Mutrakṛcchra is a Mutravaha Srotas disorder described in classical Ayurvedic literature and characterized by painful and difficult micturition. Based on Doṣa predominance, it is classified into Vātaja, Pittaja, Kaphaja, Sannipātaja and Abhighātaja types. Among these, Vātaja Mutrakṛcchra is primarily caused by vitiation of Apāna Vāta, leading to obstruction, dryness, and dysregulation of normal urinary flow. Ayurveda advocates Basti Chikitsā as the foremost therapy for Vāta disorders1. The present article critically reviews the concept of Vātaja Mutrakṛcchra with special emphasis on the role of Sneha-based Basti, integrating classical textual evidence with contemporary neurophysiological understanding. A literary review of Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Ashtanga Sangraha, Chakradatta, Yogaratnakara, and Bhavaprakasha was undertaken. The review establishes that Basti Chikitsā corrects Apāna Vāta dysfunction, facilitates pelvic floor relaxation, modulates autonomic balance, and restores physiological Mutra Pravṛtti.