The conceptual review on Nirudhaprakash (Phimosis)

Abstract

Monika Meshram*, Kiran Khandare and Sabir Ali

In Ayurveda Nirudhaprakasha is described as phimosis. Nirudhaprakash (Phimosis) is a Vyadhi (disease), mentioned as one of the Kshudraroga (minor illnesses) in Ayurvedic literature. Phimosis is described as a condition in which the foreskin or prepuce of the glans penis is not retracted backwards, resulting in poor restricted urine flow during urination causing swelling of the foreskin as well as recurrent episodes of balanoposthitis and Urinary Tract Infections (UTI). Most newborn babies have a non-retractable foreskin called physiological phimosis. Physiological phimosis usually does not require any type of treatment because it disappears spontaneously within the first two days. Years which most often takes 3 to 6 years after which measures are considered to correct it surgically? Pathological phimosis is a condition in which the foreskin adheres to the glans as a result of adhesions or scarring caused by infection, inflammation or trauma. Pathological phimosis and physiological phimosis with recurrent attack of balanoposthitis and urinary tract infections require treatment. There are several treatment modalities are available according to severity of adhesions such as local application of steroid cream or oil, manual retraction, dilatation and Circumcision. In this review article we assess the various treatment modalities available in Ayurveda and contemporary medical science for better management of Phimosis.