ROLE OF GHRUT AS A LUBRICANT IN ENDO-UROLOGICAL PROCEDURES-A CLINICAL REVIEW STUDY
*Dr. Maheshkumar Nilkanth Chaudhari, M.S., Ph.D. (Shalya-Tantra)
Now a days most of the urological diseases are treated by endo-scopically, through cystoscope, ureteroscope (URSL), Nephroscope (PCNL), for introducing these scopes, lubrication is essential part and for this most of the modern surgeons as well as Ayurveda surgeons using water soluble xylocaine jelly 2 % for lubrication. Options for lubrication are rarely considered to be a matter for study in endo-urology. But is this the final option? Definitely not, in Ayurveda, Sushruta has evaluated in his scripture - â€˜The Ghrutaâ€™. This would be a option for xylocaine jelly. Due to itâ€™s natural lubricant property, the ghruta is more beneficial and most appropriate lubricant agent for any type of endoscopes to introduce in particular strotasas & also ghrut is more compatible to human body. Ghruta is bovine product (i.e. Cowâ€™s ghrut), use of ghruta not only makes the procedure smoothly but also avoids post endo â€“ urological complications like bleeding, infections & specially and very common urethral stricture. Ghrut have soothing as well as bacteriostatic properties. After using ghruta there is tremendously decreases in post endo-urological complications. So lubricant using ghrut i.e Group-A & lubricants using water soluble xylocaine gelly 2% i.e. Group â€“ B. The following variables were evaluated in the two groups; the success rate depends over pain and degree of difficulty associated with examination and non formation of urethral stricture & other complications. No significant differences were found regarding to time for procedure. Level of pain and degree of difficulty during procedure were significantally smooth & lower in ghrut group i.e. Group-A. I observed no side effects or damage to the instrument.
Keywords: Endo - urology, Ayurveda, lubrication, complications & Ghruta.
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