Dysuria may be caused by the enlargement of the prostate gland too and in this case, it is known as Mutraghata in Ayurveda. In this condition, the urine cannot be properly voided through the urethra.

The prostate gland lies at the neck of the bladder in men and surrounds that part of the urethra lying within it. The gland is of importance because, in late life, it is apt to increase in size and change in shape in such a way as to obstruct the flow of urine from the bladder. There is great difficulty in passing urine and the patient strains himself without voiding the urine. Or, it may come in drops, leaving the sufferer always with the desire of voiding urine. Modern medicine takes recourse to surgery to ameliorate the condition. In most cases, the gland is removed since it is one of the common sites of cancer. Obstruction of urine caused in this condition may be of many types depending on the dosha, which has been vitiated. There may be spasmodic stricture of the urethra, distension of the bladder, or inflammation of the bladder or the urethra. All these conditions generally accompany enlargement of the prostate as well.

The prostate gland is the male organ that produces semen, the milky colored fluid that nourishes and transports sperm during ejaculation. The tube drains urine from the bladder. When it becomes enlarged, the prostate can put pressure on the urethra and thus cause difficulty in urinating. Most men have a period of prostate growth in their mid- to late 40s. At this time, cells in the central portion reproduce more rapidly, resulting in prostate gland enlargement. As tissues in the area enlarge, they often compress the urethra and partially block urine flow. Benign prostatic hyperplasia is the medical term for prostate gland enlargement.

Treatment of prostate gland enlargement depends on the signs and symptoms and may include medications, surgery or non-surgical therapies. Prostate gland enlargement is not related to the development of prostate cancer.

Prostate enlargement varies in severity from man to man. It doesn`t always pose a problem. Only about half the men with prostate enlargement experience signs and symptoms that become noticeable or annoying enough for them to seek medical treatment. These signs and symptoms can be mentioned as weak urine stream, difficulty starting urination, stopping and starting again while urinating, dribbling at the end of urination, frequent need to urinate, increased frequency of urination at night, urgent need to urinate, not being able to completely empty the bladder, blood in the urine, and also urinary tract infection.

Medicines and Prescriptions: In most cases of enlargement of the prostate gland, the medicines indicated for dysuria are to be given. The doses may be increased according to the severity of the condition.

A quick remedy is to give 50 ml juice of pumpkin, 1 gm of Yavakshara and 12 gm of brown sugar to drink.

The following two prescriptions are particularly useful in dealing with enlargement of the prostate gland:

Chandraprabha, Shweta Parpati, Yavakshara: 500 mg of Chandraprabha, 1 gm of Shweta Parpati, and 500 gm of Yavakshara to be taken thrice daily with decoction of Gokharu.

Varunadi Lauha, Gokshuradyavaleha: 240 mg of Varunadi Lauha and 120 mg of Gokshuradyavaleha to be taken every twelve hours with cow`s milk.

Home Remedies: Droppings of goat, and mud mixed with goat urine and saltpetre in equal quantities should be mixed and used as a poultice on the bladder to induce greater flow of urine. A piece of thick woolen cloth, such as a blanket, may be dipped in cow`s urine and the bladder should be fomented with it. Twenty grams of powder of cucumber seeds and 1 gm of salt may be mixed and taken with 200 ml of Kanji i.e. a wine made of black carrots. This is used to induce the flow of urine.

Diet and Other Regimen: Spices in the diet should be avoided. More liquids, preferably in the form of water, should be taken. Fomentation of the pelvic region, particularly in the form of a Seitz bath, is recommended.