Injuries to the urinary bladder and urethra can occur due to blunt trauma or penetrating wounds, surgery, and motor vehicle accidents. Such injuries can cause leakage of urine into the abdomen, infection, abdominal pain, difficulty in passing urine, and possible bleeding. Long-term complications include difficulty in passing urine, slow passage of urine, dysfunction of involuntary control of urination, and dysfunction related to sexual performance, notably erection and ejaculation.
Most acute injuries to the urinary bladder and urethra need to be handled in surgical departments or intensive care of hospitals and may need intensive therapy like surgery, intensive care or conservative hospital management. This article deals with the long-term management of complications resulting from injury to the urinary bladder or urethra. Most such long-term complications deal with chronic infection, inflammation, reduction in the patency of the bladder or urethra, incontinence, and dysfunctional erection and ejaculation.
Chronic inflammation and infection can lead to blockage and obstruction to the normal flow of urine. Ayurvedic medicines can be given on a long term basis in order to remove the infection and inflammation and simultaneously to reduce the blockage in the urethra. When medicines are commenced during the inflammatory phase, the inflammation and resulting blockage can be removed completely. If severe blockage in the urethra has already occurred, progressive mechanical dilatation may also be required.
The basic focus of Ayurvedic treatment or the main symptoms for which most patients approach Ayurvedic practitioners is for dysfunction related to neuromuscular coordination and control. Damage to the spinal cord and nerves controlling the function of the urinary bladder, urethra as well as the penis are difficult to treat within the modern system of medicine. Ayurvedic herbal medicines can be judiciously used to treat such problems and improve the overall functioning of the genitourinary tract as well as sexual performance.
Ayurvedic herbo-mineral compounds are especially useful in healing nerve damage and improving neuromuscular coordination related to emptying of the bladder, timely retention of urine, and proper sexual functioning related to erection of the penis and proper and timely ejaculation of the seminal fluid. Treatment needs to be given for prolonged periods ranging from 6 to 12 months in order to bring about significant improvement in affected individuals, both for a proper bladder functioning and for neuromuscular sexual coordination.
Regular use of these medicines tones up the bladder, improves its storage capacity, and helps in proper and timely emptying. Distension of the bladder also generates appropriate impulses and the urge to void urine. These medicines also aid in causing timely rigidity of the penis at the onset of sexual intercourse, maintain it till appropriate ejaculation, and then help in the proper drainage of blood from the penis so as to bring it back to its original state. Medicines which act on the pelvic nerves also help in timely and appropriate outward ejaculation to complete the sexual act.
Dysfunction of the bladder and penis may also be related to stress and can produce a vicious cycle of improper functioning causing stress and anxiety, which can further aggravate the symptoms. It is therefore equally important to treat anxiety and stress while simultaneously treating the organic problems in affected individuals. However, regular treatment is effective in bringing about reduction of symptoms and normalising a proper functioning of the pelvis organs in most affected individuals. Ayurvedic medicines may also be used in combination with modern treatment or surgical procedures, in order to provide the maximum possible therapeutic benefit to affected individuals.
To some up, Ayurvedic herbal treatment has a significant role to play in the management and treatment of injuries and related long-term complications of the urethra and urinary bladder.