A CUSTOMIZED PRACTICE OF MALE UTTARA BASTI: CLINICAL INSIGHTS

Abstract

Uttara Basti (UB), the best among the varieties of Basti (enema), is indicated in the management of various Urological, Andrological and Gynaecological conditions. It is a procedure by which medicaments are introduced into intra vesicle, intra vaginal and intra uterine route, by specialized techniques to achieve desired therapeutic outcome. In-spite of its large applicability UB is not routinely practiced. In males, this procedure is administered intra-vesically and intra-urethral, and can be successfully practiced under all aforesaid precautions. Although there are evidence of few practitioners performing Male UB in private practice and at institutional levels, and also a number of Post Graduate studies have been conducted in the past at various institutes; the procedure is not widely practiced and thus it lacks appropriate methodology in turn leading to lack of confidence in the upcoming physicians to practice the same. Hence, this procedure needs further exploration in various uro-genital conditions for its greater utilization in clinical practice.

Thus, in this article an effort has been made to focus on certain easy and customised recommendations in performing UB in Male patients, and also serve as a beneficial work for practioners. These recommendations are produced on the evidence based practice and author’s clinical experience of a decade in treating cases through Uttara basti (male).