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CTRI Number  CTRI/2025/06/088242 [Registered on: 04/06/2025] Trial Registered Prospectively
Last Modified On: 25/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To evaluate the efficacy of patala kshar siddha til tail uttarbasti with urethral dilation in the management of urethral stricture w.s.r mutraghata.  
Scientific Title of Study   Randomized controlled clinical trial to evaluate the efficacy of patala kshar siddha til tail uttarbasti with urethral dilation in the management of urethral stricture w.s.r. mutraghata  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrRushikesh Haribhau Jadhav 
Designation  PG Scholar  
Affiliation  Matoshri Asarabai Darade Ayurved college Babhulgaon Yeola  
Address  Matoshri Asarabai Darade Ayurved hospital OPD NO 04/05 Shalya OPD ground floor Matoshri Asarabai Darade Ayurved college SND campus Babhulgaon Tal- YEOLA, Dist- Nashik

Nashik
MAHARASHTRA
423401
India 
Phone  7350724538  
Fax    
Email  rushikeshjadhav6296@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrPadma Gangurde 
Designation  Asso.Prof .MS shalyatantra Department 
Affiliation  Matoshri Asarabai Darade Ayurved college Babhulgaon Yeola  
Address  Matoshri Asarabai Darade Ayurved hospital OPD NO 04/05 Shalya OPD ground floor Matoshri Asarabai Darade Ayurved college SND campus Babhulgaon Tal- YEOLA, Dist- Nashik

Nashik
MAHARASHTRA
423401
India 
Phone  9970553753  
Fax    
Email  padmagangurde@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rushikesh Haribhau Jadhav 
Designation  PG Scholar  
Affiliation  Matoshri Asarabai Darade Ayurved college Babhulgaon Yeola 
Address  Matoshri Asarabai Darade Ayurved hospital OPD NO 04/05 Shalya OPD ground floor Matoshri Asarabai Darade Ayurved college SND campus Babhulgaon Tal- YEOLA, Dist- Nashik
Nil
Nashik
MAHARASHTRA
423401
India 
Phone  07350724538  
Fax    
Email  rushikeshjadhav6296@gmail.com  
 
Source of Monetary or Material Support  
Matoshri Asarabai Darade Ayurved college and Matoshri Asarabai Darade Ayurved hospital Babhulgaon, Tal Yeola Dist- Nashik Maharashtra, India 423401 
 
Primary Sponsor  
Name  Matoshri Asarabai Darade Ayurved college  
Address  Matoshri Asarabai Darade Ayurved college and Matoshri Asarabai Darade hospital, Department of shalyatantra, Ground floor,OPD no 4-5,SND Campus, Babhulgaon, Yeola-423401 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rushikesh Haribhau Jadhav  Matothri Asarabal darade Hospital Yeola   Matoshri Asarabai Darade Ayurved hospital OPD NO 04/05 Shalya OPD ground floor Matoshri Asarabai Darade Ayurved college SND campus Babhulgaon Tal- YEOLA, Dist- Nashik
Nashik
MAHARASHTRA 
07350724538

rushikeshjadhav6296@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee Matoshri Asarabai Darade Ayurved College Babulgaon   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N35||Urethral stricture. Ayurveda Condition: MUTRAGHATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-uttara-bastiH, उत्तर-बस्तिः (Procedure Reference: Sushruth samhita chikitsa 1 shloka 109, Procedure details: The patient should be madea supine position on the OT table. Sterile patala kshar siddha til tail to be melted over the hot water in a metal vessel. Penis is held with a sterile gauze pad & the appropriate numbered Infant Feeding Tube is then lubricated with 5% Xylocaine jelly and inserted gently intothe urethra. 20 ml patala kshar siddh Taila to be filled in the syringe and mounted on the Tube and slowly and steadily Taila instilled. Syringe removed from Infant Feeding Tube and then slowly tube is removed.)
(1) Medicine Name: Patala kshar siddha til tail, Reference: kaiyadev nighantu 6 shloka 37-38, Route: Urethral, Dosage Form: Taila, Dose: 20(ml), Frequency: od, Duration: 15 Days
2Comparator Arm (Non Ayurveda)-Urethral dilation by Nelaton catheterWash your hands, using soap and water or antibacterial,hand sanitiser. Setup your equipment on a clean, easily accessible surface Open the lox 5% ointment and discard a small amount Apply lox 5% ointment onto a tissue Get into a comfortable position. This may be lying on your bed. Remove the catheter from the packet or clean container. Try not to touch the catheter tip. Dip or roll the catheter tip into the lox 5% ointment If lox 5% ointment in a syringe, then instil directly into the urethral opening of the penis. Grasp the penis and gently pull it out at a right angle from your body. Insert the catheter into the urethral opening or meatus. Slide the catheter further into the urethra.
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Male 
Details  Patients of age group between 18 to 60 years.
Male patients will be selected randomly for the study.

Patients having history of stricture of Urethra with mild to moderate symptoms.

4. Patient well diagnosed after clinical examination, Laboratical & Radiological examination. 
 
ExclusionCriteria 
Details  Impacted Calculus in Urethra & Bladder Neck

Acute Retention of Urine

Patients suffering from any systemic disease

4. Patient sugffering from BPH

 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The Parameters will be noted down before and after treatment.
The patient will be diagnosed based on symptoms of Mutraghata
Explained in Ayurvedic and Modern texts.
1) Weak Stream
2)Dysuria
3) Hesitancy 
Nil 
 
Secondary Outcome  
Outcome  TimePoints 
Nill  Nill 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/06/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The term Mutraghata is made up of two words i.e.; Mutra (i.e.; urine) and ghata means obstruction of urinary passage. Mutrasang is a disease of Mutravahasrotas (urinary tract), one among the 12 types of Mutraghata (obstructive uropathy) disorders elaborated by Acharya Sushruta closely resembles to Urethral stricture of modern medicine in its signs and symptoms.It becomes narrowing of Lumen due to constriction & fibrosis of tissue which prevent the normal flow of urine, Spraying of stream, Frequency of urine, Incomplete emptying, Dysuria or Anuria & Hesitancy,The modern science has suggested Treatment of Intermittent Dilatation but it may cause false passage, fistula formation & bleeding. The Surgical intervention such as Urethroplasty also carries high risk of recurrences and have their own complications and limitations; Modern science has done lot of research but has failed to provide satisfactory treatment without any complications. Uttarbasti With Medicated Oil ( Patala KShar Siddha Til Taill) Is  a Parasurgical procedure is the most effective available treatment in Ayurveda for the diseases of Mutravaha Strotasa, 
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