Prostate cancer treatment by surgeon-urologist Sergey Nikolaevich Glushchenko in the city of Dnipro.

Patients present with complaints of difficult urination, changes in urine characteristics, pelvic pain, or the detection of lumps.

The doctor conducts a thorough clinical evaluation, reviews the medical history, and, if necessary, orders additional tests to clarify the condition.

As a result, the patient receives a clear action plan: what steps to take now, which examinations to undergo, and how to monitor changes in the condition moving forward.

Sergey Nikolaevich places special emphasis on comprehensive diagnostics and dynamic observation, which helps to timely adjust treatment and minimize the risk of complications.

When to See a Doctor

Consulting a urologic surgeon when prostate cancer is suspected is important if you experience various symptoms or changes in your well-being. Sometimes the signs can be subtle or resemble other conditions, so a consultation helps to understand what is happening and what diagnostics are necessary. You should make an appointment with a specialist if, during prostate cancer treatment, you notice:

• Persistent difficulty or pain during urination
• Occasional feelings of heaviness or discomfort in the pelvic area
• Changes in the color, odor, or composition of urine
• Presence of blood in urine or semen
• Loss of control over urination or false urges
• Symptoms that recur or worsen over time
• Erectile dysfunction or other changes in sexual function
• Pain that interferes with sleep or work
• No relief from already taken measures or treatments
• First appearance of suspicious lumps or changes in the prostate area
• Need to adjust therapy due to comorbid conditions
• New complaints after infections or stress

Even if the symptoms seem minor or irregular, consulting a doctor will help conduct the necessary examination and determine the next steps. Early assessment reduces the risk of complications and allows for establishing a consistent management plan.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe worsening of condition with intense pain in the pelvic or lower back area
• Sudden appearance of blood in the urine or semen
• Increasing weakness accompanied by difficulty urinating
• Combination of high fever with severe pain and urinary problems

If you experience any of these symptoms, do not wait for a scheduled appointment—seek emergency medical help immediately. Our clinic offers a home visit service, allowing you to receive prompt consultation and care.

Causes and Risk Factors of Prostate Cancer

Understanding the possible causes and risk factors helps assess the condition and determine which factors should be checked first. Prostate cancer does not develop immediately and may be associated with various internal and external influences. Accurate assessment requires consultation and examination by a doctor.

Main Causes / Mechanisms (Brief)

• Changes in prostate tissue related to aging
• Hormonal imbalances affecting cell growth
• Inflammatory processes in the genitourinary system
• Genetic predisposition within the family
• Chronic infections and prolonged tissue irritation

Risk Factors

• Age over 50, with risk increasing over time
• Having close relatives with prostate diseases
• Excess weight and lack of physical activity
• Smoking and harmful habits
• Unbalanced diet high in animal fats
• Chronic stress and weakened immune system
• Previous urinary tract infections

Reversible Causes That Should Be Excluded

• Inflammatory diseases of the prostate (prostatitis)
• Benign changes affecting the structure of the gland
• Infections causing temporary dysfunction of the genitourinary system

Prostate cancer is a complex condition with many possible causes, so it is important to consult a specialist for a comprehensive evaluation and timely identification of risk factors.

Diagnosis

Diagnosis in the treatment of prostate cancer is based on a thorough and step-by-step approach. This helps to accurately assess the condition and determine which tests are needed to develop a treatment plan. Such a process reduces patient anxiety and helps understand what to expect during the visit.

Diagnostic Approach

• Collecting a detailed medical history and patient complaints
• Conducting general and specialized examinations, including digital rectal examination
• Ordering basic laboratory tests as indicated
• Performing additional instrumental tests individually if necessary
• Analyzing the obtained data and determining the plan for further actions and monitoring

Typical Tests as Indicated

• Ultrasound examination of the prostate
• Blood test for prostate-specific antigen (PSA)
• Prostate biopsy if a neoplasm is suspected
• Magnetic resonance imaging (MRI) of the pelvic organs if needed

What to Bring to the Appointment

• Results of previous examinations and tests
• List of current medications
• Symptom diary, if maintained
• Medical records of any concomitant diseases

Diagnosing prostate cancer requires a sequential evaluation and close interaction with the physician, which allows for the formulation of a well-founded and informed treatment plan.

Treatment

Treatment for prostate cancer is aimed at slowing disease progression and improving the patient's quality of life. The therapy plan is tailored individually, taking into account the patient's condition, comorbid factors, and the doctor's recommendations.

Goals of Therapy

• Reduce symptoms and discomfort
• Address underlying causes influencing disease development
• Preserve the function of the genitourinary system
• Prevent complications and disease progression

Main Treatment Approaches

• May include medication therapy to control symptoms and slow tumor growth
• Use of minimally invasive procedures, when indicated, to remove or destroy affected areas
• Rehabilitation methods and physiotherapy to support function and recovery
• Non-drug approaches aimed at improving quality of life and reducing strain on the body

What the Doctor Does

• Selects and adjusts therapy based on the individual patient's characteristics
• Assesses and takes into account comorbid conditions when prescribing treatment
• Monitors possible side effects and adapts the plan as necessary
• Explains the criteria for evaluating treatment effectiveness and the importance of follow-up
• Coordinates actions with other specialists for a comprehensive approach

What to Expect: Plan and Monitoring

• Approximate timeframe for assessing initial treatment results
• Regular evaluation of condition and symptoms as indicated
• Plan adjustment if the expected effect is not achieved or side effects occur
• Follow-up visits to monitor and adapt therapy depending on disease dynamics

To develop an individualized treatment plan, schedule a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention plays an important role in reducing the risk of developing prostate cancer and improving overall health. A prevention plan is tailored individually, taking into account the specific characteristics of each patient.

Key Primary Prevention Measures

• Maintaining and controlling a healthy weight
• Balanced nutrition with limited intake of fatty and processed foods
• Quitting smoking and reducing alcohol consumption
• Regular physical activity as recommended by a physician
• Managing chronic diseases that affect the genitourinary system

Screening and Secondary Prevention / Regular Monitoring

• Regular monitoring of prostate-specific antigen (PSA) levels as advised by a specialist
• Periodic urological examinations and digital rectal exams when indicated
• Monitoring comorbid conditions and adjusting treatment as necessary
• Discussing any new or recurring symptoms with your doctor

Practical Tips

• Discuss with your doctor the schedule and list of necessary examinations
• Increase physical activity within recommended limits
• Pay attention to changes in your well-being and inform your healthcare provider promptly
• Maintain a healthy lifestyle and avoid factors that increase stress on the body
• Follow prescribed therapy and do not discontinue it without consulting your doctor

Preventive measures help reduce the risk of complications and support prostate function, so it is important to discuss them individually with your physician.

Important to Know

Endoscopic treatment of prostate cancer is one of the modern approaches that requires careful selection and proper execution of the procedure. It is important to consult a specialist in a timely manner to identify the causes and choose the optimal strategy.

Dynamic monitoring helps control the effectiveness of the therapy and adjust the plan if necessary. The course of the disease is influenced not only by the changes in the prostate itself but also by overall health, stress, quality of sleep, and the presence of comorbidities. Self-treatment can lead to distortion of the clinical picture and delay in making an accurate diagnosis.

• It is important to identify the cause and factors influencing the development of the tumor process, not just to eliminate symptoms
• Early assessment allows for choosing the best treatment plan and reducing the risk of complications
• Dynamic monitoring helps timely adjust therapy and improve quality of life
• Stress, workload, and chronic diseases can affect the course of the condition
• Self-treatment can mask symptoms and delay seeking medical attention
• Endoscopic methods require precision and specialization to achieve the best results
• Consult a doctor at the first signs and for regular condition monitoring

Detailed information about the diagnosis and treatment of prostate cancer is available on the clinic’s main page. Consultation with a specialist is recommended to choose the appropriate treatment method.

Self-Care Before the Appointment: What You Can and Cannot Do

Before seeing a doctor for suspected prostate cancer, it is important to follow safe steps to avoid causing harm or distorting the overall picture of your condition. If your health worsens, seek immediate help from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Write down when and how your symptoms began, as well as what makes them better or worse
• Bring a list of all medications you are taking, including names and dosages (if known)
• Measure and note your body temperature, blood pressure, and pulse rate, if possible
• Keep a symptom diary indicating the time of day and intensity of symptoms
• Reduce physical activity and try to rest to avoid additional strain
• Drink water to prevent dehydration and ease your overall condition
• Avoid alcohol and other substances that may affect your body
• Keep your notes and observations to discuss with your doctor

What You Should Not Do Before the Appointment

• Do not stop or change any chronic medications without consulting your doctor
• Do not start using new medications or supplements without specialist advice
• Do not use unproven folk remedies that promise quick relief of symptoms
• Do not try to interpret test results or scans on your own
• Do not delay seeing a doctor if symptoms worsen or your condition deteriorates
• Do not increase physical activity if you experience pain or discomfort in the pelvic area
• Do not discontinue prescribed treatment on your own, even if symptoms temporarily improve

If you experience signs of an emergency, seek immediate help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Endoscopic Treatment of Prostate Cancer

During a consultation on endoscopic treatment of prostate cancer, I can assist you in the following ways:

• Review your current symptoms and medical history to identify possible causes
• Assess the severity of symptoms and identify risks that may impact the treatment plan
• Evaluate current medications and therapy tolerance to adjust the treatment regimen
• Develop a plan for further steps: examinations, treatment, monitoring, and evaluation of effectiveness
• Consider comorbidities and other medications when choosing a safe treatment approach
• Provide recommendations on lifestyle and daily routines tailored to your individual needs
• Discuss criteria for ongoing monitoring and explain when follow-up evaluations are necessary
• Conduct initial diagnostics and differential assessment to clarify the causes of any abnormalities
• Adjust treatment if there is insufficient effect or if side effects occur

The approach to prostate cancer treatment involves a comprehensive evaluation and an individualized plan that can be modified as your condition changes. At the appointment, you will receive detailed explanations and support at every stage of therapy, helping to manage the process and reduce potential complications.

What Questions Can You Ask a Doctor About Endoscopic Treatment of Prostate Cancer

During a consultation regarding endoscopic treatment for prostate cancer, you can discuss the following questions with Sergei Nikolaevich Glushchenko:

• Difficulty or pain while urinating and related concerns
• Presence of blood in urine or semen and what it might indicate
• Pain or discomfort in the pelvic and lower back areas
• Recurring symptoms or worsening of symptoms over time
• Lack of effect from previously prescribed treatments or the need for adjustment
• How accompanying health conditions affect overall health and treatment
• What to do if symptoms suddenly worsen or flare up

If you experience a sudden deterioration, severe pain, sudden appearance of blood in the urine, or urinary retention, seek emergency care immediately—do not wait for a scheduled appointment.

Frequently Asked Questions to Discuss During a Consultation:

• What is happening to me and what could it be?
• Why have the symptoms appeared now?
• How can I determine whether this is related to prostate cancer or another issue?
• What examinations are suitable for my specific case?
• Which tests and investigations are truly necessary?
• How should I prepare for the examinations and the doctor's appointment?
• What treatment options are available and how do they differ?
• Is it possible to avoid surgery or invasive procedures?
• Why is the prescribed treatment not working?
• How long might the treatment last and how often should I undergo follow-up?
• How can I tell if my condition is improving or worsening?
• What should I do if symptoms suddenly get worse or flare up?

At the consultation, you will have the opportunity to thoroughly review your symptoms, discuss examination options, and treatment alternatives. The doctor will assess your condition comprehensively, including any comorbidities, and propose a plan for further steps within their scope of practice. In case of serious symptoms, it is crucial to seek prompt emergency medical attention.

How the Consultation Proceeds

A consultation with a urologist for prostate cancer treatment involves a detailed review of complaints, an assessment of the condition, and the development of a plan for further action. The scope of examinations is determined individually, based on indications, and depends on the specific situation. A final diagnosis is rarely made during one appointment — usually, a preliminary picture and a monitoring plan are formed.

1. Clarification of complaints and goals of the visit: identifying what concerns the patient, when symptoms appeared, how they manifest, and what is expected from the consultation.
2. Medical history collection: discussing possible risk factors, comorbidities, and overall health status.
3. Analysis of previous treatments and examinations: if necessary, the patient is advised to bring documents, test results, and a list of current medications.
4. Conducting a physical examination and special tests as indicated to assess the condition of the prostate and urinary system.
5. Formulating a preliminary conclusion: the doctor evaluates possible causes of the symptoms and which options should be ruled out.
6. Developing a plan for additional examinations if required — this may include blood tests, ultrasound, MRI, or other methods as indicated.
7. Discussing a general treatment and management plan: the specialist will explain possible therapy steps without technical details.
8. Scheduling follow-up visits to assess treatment effectiveness and timely adjustment of the plan.

If this is your first visit, special attention is given to thoroughly clarifying complaints and identifying possible causes of symptoms. If previous treatment has not yielded the expected results, the consultation will help understand why and adjust the approach accordingly.

This structure of consultation helps the patient feel confident, receive clear answers, and a plan of action. The doctor supports the patient throughout all stages, monitors progress, and when necessary, orders additional procedures or adjusts treatment.

Preparation for the Appointment

For an effective appointment with a urologic surgeon for the treatment of prostate cancer, it is important to prepare properly. This will help expedite the development of a preliminary plan and ensure the doctor has complete information.

• Bring a list of all current medications with names and dosages, if known
• Bring results of previous examinations, images, and tests (ultrasound, MRI, PSA, biopsy)
• Write down your main complaints, when symptoms began, and what worsens or alleviates your condition
• Arrive fasting (no food or drink) for 8–12 hours before the appointment, unless otherwise instructed; confirm when scheduling
• Do not stop taking prescribed medications without consulting your doctor
• If necessary, bring a list of questions to discuss with your doctor
• Make sure to have all medical documents that might be useful during the appointment
• Avoid using cosmetics and creams in the pelvic area before the examination (if required)
• Follow your usual medication schedule unless your doctor has given different instructions
• If you have doubts about preparation, clarify details with the receptionist when scheduling

If you have questions about preparation or specific aspects of the appointment, ask in advance to make the consultation as useful and comfortable as possible. Do not change your medication regimen on your own without consulting a specialist.

About the Doctor

Sergey Nikolaevich Glushchenko is a first-category surgeon-urologist with 20 years of experience. He specializes in treating prostate cancer using endoscopic methods and works with patients at various stages of the disease — from initial diagnosis to cases with recurring symptoms and the need for therapy adjustment.

Sergey Nikolaevich places special emphasis on accurate diagnostics and dynamic monitoring, which helps to timely select treatment strategies and minimize the risk of complications.

During a consultation, you will receive a clear analysis of your situation and recommendations for further steps based on a comprehensive approach to the problem.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating prostate cancer using endoscopic methods, a clear and structured approach is crucial to ensure patient comfort and safety. Sergey Nikolaevich organizes the process so that all stages are clear and open for discussion. He actively works with the medical history, takes into account the impact of comorbidities, and adjusts treatment based on changes in the patient’s condition. Patients appreciate his ability to thoroughly review previous examinations and formulate a clear plan for the next steps.

• Clear treatment plan with defined steps: what we are doing now, what we are monitoring, and when the next appointment is
• Examinations selected strictly based on indications, without “just in case” or unnecessary procedures
• Consideration of comorbidities and medications to ensure safety and minimize risks
• Monitoring the condition’s dynamics and promptly adjusting the plan if the desired results are not achieved
• Review of previous examination results to understand the current situation without repetition
• Explanation of treatment goals, risks, and alternatives in simple language, without complex terminology
• Focus on preventing complications and exacerbations to reduce stress on the body
• Experience in managing complex and recurring cases makes the approach flexible and patient-centered

This approach helps patients feel supported and understand the logic of their treatment without unnecessary anxiety. A consultation with the doctor provides a clear understanding of the condition, therapeutic options, and the sequence of actions throughout the entire treatment process.

Case Studies

Initial consultation for symptoms of difficult urination

A middle-aged patient presented with complaints of frequent and difficult urination, accompanied by discomfort in the pelvic area. It was important to exclude serious causes, including neoplastic processes, as well as to evaluate the condition of the prostate and urinary tract. After a thorough analysis of the complaints and diagnostic examinations, a plan for further diagnostics was developed, and conservative treatment was prescribed. Over the course of several weeks, symptoms decreased and the overall condition improved. The patient remains under physician supervision with regular monitoring and therapy adjustments based on examination results.

Treatment adjustment in a patient with recurring symptoms and lack of effect

An elderly patient with a long history of urinary problems and suspected prostate cancer sought help due to the previous treatment's lack of desired effect. The physician conducted a detailed review of prior prescriptions and identified the need to adjust the approach considering comorbidities. Additional examinations were performed, confirming the necessity to change the therapeutic strategy. During the follow-up visit, a reduction in symptom severity and improvement in quality of life were noted. Continued monitoring with an emphasis on timely therapy adjustment was recommended.

Chronic course with comorbidities and a comprehensive approach

A middle-aged patient with a combination of prostate issues and other comorbidities presented for a comprehensive evaluation. The physician took into account the interaction of various factors, assessed the consequences of chronic conditions, and selected a balanced therapy considering the function of related organs. Observations indicated stabilization of the condition and a decrease in the frequency of exacerbations. Patient management continues with regular monitoring and treatment plan revisions according to changes in the clinical picture.

Exacerbation with sharp worsening of symptoms and a prevention plan

A young patient presented with pronounced symptom worsening, including pain and urinary disturbances. An urgent examination was conducted to exclude complications and clarify the cause of exacerbation. The physician determined the necessary emergency treatment approach and established a plan for preventing recurrent episodes. Improvement was noted during the subsequent period; the patient remains under constant observation for timely therapy adjustment.

Diagnostic search in case of ambiguous symptoms

A patient presented with unusual complaints of discomfort in the pelvic area and intermittent urinary disturbances that were not clearly related to previous diagnoses. The physician performed a thorough medical history assessment, evaluated potential risk factors, and ordered comprehensive diagnostics to clarify the cause of symptoms. After results were obtained, an appropriate treatment strategy was developed, enabling condition stabilization and symptom reduction. The patient is under ongoing supervision for dynamic monitoring and therapy adjustment depending on the course of the situation.

How long does the consultation last?

The consultation takes approximately 30–60 minutes; please confirm the exact time when booking.

How to prepare for the appointment?

Prepare by writing down your symptoms, bringing a list of medications, and any test results if available.

What should I bring to the appointment?

It is recommended to bring test results, images, medical records, and a list of medications you are taking.

Do I need to come on an empty stomach?

Usually, fasting is not required unless specified otherwise at the time of booking.

How many visits are typically needed?

The number of visits depends on your situation and chosen treatment strategy, usually several visits with condition monitoring.

When can I expect the first results from treatment?

Initial changes are evaluated individually and depend on the chosen therapy method.

What should I do if my condition worsens before the appointment?

If your condition worsens with severe pain, bleeding, or other alarming symptoms, seek emergency care immediately.

Can I combine treatment with my current medications?

Discuss all your medications during the appointment; do not change or stop any medicines without consulting your doctor.

Is online consultation available?

Yes, online consultation is possible if an in-person examination is not required.

Can I come with tests I have already done?

Yes, bring all available test results for a more accurate assessment.

Do I need to come for follow-up visits, and how often?

Follow-up visits are scheduled as needed to monitor progress and adjust treatment.

Can I get a second opinion?

Yes, the doctor is ready to review your tests and provide an independent assessment.

What if symptoms return after improvement?

Inform your doctor to evaluate the cause and adjust the monitoring or treatment plan.

How do I know if the prescribed treatment is working?

The doctor will explain the criteria for effectiveness and timing during follow-up visits.

What is checked during the consultation examination?

The scope of tests is tailored individually, usually including lab tests and instrumental methods as indicated.

What questions can I discuss during the appointment?

You can discuss symptoms, examination options, treatment, and monitoring plans.

Can I refuse examinations during the appointment?

Discuss the examinations with your doctor to make an informed decision; however, without diagnostics, effective treatment planning is difficult.

How is the treatment plan developed?

The plan is personalized considering symptoms, tests, comorbidities, and progress.

How long does the monitoring process last?

Duration depends on disease course and response to treatment and is supervised by the doctor.