Ayurvedic Management of Chronic Catheter-Dependent Neurogenic Bladder

Abstract

Neurogenic bladder is a challenging complication of neurological disorders, often resulting in urinary retention or incontinence. Conventional management primarily focuses on symptomatic relief through pharmacotherapy and clean intermittent catheterization (CIC), both of which are associated with limitations and long-term complications. Ayurveda describes urinary dysfunctions under Mutraroga and attributes their pathogenesis to derangement of Vata Dosha, particularly Apana Vata. Case Presentation: A 59-year-old male with neurogenic bladder presenting with impaired bladder emptying and catheter dependence was managed with Ayurvedic interventions. Based on clinical features and Ayurvedic assessment, the condition was correlated with Mutravrita Vata. The treatment protocol included oral Vatahara medications and Vasti with medicated Taila, aimed at correcting Apana Vata dysfunction and improving bladder contractility. Intervention and Outcome: The patient underwent a planned course of therapy with periodic assessment of voiding function. Gradual improvement was observed in urinary flow and reduction in catheter dependency. Over the treatment period, the patient achieved satisfactory spontaneous voiding without the need for catheterization. No adverse events were reported during the course of therapy. Conclusion: This case suggests that Ayurvedic management, particularly Vata modulating therapies and Vasti, may offer a potential complementary approach in the management of neurogenic bladder dysfunction. Systematic clinical studies are warranted to evaluate the reproducibility and long-term efficacy of these interventions.