Anal Manometric Evidence of Sustained Anal Continence in the Management of Bhagandara by Ksharasutra Application - A Case Study
Abstract
Bhagandara is a disease which does darana of bhaga pradesha. Fistula in ano can be correlated to bhagandara. Contemporary surgeries of fistula have higher incidence of post-surgical anal incontinence. Ayurveda offers Ksharasutra as a line of management, where the rate of incontinence is considerably less, hence to gather the evidence, anal manometry test is required, as it is a best tool to evaluate tone of the anal sphincter muscles, sensation in the rectum etc. A case of intersphincteric fistula, who underwent apamarga Ksharasutra application, where sutra was changed weekly once for 8 weeks of duration and anal continence assessment was done through anal manometry pre and post operatively. After 8 weeks of Ksharasutra application, patient achieved normal range of resting and squeeze pressure. Anal incontinence is expected complication in post anorectal surgeries, Ksharasutra application has overcome this complication and it improves the quality of life, in this present study we gained evidence for sustained anal continence through anal manometric study.

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