTITIS DUE TO SEVERE STRICTURE URETHRA WITH SEVERE ANEMIA-A CASE REPORT

*Dr. Sarita Pradip Gaikwad and Maj. Dr. Pradip Yashwant Gaikwad

ABSTRACT

Introduction: Stricture urethra in females is less common than that in males. The most common cause is idiopathic, iatrogenic i.e post instrumentation and post operative, inflammatory and traumatic. The complications are Hydroureteronephrosis, Cystitis, Repeated Urinary tract infection, and finally kidney failure. Case Report: This 53 year old female experienced difficulty in passing urine. She was investigated and found to have extremely severe Stricture urethra due to stenosis of Ext urethral meatus, for which she was put on supra-pubic catheter with urobag. She developed Hydroureteronephrosis with chronic cystitis with severe Anemia. Her Serum Creatinine and Blood urea were high, making her land in to CKD stage 5 (ESRD) with eGFR 9 ml/min/1.73m2. Such a case was referred to Ayurved and was successfully treated by Abhyantar chikitsa, Panchkarma including Uttarbasti. One year of Ayurvedic treatment improved her CKD status to stage 4 (eGFR 17 ml/min/1.73m2). During Corona pandemic she could not be given course of Uttarbasti; later on she was given a course of 25 Uttarbasti in a span of 6 months, that made her stricture got cured. She could pass urine naturally. Her supra-pubic catheter with urobag was removed which she carried for nearly 30 months. She is totally symptom free and leading normal life with full quality of life. Conclusion: Such a complicated case was successfully managed by Ayurvedic line of treatment. Ayurved has ability to treat incurable CKD-5 (End Stage Renal Disease), and severe Stricture urethra, which was confirmed again.

Keywords: Stricture urethra, Mutramarg Sankoch, CKD stage 5, ESRD, Ayurvedic management, Uttarbasti.