Successful Homeopathic Management of Urinary Retention Secondary to Uterine Fibroids with Hydronephrosis: A Case of Conium Personality

A 49 -year-old widow with adenomyosis and multiple uterine fibroids developed recurrent urinary retention with hydronephrosis and required continuous catheterization for two months. She was advised surgery but chose homeopathic care at Dr Batra’s. Based on marked sexual suppression, emotional trauma, anxiety, and urinary symptoms, Conium maculatum 200C was prescribed constitutionally. Within 7 days she regained normal urination, and for the next 40 days no catheter was required. This case illustrates the effectiveness of individualized homeopathy in fibroid-related urinary retention.

Homeopathy; Conium maculatum; Dr Batra’s

Uterine fibroids are common benign tumors that may rarely compress the bladder or ureters, resulting in urinary retention or hydronephrosis. Conventional management is predominantly surgical. From a homeopathic perspective, the patient’s mental and emotional disposition, sexual history, suppressed desires, past trauma, and personality traits can be essential in constituting the remedy. This report highlights how individualized treatment with Conium, a classic remedy for sexual suppression, glandular pathology, and mechanical obstruction, produced substantial improvement. CASE HISTORY Personal Details • Age: 49 years • Sex: Female • Marital Status: Widow • Treatment Center: Dr Batra’s Homeopathic Healthcare • Date of onset of retention: 25 June 2025 Presenting Complaints • Acute urinary retention → required catheter insertion • Retention recurred immediately after removal • On catheter continuously for 2 months • Burning in urethra at catheter site • Incomplete urination + intermittent flow Dr Sourangshu Banerjee, International Journal of Ayurvedic & Herbal Medicine 15(6) Nov.-Dec., 2025 (5365-5370) Page 5366 • History of recurrent UTI (2023, 2025) • Severe anxiety regarding condition • Lower back pain • Hard stools → straining Gynecological History • Adenomyosis • Large fibroid 5.5 × 5.4 × 5.4 cm (FIGO 4–5) • Posterior intramural fibroid 3.6 × 2.9 cm (FIGO 4) • Flow always scanty • LMP: 05/08/2025 • Barometric thermal reaction USG Findings • Right ureter compressed by fibroid • Grade 1 Hydronephrosis • Dilated pelvicalyceal system Mental & Emotional State This section is required in journals—written as a narrative. The patient had lived through years of mental torture. After marriage in 2009, her husband suffered from intellectual disability, and her in -laws were non -supportive. She faced deprivation of food, neglect, and emotional abuse. Sexual life was unsatisfactory, causing long-term sexual suppression. After becoming a widow, she carried unfulfilled desires, yet suppressed them with deep guilt. Her dreams involved romantic and lascivious scenes , particularly involving film actors —representing internal conflict between desire and repression. Her anxiety was extremely high —especially about her illness, future, and fear of losing normalcy. She appeared timid, reserved, emotionally exhausted, with a suppressed persona and low confidence —a classic Conium picture. Generalities • Appetite ↓; can tolerate hunger • Thirst ↓ • Sweat ↑ (upper body) • Sleep ↓ • Desires: Sweet, pungent, cold food • Aversion: Sour • Intolerance: Milk • Constitution: Thin, does not gain weight easily • Stool: Hard, unsatisfactory Physical Examination • Catheter in situ • Burning in urethra • Urine flow only through catheter • LBP due to obstruction • Hydronephrosis on USG Dr Sourangshu Banerjee, International Journal of Ayurvedic & Herbal Medicine 15(6) Nov.-Dec., 2025 (5365-5370) Page 5367 Totality of Symptoms Mental 1. Sexual suppression, ungratified desires 2. Anxiety – health, future 3. History of mental torture, grief 4. Lascivious dreams 5. Reserved, timid, isolated Physical Generals 1. Thirstless 2. Sweats upper body 3. Hard stool 4. Desires sweet & pungent 5. Aversion sour 6. Thin constitution Particulars 1. Urinary retention – mechanical due to compression 2. Burning urethra 3. Incomplete urination 4. Intermittent flow 5. History of UTI 6. Fibroids + adenomyosis 7. Hydronephrosis Rubrics Selected Mind • Mind – Ailments from mortification, indignation • Mind – Reserved, quiet • Mind – Anxiety about health • Mind – Sexual desire – increased • Mind – Dreams – amorous, lascivious • Generalities – Suppressed sexual desire • Generalities – Tumors, glands – indurations • Generalities – Thirstlessness • Generalities – Emaciation until the last stage • Bladder – Retention of urine – mechanical obstruction • Urethra – Burning • Urination – intermittent • Urination – difficult – without urge • Female – Tumors – fibroids, indurations • Female – Menses – scanty Repertorisation Result Top remedies emerging: 1. Conium maculatum 2. Sepia 3. Lycopodium Dr Sourangshu Banerjee, International Journal of Ayurvedic & Herbal Medicine 15(6) Nov.-Dec., 2025 (5365-5370) Page 5368 4. Pulsatilla Given the sexual suppression, glandular induration, mechanical obstruction, old grief, timid personality, lascivious dreams, and fibroid pathology, Conium clearly matches the core essence. Remedy Selection Conium maculatum 200C – Single Dose • Deep-acting, anti-sclerotic • Suited for hard tumors, glandular induration • Urinary retention from mechanical pressure • Strong keynote: Sexual suppression leading to physical pathology • Interrupted urination & weak stream are classic Conium symptoms • Mind: reserved, grief, suppressed sexuality Miasmatic Evaluation • Sycotic miasm dominant o Tumors, fibroids, overgrowth o Urinary obstruction o Suppressed sexuality • Syphilitic secondary background o Tissue destruction → hydronephrosis • Psora underlying o Anxiety, fear, emotional trauma Remedy Conium covers syco-syphilitic pathology well. LSMC Assessment Location: Pelvis – ureter compressed by uterine fibroid Sensation: Retention, burning, incomplete flow Modality: Worse rising from bed; worse pressure; better after catheter relief Concomitants: Hard stool, itching, lascivious dreams, anxiety Follow-Up Summary Table Date Symptoms / Observations Urine Flow Other Changes Assessment 25/06/2025 Acute retention → catheter inserted None without catheter Burning severe Baseline 26/06/2025 Retention again after removing catheter Failed Catheter reinserted Acute obstruction 18/08/2025 Conium 200 started Frequency q2h, no pressure Burning ↓ 50% Improvement begins 25/08/2025 No catheter needed for 7 days Normal flow Itching > Marked improvement 03/09/2025 Weight 54.5 kg Passing urine every 2 hrs No pressure Stable 24/09/2025 40 days without catheter Passing 6 L/day BP raised (separate issue) Condition resolved Dr Sourangshu Banerjee, International Journal of Ayurvedic & Herbal Medicine 15(6) Nov.-Dec., 2025 (5365-5370) Page 5369

The uniqueness of this case lies in the presence of a mechanical obstruction typically requiring surgical intervention. Homeopathic therapeutics, however, focus on enhancing internal vitality and resolving the psychosomatic factors that may aggravate physical pathology. The Conium constitution, characterized by: stony indurations, fibroid & glandular pathology, urinary retention with interrupted flow, suppressed sexuality, timidity & past emotional trauma aligned perfectly with the patient’s profile. Within 7 days, she regained normal urination, and no catheter was required thereafter. This indicates that homeopathy may play a supportive role even in conditions with structural involvement by reducing edema, muscle spasm, and improving bladder function.

A deeply indicated constitutional remedy —Conium maculatum 200C—brought substantial relief in a case of urinary retention secondary to large uterine fibroids with hydronephrosis, despite a mechanical obstruction and surgical recommendation. This case highlights the importance of individualized homeopathic prescribing, especially when emotional and sexual history forms the core of pathology.

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