Namaste Shri A. S. Khurana ji,
Thank you for sharing your detailed history. I appreciate your patience and positive approach at 82 years of age 🙏
Ayurvedic Understanding (Samprapti) Post-prostate surgery urinary incontinence is well explained in Ayurveda as a Vata-pradhan disorder, especially: - Apana Vata dushti – controls bladder, urine holding and release - Basti & Mutravaha srotas kshaya – weakness of bladder sphincter and nerves - Dhatu kshaya due to age (Vriddhavastha) – natural decline in muscle tone and nerve control - Surgery acts as Abhighata (trauma) → Vata aggravation → loss of voluntary control over urine, especially during movement, coughing, or exertion.
Good point in your case: No diabetes No major systemic disease ➡️ This improves prognosis even at advanced age. Treatment Goal in Ayurveda Stabilise Apana Vata Strengthen bladder sphincter & pelvic muscles Improve nerve tone Restore bladder holding capacity (Mutra-dharana shakti)
Ayurvedic Prescription (Safe, gentle, age-appropriate)
1. Internal Medicines ① Chandraprabha Vati 1 tablet twice daily after meals With lukewarm water 👉 Strengthens bladder, improves control, reduces urgency
② Ashwagandha Churna ½ teaspoon at night With warm milk or water 👉 Nerve tonic, improves muscle tone & Vata balance
③ Gokshuradi Guggulu 1 tablet twice daily after meals 👉 Supports urinary system & sphincter strength (All medicines for 8–12 weeks initially)
2. External Therapy (Very Important) Abhyanga (Oil massage) Daily gentle massage of: Lower abdomen Lower back Inner thighs
Use Mahanarayan Taila or Bala Taila Duration: 10–15 minutes 👉 This calms Apana Vata and improves nerve signaling
3. Simple Yogic Support (If comfortable) Ashwini Mudra (pelvic contraction) Contract anus as if holding urine Hold 3–5 seconds, relax 10 repetitions, twice daily (Very effective even in elderly patients)
4. Diet & Lifestyle Advice ✔ Warm, light, nourishing foods ✔ Avoid cold water, tea, coffee at night ✔ Avoid suppressing urge to urinate ✔ Keep body warm (especially lower abdomen)
Expected Improvement 4–6 weeks: Reduced leakage frequency 2–3 months: Better control during activity 6 months: Significant functional improvement possible
👉 Complete cure may be difficult due to surgery & age, but quality of life can improve greatly Important Note
If possible, consult a qualified Ayurvedic physician for: Basti therapy (medicated enema) – this is the best treatment for Apana Vata in such cases Even a short course under supervision can give remarkable benefit.
Tq
Start with Chandraprbha vati 1-0-1 after food with water Gokshuradi guggul 2-0-0 after food with water Vrikkdoshar vati 1-0-1 after food with water. Do kegel exercises daily.
Don’t worry take its normal after surgery
Chandra Prabha vati 1tab bd Siva gulika 1tab bd enough
POST PROSTATE SURGERY INCONTINENCE AT THIS AGE IS A KNOWN CONDITION AND AYURVEDA WORKS ON STRENGTHENING THE BLADDER NERVES SPHINCTER CONTROL AND OVERALL VITALITY IMPROVEMENT RATHER THAN QUICK SUPPRESSION SO IMPROVEMENT IS GRADUAL BUT POSSIBLE EVEN AT THIS AGE
BASED ON YOUR AGE HISTORY AND ABSENCE OF OTHER MAJOR ILLNESSES THE FOCUS SHOULD BE ON NERVE TONIC SUPPORT AND URINARY CONTROL
YOU MAY START THE FOLLOWING AYURVEDIC MEDICINES UNDER SUPERVISION
CHANDRAPRABHA VATI ONE TABLET TWICE DAILY AFTER FOOD WITH WARM WATER
BALA ASHWAGANDHA ARISHTA 15 ML TWICE DAILY AFTER FOOD WITH EQUAL WATER
ASHWAGANDHA CHURNA HALF TEASPOON AT NIGHT WITH WARM MILK OR WATER
SWARNA MAKSHAK BHASMA 30 MG ONCE DAILY IN THE MORNING WITH HONEY OR GHEE
IMPROVEMENT IS USUALLY NOTICED OVER FEW MONTHS WITH REGULAR USE AND PATIENCE SINCE NERVE HEALING TAKES TIME ESPECIALLY POST SURGERY AT ADVANCED AGE
YOU MAY CONTINUE REGULAR FOLLOW UP THROUGH THIS PLATFORM WHERE QUALIFIED AYURVEDIC DOCTORS CAN MONITOR PROGRESS AND ADJUST MEDICINES SAFELY ACCORDING TO RESPONSE
DO NOT LOSE HOPE CAN SEE REDUCTION IN FREQUENCY AND BETTER CONTROL WITH CONSISTENT AYURVEDIC CARE
Hello I get how tough frequent incontinence can be, especially after prostate surgery. It really messes with your daily life and confidence. It’s a pretty common issue at your age, and Ayurveda has some gentle, natural ways to help with bladder control, strengthen those pelvic muscles, and fix an imbalance called Apana Vata.
AYURVEDIC UNDERSTANDING
The Main Problem: It’s mostly about something called Vata, specifically Apana Vata. That’s what handles your bladder, pelvic floor, and getting rid of waste.
WHY ITS HAPPENING
Surgery and just getting older can make your pelvic muscles and nerve coordination weak. That’s why urine leaks when you’re active.
WHAT IS THE TREATMENT GOAL
1. Make your pelvic floor and bladder muscles stronger. 2. Get your Apana Vata back in balance. 3. Nourish your body’s tissues. 4. Boost your overall energy and how alive you feel.
AYURVEDIC PLAN
INTERNAL MEDICATION
1.Chandraprabha Vati: Take 1 tablet twice a day after food with warm water. This helps your bladder work better, balances Apana Vata, and cuts down on how often you need to go and how much you leak.
2.Gokshuradi Guggulu:Take 1 tablet twice a day after food. This is good for your urinary system and makes the muscles that control peeing stronger.
3.Ashwagandha (powder):Take 2 grams at night with warm milk or water. It helps muscle tone, supports your nerves, and gives you more energy and better sleep.
These medicines are pretty mild and safe for elderly perople.They’re meant to get things working right again without causing any stress.
EXTERNAL CARE
Oil:Use Bala Taila or Mahanarayan Taila. Lower belly, lower back, inner thighs, and your pelvic floor. Massage it on gently, leave it for 20-30 minutes, then take a warm bath. How Often: Every day or every other day.
Why it helps: It gets moisture to your tissues, calms down Vata problems, and helps your nerves and muscles talk better to your bladder.
GENTLE MOVES AND PELVIC FLOOR EXERCISE
Mula Bandha (Pelvic Floor Squeeze): Squeeze your pelvic muscles like you’re trying to stop peeing. Hold for 3-5 seconds, then relax. Do 10-15 reps, twice a day.
Leg Lifts (gently, lying down): These help your lower stomach and pelvic strength.
Important: Don’t strain yourself, lift anything too heavy, or overdo it. Doing it gently and consistently is way better than trying to do too much.
DIET AND LIFESTYLE
✅INCLUDE * Warm, cooked meals. * Half to one teaspoon of ghee daily. * Warm milk at night. * Small sips of water often throughout the day. * Soft, easy-to-digest foods.
❌AVOID * Cold drinks and ice. * Dry, rough, or super spicy foods. * Too much tea or coffee. * Holding your pee for too long.
DAILY LIVING TIPS
* Don't rush to the bathroom; try to keep a relaxed schedule.
* Walk gently every day to help with digestion and blood flow.
* Keep your lower belly warm, especially when it's cold out.
The key is to keep up with the medicines, massages, and exercises. Even small changes can really make your life better.
With patience and by sticking to this, you can get better control over incontinence, more energy, and a better life.
Wishing you strength, comfort, and feeling good again.
Warm Regards Dr. Snehal Vidhate
चंद्रप्रभावती 2 टैबलेट दिन में दो बार लें।
गोघ्रु टैबलेट 2 दिन में दो बार लें।
ब्राह्मी 2 टैबलेट दिन में दो बार लें।
1. गोक्षुरादि गुग्गुलु 2 टैब दिन में दो बार पानी के साथ भोजन के बाद 2. चंद्रप्रभा वटी 2 टैब दिन में दो बार पानी के साथ भोजन के बाद 3. शिलाजीत कैप्सूल 1 कैप दिन में एक बार गर्म दूध के साथ भोजन के बाद 4. अश्वगंधा चूर्ण 1 चम्मच दिन में दो बार गर्म दूध के साथ भोजन के बाद
🧘 जीवनशैली और आहार सुझाव: - पेल्विक फ्लोर एक्सरसाइज (केगल एक्सरसाइज): हल्का दैनिक अभ्यास ब्लैडर नियंत्रण को मजबूत करने में मदद करता है। - ब्लैडर को उत्तेजित करने वाले पदार्थों से बचें: चाय, कॉफी, मसालेदार भोजन और अधिक नमक से परहेज करें। - आहार: गर्म, पका हुआ भोजन पसंद करें; दूध, घी, कद्दू के बीज और अनार शामिल करें। - रूटीन: नियमित रूप से ब्लैडर खाली करें, पेशाब को लंबे समय तक रोकने से बचें। - योग: भोजन के बाद वज्रासन और मूल बंध (हल्का पेल्विक संकुचन) दैनिक करें।
सादर डॉ. अंजलि सेहरावत
यह पोस्ट-प्रोस्टेटेक्टॉमी स्ट्रेस इनकंटिनेंस है, जो आम है और कमजोर पेल्विक फ्लोर/स्फिंक्टर के कारण होता है। आयुर्वेद इससे नियंत्रण में काफी सुधार कर सकता है।
दवाइयाँ गोक्षुरादि गुग्गुलु – 2 टैबलेट सुबह + रात खाने के बाद चंद्रप्रभा वटी – 2 टैबलेट सुबह + रात खाने के बाद अश्वगंधा लेह्यम – 5–10 ग्राम सुबह + रात गर्म पानी के साथ पुनर्नवादि मंडूर – 250 मिग्रा सुबह + रात खाने के बाद वरुणादि कषायम – 20 मि.ली. + 60 मि.ली. गर्म पानी सुबह खाली पेट
तेल (रोजाना) गर्म धन्वंतरम तैल या बला तैल, हल्की निचले पेट और पेल्विक की मालिश रात में करें, उसके बाद 10 मिनट के लिए गर्म पानी की थैली।
रोजाना करना जरूरी (सबसे महत्वपूर्ण – पेल्विक फ्लोर) केगल एक्सरसाइज – पेल्विक मसल्स को टाइट करें (जैसे पेशाब रोकना), 5–10 सेकंड तक पकड़ें, 20 बार × 3 रोजाना (धीरे-धीरे बढ़ाएं)। पैरों को 20 मिनट के लिए दिन में दो बार ऊंचा रखें। भारी वजन उठाने/दबाव डालने से बचें।
आहार रोजाना दें: मूंग खिचड़ी + घी, अनार, नारियल पानी। पूरी तरह से बचें: मसालेदार/खट्टा, ठंडे पेय, शाम 6 बजे के बाद अधिक तरल पदार्थ।
सादर डॉ. गुरसिमरन जीत सिंह एमडी पंचकर्म
Start with Vatsyamayantaka gritham 10ml melted ghee daily morning in empty stomach followed by a glass of warm water Gokshuradi guggulu tab 1-0-1 after food Chandraprabha vati tab 1-0-1 after food
Donot worry. It is absolutely normal post surgry.
✔️Practise keagal exercise 🧘♀️Practise mool bandh ❌Avoid excess salt and sugar ❌Avoid holding urge
💊Medicines💊
Cap. Stonvil 2 caps twice a day before food Tab. Gandhak Rasayan 2 tabs twice a day before food
Sesame seed oil massage to the stomach .
HELLO,
Mr. Khurana after prostate surgery, many elderly patients develop loss of urine control,especially during walking, standing, coughing, or physical activity. This happens because
1) The prostate lies very close to the bladder and urine holding muscles
2) During surgery, even when perfectly done, -tiny nerves -bladder neck muscles -urine holding sphincter may get weakened
3) With increasing age, body repair capacity reduces
In Ayurveda, this condition is called “Apana vata dushti with Basti daurbalya”
WHAT DOES THIS MEAN? -APANA VATA= the force that controls urination, bowel movement, and pelvic muscles -BASTI= urinary bladder and its control system -DUSHTI= imbalance or weakness
So your bladder still makes urine normally, but the control valve has become weak, especially during activity
WHY ALLOPATHIC AND HOMEOPATHIC MEDICINES DID NOT HELP -Tablets can reduce urgency or frequency -But they cannot regenerate damaged nerves or muscles -surgery related weakness needs nourishment + nerve strengthening not suppresion
This is where Ayurveda works differently
TREATMENT GOALS -strengthen urine holding muscles -improve nerve control -stabilize apana vata -prevent further worsening -improve quality of life
INTERNAL MEDICATIONS
1) CHANDRAPRABHA VATI= 1 tab twice daily after meals with lukewarm water for 3 months =improves bladder tone, stregthens urinary sphincter, reduces involuntary leakage, classical medicine for bladder weakness
2) ASHWAGANDHA POWDER= 3gm at night with warm milk for 3 months =nourishes nerves, improves muscle strength, acts as anti aging Rasayana, reduces degeneration after surgery
3) YOGARAJ GUGGULU = 1 tab twice daily after meals for 3 months =improves pelvic circulation, removes stiffness and nerve block, supports nerve muscle coordination
4) BALA ASHWAGANDHADI TAILA= 5 drops with warm milk at bedtime for 2 moths =deep nerve nourishment, strengthens pelvic floor, very useful in elderly weakness
PANCHAKARMA MOST IMPORTANT
MATRA BASTI Oil used= Sahacharadi taila DOSE = 40 ml DURATION=daily or alternate day -7 to 14 days -can be repeated after 2 months
WHY THIS IS ESSENTIAL -directly acts on pelvic nerves -best treatment for Apana vata -safe for elderly -Improves bladder control better than tablets alone In Ayurveda, no treatment for urinary incontinenece is complete without Basti therapy
EXTERNAL TREATMENT
OILMASSAGE -AREA= lower back, lower abdomen, inner thighs -OIL= Bala taila -FREQUENCY= daily =improves nerve condition, reduces dryness and weakness, supports bladder muscles
YOGA ASANAS -mula banda (gentle pelvic contraction) -setu band hasana (supported bridge) -pawanmuktasana -5-10 reps -no strain
PRANAYAM -Anulom Vilom= 10 rounds -Bhramari= 5 times
= Improves nerve controls, reduces stress- related leakage, enhances pelvic circulation
DIET -warm cooked food -milk with ghee small amount -rice, wheat, oats -cooked vegetables -soaked almonds 2-3 daily
AVOID -tea,coffee -alcohol -cold water -spicy and fried food -excess sour items
WHY -dry and cold foods worsens vata -warm, nourishing food supports bladder strength
HOME REMEDIES -warm milk + pinch of nutmeg at night -sit in warm water for 10 min daily -avoid holding urine for long time
LIFESTYLE CHANGE -fixed toiler timings (every 2-3 hours) -avoid heavy lifting -prevent constipation very important -sleep before 10 pm -avoid prolonged stading
EXPECTED RESULTS -4-6 WEEKS= reduced urgency -2-3 MONTHS= beter control -3-6 MONTHS= stable improvement
EXPECTED BENEFITS -40-70% improvement -Better confidence and mobility
Mr. Khurana, at your age and surgical history, Ayurveda offers support, strength,and stability, not false promises
WITH -correct mediicine -regular Matra basti -Diet and lifestyle correction
Meaningful improvement is very much possible
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
