The procedure in which the medicine is administered through vesicular / urethral route.

• Ref General Requirements SOP
• Basti netra – Red rubber catheter no.8
• Basti putaka – 20 cc to 50 cc Syringe.
• Medicine – Oil/ Ghee/ Kashaya/ Ksheerapaka
• Xylocaine Gel
• Normal saline
• Sponge holding forceps – 1
• Surgical gloves – 2
• Hole towel – 1
• Gauze pieces – 4
• Cotton
• Bowl – 1
• Kidney Tray – 1

Manpower

• Physician -1
• Attendant – 1

1. Preparation of tray

• Take a clean tray.
• Put medicine and all other required materials for sterilization in this tray.

1. Preparation of patient

• Check vitals.
• Vegotsarga

Female

• The patient is asked to lie in lithotomy position.
• The genital area is cleaned from inner to outer vestibule to both thigh region with normal saline using sponge holding forceps.
• The hole towel is placed exposing the genital region.
• The tip of red rubber catheter is lubricated with xylocaine gel up to 5-6 cm.
• The catheter is then gently inserted into the urethral meatus up to 5 cm.
• The residual urine is collected in a kidney tray.
• The syringe filled with medicine is then attached to the distal end of the catheter and the medicine is introduced slowly and continuously into the urinary bladder.
• Once the administration of medicine has been completed, the catheter is gently removed.

Male

• The patient is asked to lie in lithotomy position.
• The genitals and surrounding areas are washed with normal saline using sponge holding forceps. Then, the prepuce is retracted and the glans penis is washed thoroughly.
• The hole towel is placed exposing the penis.
• The tip of red rubber catheter is lubricated with xylocaine gel.
• The catheter is then gently inserted into the urethra.
• The residual urine is collected in a kidney tray.
• The syringe filled with medicine is then attached to the distal end of the catheter and the medicine is introduced slowly and continuously into the urinary bladder.
• Once the administration of medicine has been completed, the catheter is gently removed.

• The patient is asked to lie down in supine position.
• Patient is advised to void urine whenever urge comes.

• 30 – 45 minutes

Female

• Retention of urine
• Disorders of urine
• Urinary calculi
• Diseases of bladder
• Pain in bladder, groin
• Dribbling of urine
• Anuria

Male

• Retention of urine
• Disorders of urine
• Urinary calculi
• Diseases of bladder
• Pain in bladder, groin
• Dribbling of urine
• Anuria
• Pain in the penis
• Untimely elimination of semen
• Male infertility
• Sperm disorders like oligospermia, azoospermia ,asthenospermia
• Prostrate enlargement

Female

• Bleeding disorders
• Carcinoma of the bladder
• Bladder disorders

Male

• Urethral stricture
• Bleeding disorders
• Carcinoma of the bladder
• Hypo/epispadiasis
• Carcinoma of penis

• Uttarabasti procedure should be carried out by an expert physician under all aseptic precautions.
• The medicine for uttarabasti along with all the required materials should be autoclaved.
• Basti netra should be insert carefully without shaking.
• Basti Netra should not be inserted beyond and lesser than the prescribed limit.
• Urge of urine or motion neither be ignored nor forced.
• Avoid spicy food and any kind of sexual activity.

• Lower abdominal pain: it is usually self-limiting and if necessary give fomentation with hot water bag and antispasmodics can be given.
• Infection: urethral douche with triphala kashya. This condition may require a course of antibiotic therapy.
• Retention of basti dravya: probe is inserted in mutramarga and abdomen is pressed forcefully below the umbilicus, insert sodhana dravya siddha phala varti in mutramarga.
• Burning sensation in the urinary bladder: administer a urethral enema containing Yaṣhṭimadhu seeta kashaya with sarkara and madhu .