Patients present with complaints of inability to urinate independently, a strong sensation of bladder fullness, lower abdominal pain, and frequent unsuccessful urges to urinate.
The physician conducts a thorough clinical assessment, carefully analyzes the complaints and medical history, and, if necessary, orders additional examinations to determine the cause of urinary retention.
The patient receives a clear action plan outlining what can be done in the current situation, which tests are needed for diagnosis, and how to systematically monitor the condition and treatment outcomes.
Special attention is given to accurately identifying the causes of urinary retention and dynamic monitoring, which helps to promptly adjust the treatment strategy and minimize complications.
Make an appointment
Please note that online consultations are available for patients from other cities. We often receive requests from Zaporizhzhia, Pavlohrad, Kamenskoye (Dniprodzerzhinsk), Novomoskovsk (Samar), Kryvyi Rih, Nikopol, Marganets, Sinelnikovo, Pokrov, Zhovti Vody, and other cities.
When to See a Doctor
If you experience difficulties and discomfort while treating acute urinary retention, it is important not to ignore these symptoms. Consulting a specialist will help identify the causes and select appropriate measures. You should make an appointment with a urologist-andrologist if, during acute urinary retention, you notice:
- inability to start urination even with a strong urge
- feeling of fullness and pain in the lower abdomen
- occasional sharp urges that do not bring relief
- increased discomfort when attempting to urinate
- frequent but low-output urges to urinate
- recurrence of symptoms shortly after a previous episode
- worsening condition that interferes with normal work and rest
- no improvement after self-care measures or previously prescribed treatment
- the first occurrence of difficulty urinating causing concern
- the need to clarify causes and rule out complications
- exacerbation of chronic urinary system problems
- worsening condition after infections or injuries
Do not delay a consultation, even if symptoms seem minor. Accurate assessment and timely examination will help avoid unnecessary complications and choose a safe solution. The doctor will pay attention to your complaints and monitor the progress of your condition as needed.
Emergency Conditions or When to See a Doctor Immediately
- Sudden inability to urinate accompanied by unpleasant or painful sensations
- Sharp and increasing pain in the lower abdomen, accompanied by muscle tension
- Severe bloating and a strong feeling of pressure in the bladder area
- Combination of high fever with difficulty urinating
- Bloody discharge when unable to empty the bladder
If you experience any of these symptoms, do not wait for a scheduled appointment—seek medical help promptly. Our clinic offers a home-visit service for urgent medical care.
Causes and Risk Factors
This section will help you understand where acute urinary retention may develop from and what conditions or characteristics contribute to its occurrence. It is important to remember that an accurate determination of the cause requires consultation with a doctor and additional examinations.
Main Causes / Mechanisms (Brief)
- impaired urine outflow due to narrowing or blockage of the urethra
- spasms or weakness of the muscles responsible for bladder contraction
- inflammatory processes of the urinary tract affecting normal urination
- changes in the prostate compressing the urethra and hindering urine flow
- neurogenic disorders disrupting signal transmission to the bladder
Risk Factors
- age over 50 years, when the likelihood of genitourinary system diseases increases
- prior urinary tract infections and inflammations
- presence of chronic diseases affecting the nervous system and muscles
- injuries to the pelvic area and back that may impact bladder function
- surgical interventions or medical procedures in the pelvic region
- lack of physical activity and obesity, which exacerbate the condition
- harmful habits such as smoking and excessive alcohol consumption
- use of certain medications that can affect urination
Reversible Causes That Are Important to Exclude
- use of medications causing difficulty urinating as a side effect
- acute inflammatory process in the urinary tract
- temporary disorders following surgeries or injuries
- urine retention due to severe stress or dehydration
Each case of acute urinary retention is individual; therefore, it is important to consult a doctor for an accurate assessment and identification of the causes.
Diagnostics
To understand the causes of acute urinary retention and select the appropriate treatment, the doctor conducts a comprehensive assessment of the patient's condition. The diagnostic process is carried out step-by-step and helps to determine which examinations are necessary in each specific case.
Diagnostic Approach
- collecting a detailed medical history with clarification of complaints and preceding events
- physical examination, including examination of the abdomen and genitourinary area
- ordering basic laboratory tests as indicated
- performing instrumental investigations if necessary
- evaluating the results and forming a preliminary plan for further actions
- discussing possible examination and treatment options with the patient
- monitoring the condition and adjusting the plan during dynamic observation
Typical Examinations as Indicated
May include:
- general urinalysis and blood tests to assess inflammation and organ function
- ultrasound examination of the kidneys and bladder
- cystoscopy — inspection of the inner surface of the bladder and urethra
- urodynamic tests to evaluate bladder function
- additional examinations based on individual indications
What to Bring to the Appointment
- previous medical reports and test results
- a list of medications currently being taken
- results of prior instrumental examinations (images, reports)
- a symptom diary indicating the time and nature of manifestations
- information about chronic diseases and past surgeries
Diagnosis of acute urinary retention requires a comprehensive approach and attention to detail; therefore, it is important to jointly assess all available information with the doctor to select the optimal management strategy.
Treatment
Treatment of acute urinary retention is aimed at relieving symptoms and restoring normal urination. The therapy plan is tailored individually, taking into account the cause, the patient’s condition, and accompanying factors that require medical evaluation.
Therapy Goals
- reduce symptom severity and alleviate the patient’s condition
- address the underlying cause of urinary retention as indicated
- restore bladder function and improve quality of life
- prevent complications related to impaired urine outflow
Main Treatment Approaches
- may include medication to relieve spasms and inflammation, prescribed by a physician
- non-pharmacological measures aimed at improving bladder function may be used
- endoscopic or surgical interventions are applied if necessary and chosen individually
- use of modern minimally invasive technologies based on indications and patient condition
- a comprehensive approach considering coexisting diseases and individual patient characteristics
What the Doctor Does
- selects and adjusts therapy based on the patient’s current condition
- takes into account the presence of comorbidities affecting treatment
- monitors potential side effects and the patient’s response
- explains criteria for effectiveness and steps for monitoring progress
- coordinates treatment with other specialists when needed
What to Expect: Plan and Monitoring
- effectiveness assessment is individualized and depends on the cause of retention
- treatment plans may be modified if desired results are not achieved
- regular follow-up visits help monitor the condition and adapt the approach
- timing and frequency of monitoring are discussed with the doctor based on the clinical situation
For detailed information on treatment options for acute urinary retention, please consult with Dr. Sergey Nikolaevich Glushchenko.
Prevention
Prevention of acute urinary retention is important for reducing the risk of recurrent episodes and complications. The prevention plan is tailored individually, taking into account the patient’s health characteristics.
Main primary prevention measures
- control of chronic diseases that can affect bladder function
- quitting smoking and reducing alcohol consumption
- maintaining a healthy weight and engaging in regular physical activity
- timely treatment of genitourinary infections when indicated
- avoiding prolonged urine retention and observing hygiene rules
Screening and secondary prevention / regular monitoring
- regular monitoring of the urinary system as recommended by a physician
- scheduled examinations if risk factors are present or after previous episodes
- monitoring of comorbid conditions and adjusting therapy as necessary
- discussing possible lifestyle and treatment changes with a doctor to prevent recurrence
Practical advice
- drink an adequate amount of fluid as agreed with your doctor
- maintain a regular urination schedule and do not delay going to the bathroom
- pay attention to signs of infection and consult your doctor promptly
- discuss any changes in condition or new symptoms with your physician
- take prescribed medications strictly according to specialist recommendations
Prevention of acute urinary retention helps maintain health and reduce risks, so it is important to consult regularly with your doctor and follow individual recommendations.
Important to Know
Treatment of acute urinary retention using endoscopic methods requires a precise understanding of the underlying cause of the problem. It is important to conduct a thorough diagnosis to choose an appropriate approach and avoid complications. Early assessment of the condition helps determine the optimal timing for intervention and reduce risks. Sometimes, dynamic monitoring with adjustments to the treatment plan based on the patient’s response is necessary. Various factors can influence the course of the condition, including physical exertion, stress, comorbidities, and quality of sleep. Self-treatment of acute urinary retention is not recommended, as it can complicate diagnosis and lead to side effects.
- It is important to identify the root cause of urinary retention rather than just alleviate the symptoms.
- Early consultation helps choose the right strategy and reduce the likelihood of complications.
- Dynamic monitoring allows timely adjustment of the treatment plan.
- Physical exertion and stress can affect the condition, so a comprehensive approach is essential.
- Self-treatment can obscure the clinical picture and delay proper treatment.
- Dr. Sergey Nikolaevich Glushchenko at our clinic employs modern, minimally invasive intervention methods.
- An individual approach takes into account comorbid conditions and patient-specific features.
Detailed information about treatment methods and features is available on our general page about urinary retention. To select the appropriate therapy and assess your condition accurately, it is recommended to schedule a consultation with a doctor.
Self-Help Before the Appointment: What You Can and Cannot Do
Before visiting Dr. Sergey Nikolaevich Glushchenko, it is important to take safe measures to avoid worsening your condition and to maintain the accuracy of the diagnosis. If your condition worsens or your symptoms intensify, do not delay consulting a specialist.
What You Can Do Before the Appointment
- Record when the symptoms first appeared and under what circumstances they worsen or improve.
- Bring a list of all medications you are taking, including names and dosages, if known.
- Measure and record your body temperature and, if you know how, your pulse and blood pressure.
- Keep a symptom diary with notes on the time and intensity of each occurrence.
- Ensure rest and reduce physical activity to avoid aggravating your condition.
- Drink water if there is a risk of dehydration, and avoid beverages that may increase urinary retention.
- Gather previous test results and examinations to provide to the doctor.
What You Should Not Do Before the Appointment
- Do not stop taking chronic medications without consulting your treating physician.
- Do not start taking several new medications or folk remedies simultaneously.
- Do not attempt to widen the urinary tract yourself or use unjustified measures.
- Do not ignore worsening symptoms or the appearance of new concerning signs.
- Do not try to self-diagnose based on the internet or unverified sources.
- Do not postpone visiting the doctor if your overall condition deteriorates.
If you experience signs of an emergency, seek immediate assistance from Dr. Sergey Nikolaevich Glushchenko.
How I Can Help as a Doctor with the Treatment of Acute Urinary Retention Using Endoscopic Methods
During a consultation for the treatment of acute urinary retention using endoscopic methods, I will help you understand your symptoms and determine the optimal course of action. My goal is to review your medical history, assess your condition, and select the most appropriate treatment strategy tailored to your individual needs. It is important not only to resolve the issue but also to monitor the process to prevent complications and recurrent episodes.
In a consultation focused on the endoscopic treatment of acute urinary retention, I can assist you with the following:
- Analyzing your symptoms and medical history to identify possible causes of urinary retention
- Assessing the severity of the condition and potential risks of complications
- Reviewing current medications and their tolerability, if needed
- Developing a plan for examinations and further steps, including treatment phases and monitoring
- Considering comorbidities and concurrent medications to ensure safe therapy
- Providing recommendations on lifestyle and daily routine tailored to your specific situation
- Explaining criteria for evaluating treatment effectiveness and timelines for follow-up
- Adjusting the treatment plan in case of side effects or inadequate results
- Assisting in the prevention of exacerbations and complications with long-term condition management
My aim is to provide a comprehensive and clear approach to addressing your problem. The consultation will help create a clear plan that accounts for all nuances and supports you at every stage of treatment and recovery.
What questions can I ask the doctor regarding endoscopic treatment of acute urinary retention?
During your appointment about the endoscopic treatment of acute urinary retention, you can discuss the following issues with Sergey Nikolaevich Glushchenko:
- difficulties starting urination or the feeling of incomplete bladder emptying
- pain or discomfort in the lower abdomen and bladder area
- frequent or unsuccessful urges to urinate
- recurring episodes of urinary retention or worsening symptoms
- lack of effect from previously prescribed treatment
- questions about the impact of comorbidities on your condition
- the need for a second opinion regarding your diagnosis or treatment plan
- recommendations on controlling and preventing complications
If you experience sudden severe pain, blood in the urine, or inability to urinate, seek emergency medical care immediately—do not wait for a scheduled visit.
Questions you can discuss during the consultation:
- What is happening to me, and what could it be?
- Why has urinary retention occurred now?
- How can I tell if my symptoms are related specifically to acute urinary retention?
- What examinations are necessary in my particular case?
- What tests or investigations are mandatory, and which ones can be skipped?
- How should I prepare for examinations and the consultation?
- What treatment options are available, and how do they differ?
- Is it possible to avoid surgery or endoscopic procedures?
- Can this condition be completely cured, or will long-term monitoring be required?
- Why is the prescribed treatment not working, and what should I do?
- How long does therapy usually last, and how often should I see the doctor for follow-up?
- What signs indicate improvement or worsening of the condition?
- What should I do in case of sudden deterioration or symptom exacerbation?
When consulting the doctor, remember that emergency situations require urgent care. The doctor will also arrange for necessary examinations and, if needed, recommend consultations with related specialists for a comprehensive treatment approach.
How the Consultation Takes Place
A consultation with a doctor involves a thorough review of your complaints, an assessment of your current condition, and the development of a plan for further action. The scope of necessary examinations is determined individually, based on indications, taking into account your condition and medical history. During one appointment, we evaluate the situation and outline the sequence of steps, without promising an immediate exact diagnosis.
- Clarifying complaints and the purpose of the visit: we find out what exactly is troubling you, how long the symptoms have been present, what worsens or alleviates them, and what the patient’s expectations are.
- Gathering medical history and risk factors: we analyze your medical background, presence of chronic diseases, and possible triggering factors.
- Reviewing previous examinations and treatments (if any): we discuss results, recommendations, and medications, asking you to bring relevant documents and a list of medicines.
- Conducting an examination and specialized tests as indicated: necessary safe procedures are prescribed for initial assessment.
- Preliminary conclusions and exclusion of serious causes: we talk about possible conditions and the importance of further diagnostics without making a definitive diagnosis.
- Planning further examinations if needed: this may include ultrasound, laboratory tests, endoscopy, and other methods as indicated.
- Developing a treatment and management plan: we explain the general approach to therapy and personalize recommendations.
- Organizing follow-up and subsequent visits: we set timelines and criteria for evaluating effectiveness, and explain when a follow-up appointment is necessary.
If this is your first consultation, special attention is given to accurately gathering symptoms and identifying possible causes. In cases where previous treatment has not provided relief, we thoroughly analyze the reasons for the lack of effect and adjust the therapy plan if necessary.
This step-by-step and transparent approach helps you feel confident and understand what is happening at each stage of your treatment.
Preparation for the Appointment
To ensure an effective consultation with the urologist and help the doctor make a preliminary diagnosis and plan more quickly, it is important to prepare properly for the appointment.
- Bring a list of all current medications: names, dosages, and how you take them.
- Take previous examination results, images, and test reports — anything related to the issue.
- Write down your main complaints: when and how symptoms start, what worsens or alleviates them.
- Do not stop taking prescribed medications without consulting the doctor.
- Come fasting if the doctor has recommended it; generally, 8–12 hours without food or drinks (confirm when booking).
- Avoid applying cosmetics, creams, or lotions in the examination area if this is important for the procedure.
- Prepare a list of questions you want to discuss during the appointment.
- If urine collection or other tests are required, check preparation instructions with the reception.
- Bring documents confirming any chronic illnesses, if applicable.
If you have any doubts about preparation, it is best to clarify details when booking the appointment. Do not change your medication regimen without consulting the doctor — this is important for your safety and accurate diagnosis.
About the Doctor
Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, and oncologist of the first category with 20 years of experience. He specializes in the treatment of acute urinary retention using endoscopic methods and typically works with patients who are experiencing difficulty urinating for the first time, have recurrent symptoms, or have not responded to previously prescribed therapy.
In his practice, Sergey Nikolaevich pays special attention to a detailed analysis of the cause of the problem and dynamic monitoring for timely adjustment of treatment. His approach includes a comprehensive analysis of symptoms and consideration of comorbidities.
During the consultation, you will receive a clear explanation of the situation and a plan of further steps tailored to your individual needs.
Why Patients Choose Dr. Sergey Nikolaevich Glushchenko
In the treatment of acute urinary retention using endoscopic methods, a consistent and careful approach is essential. This helps to quickly identify the cause and select the safest possible solution. Sergey Nikolaevich combines deep knowledge of urology, andrology, and oncology, which enables him to handle complex cases while considering all the patient’s individual characteristics. His work focuses on transparent communication, gradual improvement of the condition, and dynamic follow-up. This approach ensures that patients understand every stage and feel confident about the next steps.
- A clear treatment plan with a defined sequence of actions and monitoring timelines
- Examinations prescribed only when indicated, without unnecessary procedures or expenses
- Consideration of comorbidities and medications to ensure safe therapy choices
- Review of previously prescribed medications, assessment of tolerance, and adjustments as needed
- Monitoring of the condition’s progress and timely treatment adjustments based on results
- Interpretation of existing examinations to form a comprehensive overall picture
- Explanation of goals and potential risks in simple language for patient understanding
- Emphasis on prevention of complications and recurrence of the disease
Patients appreciate this systematic and personalized approach, which aims not just to relieve symptoms but to improve their overall health. This style of care helps maintain comfort and safety at every stage of treatment.
Case Studies
Initial Presentation with Difficulty Urinating
A middle-aged patient presented with complaints of incomplete bladder emptying and painful urges. It was important to rule out serious causes of urinary outflow obstruction and inflammatory processes. A comprehensive examination, including instrumental assessment, was performed to clarify the diagnosis. Over time, symptoms gradually decreased and quality of life improved. The patient continues to be monitored to control the condition and adjust therapy in a timely manner.
Adjustment of Treatment Strategy When No Improvement Occurs
An elderly patient had been receiving therapy for several months for difficulty urinating, but no improvement was noted. During consultation, the treatment history was analyzed, drug tolerability assessed, and factors requiring a change in approach identified. Adjustments were made to the treatment plan and additional tests selected. Follow-up showed a reduction in symptom severity and overall condition improvement. Regular monitoring and maintenance therapy were prescribed.
Chronic Course with Comorbidities
A patient with chronic urological issues and comorbid conditions sought consultation for comprehensive management. Special attention was paid to interactions among various prescriptions and risk of complications. Symptoms and medical history were reviewed to determine the optimal monitoring regimen and preventive measures. During observation, stabilization of the condition and reduction of urinary retention manifestations were noted. Dynamic follow-up and treatment adaptation continue.
Symptom Exacerbation Following a Stressful Period
A young man presented with sudden worsening of urination following a stressful event. It was important to exclude acute complications and select a safe management approach. A rapid assessment was conducted, necessary investigations recommended, and treatment plan adjusted. On follow-up visit after several weeks, symptom reduction and functional recovery were observed. Further recommendations include preventive measures and regular monitoring.
Recurrent Episodes of Urinary Retention in a Middle-Aged Patient
The patient reported recurrent difficulties with urination, negatively affecting quality of life and causing anxiety. The objectives were to identify causes, exclude comorbidities, and develop a strategy to prevent recurrence. After evaluation and discussion of options, a comprehensive plan of investigations and therapy was selected. Follow-up showed decreased frequency of episodes, with a plan established for regular monitoring and preventive support.
How long does a consultation last?
Usually, a consultation takes between 30 and 60 minutes. Please confirm the exact duration when scheduling.
How should I prepare for the appointment?
Write down your symptoms, the time they appeared, and what makes them better or worse.
What should I bring to the appointment?
Bring the results of previous examinations, scans, medical records, and a list of medications you are currently taking.
Do I need to come on an empty stomach?
Usually not, unless otherwise specified when scheduling.
How many visits are usually required?
The number of visits depends on the cause and complexity of the issue. Typically, several appointments are needed for examinations and monitoring.
When can I expect the first results of the treatment?
The effect is assessed individually and depends on the chosen treatment plan.
What should I do if my condition worsens before the appointment?
If symptoms intensify or emergency signs appear, contact a doctor immediately.
Can I combine the treatment with my current medications?
This is discussed during the appointment. Do not change your prescribed medications on your own.
Is it possible to get an online consultation?
Yes, online consultation is available. Please check the conditions when scheduling.
Can I come with tests already done?
Yes, bring all available results for a comprehensive evaluation.
Do I need to come for follow-up visits, and how often?
Follow-up visits are scheduled depending on the treatment progress and effectiveness.
Can I get a second opinion?
Yes, you can discuss additional opinions and treatment options during the consultation.
What should I do if symptoms return after improvement?
Contact your doctor for an assessment and possible adjustment of the therapy.
What examinations might be needed?
The list of examinations is formed individually based on the initial assessment.
Can treatment be combined with chronic illnesses?
Yes, existing diagnoses and medications are taken into account to ensure safe treatment.
What should I do if I don’t understand the doctor’s instructions?
Do not hesitate to ask questions. The doctor will explain the plan and treatment goals in detail.
Can I take medications without consulting a doctor?
Not recommended; any changes should be discussed with your doctor.
How do I know if the treatment is effective?
Effectiveness is assessed based on symptoms and the results of follow-up examinations.
