Management of Benign Prostatic Hyperplasia (Vatashthila) with Ayurvedic Formulations: A Case Report

Background: Benign Prostatic Hyperplasia (BPH), which is correlated to Vatashthila in Ayurveda, is a prevalent condition among aging men that is evidenced by lower urinary tract symptoms (LUTS) such as frequency, urgency, weak stream, and incomplete voiding. Case Presentation: A 53-year-old man came with recurrent urinary complaints for two years, diagnosed as BPH (Grade II prostatomegaly) with high post-void residual urine. Dissatisfied with temporary relief provided by allopathic therapy, he opted for Ayurvedic treatment. Intervention: The patient was administered a mixture of Ayurvedic drugs: Himplasia, Chandraprabha, Kanchanara Guggulu and Varunadi Kwatha for 5 months. Results: Follow-up ultrasonography revealed normalization of prostate size (from 44gm to 19gm) and decreased post-void residual urine (from 114ml to 35ml). Clinical symptoms of urgency, poor stream, nocturia, and burning micturition improved remarkably. Conclusion: Ayurvedic treatment gave efficient, long-term relief of BPH symptoms and decrease in prostate size, corroborating the theoretic role of Ayurvedic formulations in holistic management of BPH.