To Evaluate the Role of Dashamoola Kashaya Bladder Wash in the Management of Post-Void Residual Urine With Special Reference to Benign Prostatic Hyperplasia: A Case Study

Benign Prostatic Hyperplasia (BPH) is a common urological disorder in elderly males, characterized by bladder outlet obstruction and increased post-void residual urine (PVR). Persistent elevation of PVR predisposes patients to recurrent urinary tract infections, upper urinary tract dilatation, and renal impairment. In Ayurveda, such obstructive urinary disorders are described under Mutraghata, particularly Asteela, caused by Asthilavat Ghana Granthi producing Margavarana to the flow of urine.1 Asteela is also described under Vatavyadhi, indicating a predominant role of Apana Vata vitiation. The present case study evaluates the role of Dashamoola Kashaya bladder wash in reducing post-void residual urine and improving urinary symptoms in a patient of BPH. Clinical evaluation, ultrasonography, and PVR estimation were used as assessment tools. The intervention showed marked improvement in bladder emptying and reduction in PVR, suggesting that Dashamoola Kashaya bladder wash may be an effective adjunctive therapy in the management of BPH-associated Mutraghata.