Sisodiya N. K., Singh C.

, Urethral Stricture E-ISSN: 2581-8899, P-ISSN: 2581-978X

REVIEW ARTICLE

EFFECTIVENESS OF HOMOEOPATHIC MEDICINE IN THE

TREATMENT OF URETHRAL STRICTURE
Nagendra Kumar Sisodiya1 , Charanjeet Singh2
1
Department of Pathology, State Ghazipur Homoeopathic Medical College and Hospital, Ghazipur, U.P,
2
Principal , Sri Ganganagar Homoeopathic Medical College and Hospital Sriganganagar, Rajasthan.
Abstract
Received- 14/06/2023 Urethra is a made up of a thin musculo-fiber tissue tube that
Revised- 24/06/2023
Accepted– 30/06/2023 start with end opening of the urinary bladder to the external

urethral meatus for removal of the urine from the body.

Key Word- Urethral
stricture Homoeopathic Urethral stricture involves scarring of the lumen of urethra
Treatment.
which is characterized by the difficult urination, slow or
Corresponding Author:-
Nagendra Kumar decreased urine stream, divided urine stream. Urethral
Sisodiya, Department of
Pathology, State Ghazipur stricture is a commonest genito- urinary disorder of the older
Homoeopathic Medical
College and Hospital, patient, Homoeopathic treatment is very effective in treating
Ghazipur, U.P
of urethral stricture, in relieving discomfort and quick

recovery and free for painful surgeries.

INTRODUCTION which causes dribbling of the urine,

Urethra play important role in frequent micturition, urine stream divided
males and females is to pass urine outside and sprayed; called a urethral stricture.
of the body. Urethra has a main organ for Urethral stricture is mostly seen in elderly
ejaculation in men. When etiological agent male patients.
expose to the urethra like infection, Anatomy: - The urethra start at the base of
trauma resulting permanent or temporally the urinary bladder and ends with an
narrowing of the tube by formation of scar external opening in the perineum. The

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Sisodiya N. K., Singh C., Urethral Stricture E-ISSN: 2581-8899, P-ISSN: 2581-978X

urethra is differing significantly in male abundant periurethral glands which may be

and female.
In Women:- The urethra is shorter being
about 4cm long. It travel a slightly curved
course as it passes inferiorly through
pelvic floor into the perineum where it
pass deep perineal pouch and perineal
membrane and opened into vestibule that
lies in between labia minora.
infected as a result of this slowed flow. In
female 4- 25% of patients presenting with
refractory lower urinary tract symptoms
have bladder out flow obstruction. There is
marked incidence in women over the age
65 years of age.
Characteristics Of Urethral Stricture
Disease
Characteristic Incidence

Mean age (years) 45 yrs

Most common site 4.3cm

Idiopathic 39%

Trauma 10%

Latrogenic 40%

Lichen sclerosis (L.S) 11%

Clinical Types Of The Urethral

Fig 1 Male Urethra
Stricture:
In Male: - The male urethra is much larger
1. Traumatic urethral stricture:
than female, length is about 20 cm. Male
 Pelvic fracture
urethra divided into 3 parts
 Passage of renal stone
 Prostatic Urethra
 Prolong labour
 Membranous urethra
 Saddle injury
 Penile Urethra (Spongy)
2. Infectious / Inflammatory urethral
Incidence: - Urethral stricture is a most
stricture:
common disease observed in elderly male
 Gonorrhea
patient with an associated prevalence of
 Sclerosis
223-645 per 100,000 males. 90 percent
anterior part of the male urethra is most
3. Iatrogenic:
frequently affected and result of the S
 Catheterization
shape of this segment which slows down
 Prostatectomy
the flow of urine and the presence of

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Sisodiya N. K., Singh C., Urethral Stricture E-ISSN: 2581-8899, P-ISSN: 2581-978X

 Repair of hypospadias  Most common feature of

 Instrumental (cystoscopy) Urethral stricture is, more he
 Circumcision strain, more urine passes.
 Urine stream becomes narrower,
4. Congenital and sprayed.
 Pin hole meatus  Dribbling, after urination.
 Posterior urethral valves  Increase frequency of micturition
due to incomplete emptying of
PATHOPHYSIOLOGY bladder.
 Urethral discharge mostly seen
in morning.
 Occasional passes of
desquamated epithelium in urine.
COMPLICATION
 Retention of urine.
 Cystitis.
 Bilateral hyronephrosis.
DIAGNOSIS
The diagnosis of urethral stricture
is based on physical symptoms, urine flow
examination, medical history and
medication. Physical examination as
stricture is palpable mass in urethral floor.
I. Urethroscopy: - Imaging tests
shows size, position dilatability.
II. Urethrography: - To assess the
length of stricture.
III. Uroflow:- Urine flow rate helps
determine whether there may be a
Fig 2 Pathophysiology blockage due to a stricture.
Sign and Symptoms: IV. Retrograde Urethrogram:- After
 Difficulty in micturition. a stricture is diagnosed, the length
 Patient has to stain to pass urine. and degree of narrowing can be

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Sisodiya N. K., Singh C., Urethral Stricture E-ISSN: 2581-8899, P-ISSN: 2581-978X

evaluated with a retrograde formation at intervals. Burning and

urethrogram. soreness of genitalia, Chronic UTI
MANAGEMENT & TREATMENT with thick discharge, involuntary
● Catheterization. discharge when straining at stool. Icy
● Dilation. cold and sweaty feet. Yielding, faint-
● Urethroplasty. hearted, anxious. Nervous and
● Endoscopic Urethrotomy. excitable. Intolerance of alcohol.
● Implanted stent or permanent 4. Stramonium:- as if urine cannot be
catheter. passed owing to the narrowness of the
HOMOEOPATHIC TREATMENT urethral tract. Retention of urine with
1. Clemitis:- After urination tingling burning micturition with loquacity,
sensation in urethra. Scanty, burning singing, praying and profuse
sensation external meatus of urethra. perspiration.
Urine stream divided, dribbling of 5. Chimaphila:- When there is urging
urine. Pain started just after urination, to urinate , Chimaphila is of great help
night. Orchitis with pain along for urethral stricture patients who have
spermatic cord worse right side. to apply a lot of strain to pass urine.
2. Thuja Occientalis:- Burning and Urine turbid, offensive containg
soreness of genitals with itchy eruption bloody mucous. Burning during
of the body. Chronic uti infection with urination. In spite of efforts, the urine
thick fetid discharge, bloody passed is very less in quantity. One
involuntary prostatic discharge. Thin characteristic feature unique for the use
weak urine stream must wait for of this natural medicine is a specific
urination, dribbling of urine, after position in which the patient is able to
urinating. Unsatisfactory urination, empty the bladder. The position is
Feeling urine remained in urethra. standing with feet set wide apart and
Involuntary urination in old people. body stooped forward. So, it’s only by
Retarded, must wait for urine to start; standing with feet wide apart and
press must; a long time before he can inclining the body in a forward
begin. Involuntary urination at night, position that a person is able to pass
foamy urine, offensive genitals with urine.
swelling of prepuce. 6. Conium:- Conium is a best
3. Silicea:- Urethral stricture due to an homeopathic remedy that can help
injury to genital organ and leads to pus patients of Urethral Stricture where the

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Sisodiya N. K., Singh C., Urethral Stricture E-ISSN: 2581-8899, P-ISSN: 2581-978X

main trouble is the intermittent stream difficult, painful, burning and almost
of urine. It takes a lot of time to scalding urine.
complete the act of urination. The time 8. Oleum Santali:- Oleum Santali proves
taken is due to intermittent urine flow. to be a very effective in homoeopathic
The urine starts to flow and then stops treatment for Urethral Strictures.
and this process of starting and Oleum Santali is the medicine to be
stopping is repeated several times to used when prepuce swelled, thick
completely pass the urine out. Urethral yellow muco-purlent discharge and
stricture seems mainly old aged urine stream is very slow and scanty.
patients. Acute aching at renal angle.
7. Cantheris:- Soreness in the region of REFERENCES
hypogastrium region , cutting pain 1. Davidson’s Text book of Medicine,
which extends to urethra and bladder. 18th edition.
Urine dark colored sediment look like 2. Boericke William. Pocket Manual of
old mortar or reddish brick dust. Urine Homoeopathic Materia Medica and
passing out in Drops with Burning Repertory. B. Jain Publishers New
Pain, Cantharis is a very well-known Delhi, 2007.
and widely used natural medicine for 3. API Text Book of Medicine of Edition
various kinds of urinary troubles. 2012 Published by The association of
Cantharis is very beneficial in Urethral physician of India.
Stricture cases when the foremost 4. Hahnemann Samuel. Organon of
complaint is the passage of a few drops medicine. Translated by William
of urine through the urge to pass urine Boericke. B. Jain Publishers Pvt. Ltd.,
is almost constantly present. The urine New Delhi, Reprint Edition 2002.
is passed with much violent, burning 5. Kent James Tyler. Repertory Reprint.
pains. The burning pains start before B. Jain Publishers Pvt. Ltd., New
urination, remain while passing urine Delhi, 2004.
and continue thereafter. Cantharis is 6. Urethral stricture disease; urology care
also the best remedy for Urinary Tract foundation
Infection due to Urethral Stricture with

How to Cite this Article - Sisodiya N. K., Singh C., Effectiveness Of Homoeopathic Medicine In
The Treatment Of Urethral Stricture. TUJ. Homo & Medi. Sci. 2023;6(2):49-53.

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