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Any
treatment would aim at seeing that flow of urination is not impeded by the
narrowing at the neck of the bladder or later, ease symptoms and to prevent
possible complications.
In allopathy, there is no
drug or medicinal treatment currently available for this disease.
A long course of
antibiotics may be advised to prevent urine infections until a stricture has
been widened.
If there is acute
retention of urine, a urologist (a urologist treats problems of the urinary
tract - such as prostate, bladder, kidney and penis problems) would help in
draining the bladder with a catheter or a temporary incision through the
abdomen. However, on certain occasions, there is a dilation of the urethra done
under anaesthesia by inserting a thin instrument.
Instrumental
treatment
Dilatation (widening) of
the stricture : This is the traditional treatment. It is a relatively easy
procedure to do and so usually tried first. It is usually done by passing a
thin plastic rod (bogie) into the urethra. Rods of increasing thickness are
gently inserted to gradually widen the narrowed stricture. The aim is to
stretch the stricture without causing additional scarring. However, a stricture
often tends to gradually narrow again after each dilation. Therefore, a repeat
dilation is commonly needed every so often when symptoms recur.
Operative treatment : A
corrective operation may be an option if the above does not work
- Internal
urethrotomy : In this procedure a thin telescope is passed into the
urethra to see exactly where the stricture is. A tiny knife is then passed
down the telescope to cut along the stricture. This widens the narrowed
stricture. Most people get some relief of symptoms from this procedure and
about one-forth are cured for good. However, like during dilatation, the
stricture may form again and the procedure may have to be repeated
from time to time in many cases.
- Urethroplasty
and permanent urethral stents : A stent is like a wire mesh tube which
gives support to the urethra and helps to keep the urethra widened. For
people with severe strictures who choose not to undergo open surgery,
permanent catheters or stents can be inserted into the urethra. Urinary
catheters need to stay in place for a period of time after many
procedures. These can cause infection, bladder irritation and discomfort.
What happens after the above treatments
for urethral
strictures ?
Strictures are prone to recur after dilation with
catheters or
endoscopic removal, but since the procedure on repetition has been
known to cause worsening of the situation, the problem needs to be
addressed.
Open surgery to repair the stricture carries the
risks of
bleeding, infection, and damage to penis or other pelvic structures.
How is stricture urethra monitored ?
A person treated for urethral strictures should
have
follow-ups for at least one year. This is to watch for recurrence of
the stricture. The primary monitoring test used is uroflowmetry, a test
which measures the rate of urine flow during urination.
Can homeopathy help in stricture urethra ?
Usually patients come to see a homeopathy doctor
as a last
resort when they have tried almost everything. Surgery is the last
option left with allopathy doctors and even after undergoing surgeries,
the patient is still suffering with distressful symptoms. This is when
he looks for something beyond surgery, alternative therapies and cure.
Fortunately, homeopathy is available as one of the
best treatments which is the most potent alternative to surgery.
Homeopathy is a type of natural medicine. This
system of
medicine has slowly risen in popularity over the years, making it now
the second most common form of medicine used in the world. Homeopathy
offers you a promising life long cure and you do not have to continue
medicines for your whole life.
A homeopathic doctor's approach is different from
those who
practice conventional or allopathic medicine. Homeopathy perceives all
symptoms as a manifestation of the body's struggle to self heal.
Homeopathic doctors normally do not prescibe medication for individual
symptoms.
Given the individualistic and customized approach,
different
treatments are given to individuals for the same disease based on their
characterisitic traits, personality and condition. A person's complete
symptomatology will be treated all together. Once cured, these symptoms
should never recur again.
Homeopathy is safe and natural with no side
effects and the
medicines act from within and make surgical procedure for stricture
urethra unnecessary and avoidable.
What are the outcomes of homeopathic
treatment for
stricture urethra ?
- Urinary output at every voiding improves; not
like the way you experience after dilatation and urethral stents.
- Homeopathy would address the issue when injury
or
catheterization is known to cause narrowing of urethra by healing the
damaged lining of urethra without scarring.
- Homeopathic treatment helps in controlling the
urinary
infection and cures any gonorrheal infection (sexually transmitted
disease).
- Homeopathy helps in toning the musculature of
the bladder
wall.
- Homeopathy will prolong the duration between
dilatations
and will resolve scarring.
- Homeopathy roots out the cause of the problem
which is
responsible for the distressful symptoms, be it scarring, injury,
infection, suppressed gonorrhoea, enlarged prostate, kidney stones and
so on.
- Homeopathic remedies are also helpful post
operatively.
- Homeopathic medicines modify the disease
process and stops
the progress of the disease, which when unchecked can lead to dreaded
complications.
When
can the homeopathic remedies be commenced in stricture urethra ?
Homeopathy can be
started at any point of time, but the earlier the person comes, the speedier he
recovers and prevents further complications.
What
are the chances of curing stricture urethra permanently ?
The success rate of recovery is more than 95% with
homeopathy, but may vary from person to person depending upon the age,
condition of the patient, status of the problem, treatments already taken and
so on.
There are 75 homoeopathy
remedies which give great relief in stricture urethra. However, the correct
choice and the resulting relief is a matter of experience and right judgment on
the part of the homeopathic doctor. The treatment is decided after thorough
case taking of the patient. Thus homeopathic medicines of stricture urethra are
designer made unlike allopathy in which all patients receive the same surgery
or drugs, although the trade name may be different.
Please E-mail dr_ramanand@rediffmail.com for any questions/treatment
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