Efficacy of Vasthyamayanthaka Ghritham Along With Avagaham in the Management of Underactive Bladder - A Case Study

Detrusor underactivity is a poorly understood dysfunction of lower urinary tract with multifactorial etiology. It is characterized by contraction of reduced strength and or duration, resulting in prolonged bladder emptying or inability to completely empty the bladder within a normal time span. Similar clinical entity mentioned in Ayurvedic literature is Muthraghatha, more specifically, vatha vasthi. This case report highlights the successful management of detrusor underactivity through Ayurvedic intervention. The patient was treated with internal administration of Vastyamayantaka Ghritham for one month along with Avagaha Sweda for fourteen days. Progressive and significant improvement was observed in the patient’s clinical signs and symptoms during the course of treatment, suggesting the potential role of Ayurvedic management in conditions comparable to detrusor underactivity. This case indicates the need for further systematic studies to evaluate the efficacy of Ayurvedic therapies in the management of bladder dysfunctions.