Article: AYURVEDIC CONSERVATIVE MANAGEMENT OF PELVIC ORGAN PROLAPSE: A CASE STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.15359

Pages: 1-4

Author: Salini P *, Divya Ramugade, Archana Prashant Gharote, Arjun M, Aswathi Sara Varghese

Abstract: Pelvic organ prolapse (POP) is a bulge or protrusion of pelvic organs and their associated vaginal segments into or through the vagina. The causes are multifactorial and result in the weakening of the pelvic support connective tissue and muscles as well as nerve damage. Patients may be asymptomatic or have significant symptoms, such as those relating to the lower urinary tract, pelvic pain, defecatory problems, faecal incontinence, back pain, and dyspareunia. The conventional treatment options for POP are preventive, conservative, and surgical. Available surgical options are reconstructive pelvic surgery with or without mesh augmentation and obliterate surgery. POP is a condition which impairs the quality of life of many women. Many women are reluctant to undergo surgical management, and they opt for conservative management like pessary and Kegel exercises. These may not bring significant reduction in their symptoms and may lead to psychological issues. A 37-year-old woman came to the Outpatient Department (OPD) of PNNM Ayurveda Medical College, Thrissur, Kerala, India, with complaints of dribbling of urine while coughing and sneezing. She was diagnosed as having cystourethrocele on examination. In this condition, we have considered prasramsini yonivyapath, as mentioned by Acharya Sushruta. Several yonidrteekarana dravyas have been mentioned in Ayurveda texts, which can be used in POP to improve the strength of supporting structures. Ayurvedic conservative management was done for one week at the OP level. The patient's condition was very much improved with the management, and the quality of her life was restored.

Keyword: Pelvic organ prolapse, Cystourethrocele, Urinary incontinence, Prasramsini, Kokilakshabeeja churna Yonipoorana, Kuchimara tantra.