A Case Study on Management of Mutraghata (Retention of Urine) in Ayurveda

Urinary retention, known as Mutraghata in Ayurveda, is a condition where urine flow is obstructed due to various factors, including bladder outlet obstruction (BOO), benign prostatic hyperplasia (BPH), or neurogenic bladder dysfunction. Ayurveda classifies Mutraghata into multiple types based on the underlying pathology, such as Asthila (prostatic enlargement), Mutrajathara (upward movement of Vata), and Mutrotsanga (incomplete voiding of urine). The Ayurvedic approach to managing Mutraghata involves herbal formulations, Panchakarma therapies like Uttaravasti, and dietary modifications to restore normal urinary function. Comparatively, modern medicine treats urinary retention with catheterization, alpha-blockers, and surgical interventions. Studies suggest that Ayurvedic treatments, particularly Basti therapy and herbal formulations, can provide significant relief in cases of Mutraghata by addressing the root cause rather than just symptomatic relief. Further research is needed to establish a direct correlation between Ayurvedic and modern approaches to urinary retention. A male patient aged 79 years old no k/c/o T2,DM,HTN came with complaint of decreased urine flow since 10 years and pain right hypogastrium He visited an allopathic hospital, where he was diagnosed as Stricture Urethra and Cholelithiasis. he underwent urethral dilations with Teflon dilators. He was treated symptomatically with antibiotics, ppis and analgesics. he was practicing manual dilatation with NEL Cath. after discharge. He came to S.V. Ayurvedic college hospital, Tirupathi. procedure that was done is Uttarabasti with Dhanvantari taila. oral medications were T.Kanchanara Guggulu, T.Gokshuradi Guggulu, T.Bangsheel, T.Chandraprabha Vati. The result of this research is patient got symptomatic relief and urine was passing freely. In Conclusion retention of urine can be co related with Mutraghata in Ayurveda.the above said case was managed with Dhanvantari taila Uttara basti and oral medications.so it can be concluded that the cases especially with urinary retention can be successfully treated with ayurveda chikitsa.