Treatment of acute urinary retention due to benign prostatic hyperplasia by surgeon-urologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with sudden inability to urinate, painful urges without results, a feeling of bladder fullness, or worsening urinary symptoms.

The physician conducts a thorough clinical assessment, carefully analyzes complaints and medical history, and, if necessary, orders additional tests to clarify the cause of the problem.

The patient receives a clear, step-by-step action plan outlining what to do in the current situation, which examinations are important for diagnosis, and how to monitor the condition going forward.

Special attention is given to diagnosing the causes of urinary retention, adjusting therapy, and observing symptom dynamics to effectively manage the condition and reduce the risk of complications.

When to See a Doctor

Acute urinary retention due to benign prostatic hyperplasia is a serious condition that requires specialist attention. You should see a doctor if you notice changes in your urination or other characteristic symptoms. Timely consultation is important to assess your condition and choose the right course of action. It is advisable to make an appointment with a urologic surgeon if, during acute urinary retention, you experience:

• sudden inability to completely urinate
• painful urges to urinate without results
• a strong feeling of bladder fullness and discomfort in the lower abdomen
• intermittent urinary retention that recurs or worsens over time
• weak or interrupted urine flow
• frequent nighttime urination that disrupts sleep
• worsening symptoms despite attempts at self-relief
• discomfort or pain in the groin area and lower abdomen
• no improvement after previously prescribed treatment
• deterioration of overall well-being related to urination problems
• symptoms appearing for the first time or returning after a long break
• urination problems interfering with work or daily activities

If the listed symptoms or situations match your condition, it is recommended not to delay visiting a specialist. Only a doctor can perform the necessary examination and determine the best actions for your case. This helps prevent deterioration and complications while preserving your quality of life.

Emergency Conditions or When to See a Doctor Immediately

• sudden and complete inability to urinate accompanied by increasing discomfort
• severe lower abdominal pain that rapidly intensifies
• bloating and tension in the bladder with a strong sensation of fullness
• combination of pain, weakness, and fever
• sudden deterioration in overall condition accompanied by urinary problems

If you experience these symptoms, do not wait for a routine appointment — see a doctor as soon as possible. Our clinic offers a home doctor visit service to provide timely assistance in emergency situations.

Causes and Risk Factors of Acute Urinary Retention in Benign Prostatic Hyperplasia

This section will help you understand where the problem of acute urinary retention may originate, as well as which factors influence the likelihood of its occurrence and development. The physician will assess possible causes and select necessary examinations to clarify the condition.

Main Causes / Mechanisms (briefly)

• Enlargement of the prostate gland volume, creating an obstruction to urine outflow
• Spasm or narrowing of the urethra, worsening difficulties in urination
• Disruption of nervous regulation of the bladder and sphincter
• Inflammatory processes in the genitourinary system that can lead to acute retention
• Complications following medication therapy or surgical procedures

Risk Factors

• Age over 50, when benign prostatic hyperplasia is more common
• Presence of chronic genitourinary diseases
• Obesity and sedentary lifestyle
• Metabolic disorders, such as diabetes mellitus
• Hormonal changes related to aging
• Hereditary predisposition to prostate diseases
• Use of certain medications affecting blood circulation and muscle tone
• Chronic urinary tract infections or past inflammations
• Smoking and alcohol abuse

Reversible Causes Important to Exclude

• Acute urinary tract infections accompanied by swelling and inflammation
• Drug reactions causing urinary retention
• Dehydration and electrolyte disturbances affecting bladder function

Each case of acute urinary retention requires careful evaluation by a physician to select the appropriate management strategy and to rule out reversible causes.

Diagnosis

Diagnosis of acute urinary retention in benign prostatic hyperplasia focuses on identifying the causes of difficult urination and assessing the overall condition. The physician systematically analyzes symptoms and prescribes the necessary examinations to develop a plan for further management.

Diagnostic Approach

• Taking a detailed medical history, considering complaints and disease history
• Examination and palpation of the abdomen and groin area to assess the condition of the bladder and prostate
• Performing basic laboratory tests, such as urinalysis
• Ordering additional instrumental investigations as indicated
• Evaluating examination results and forming a preliminary treatment plan or deciding on further studies
• Discussing options and next steps with the patient
• Monitoring the condition’s progress during follow-up visits

Common Indicated Examinations

May include:

• Ultrasound examination of the pelvic organs and prostate
• Measurement of post-void residual urine volume
• Blood tests for markers of inflammation and kidney function
• Urodynamic testing in complex cases
• Cystoscopy if narrowing or neoplasms are suspected

What to Bring to the Appointment

• Results of previous examinations and tests
• A list of current medications
• Records of symptoms and their changes over time
• Information about comorbid conditions
• Questions and concerns to discuss with the doctor

Diagnosis of acute urinary retention requires a comprehensive approach and individualized selection of examinations to choose the optimal treatment plan.

Treatment

The treatment of acute urinary retention caused by benign prostatic hyperplasia is tailored to the individual characteristics of the patient and therapeutic goals. The treatment plan is selected by the physician after assessing the patient's condition and determined based on indications.

Therapeutic Goals

• Reduce symptoms and facilitate urination
• Restore normal urine flow and bladder function
• Slow the progression of hyperplasia and prevent complications
• Improve the patient's overall quality of life

Main Treatment Approaches

• May include pharmacological therapy to relieve symptoms and reduce inflammation
• Use of non-pharmacological methods aimed at improving the condition
• Surgical and minimally invasive interventions as indicated to restore patency
• Lifestyle modification and recommendations to control risk factors
• Combined methods taking into account the individual clinical situation

Physician’s Role

• Selects and adjusts therapy based on effectiveness and tolerability
• Considers comorbidities to ensure safe treatment
• Monitors possible side effects and their impact on the patient’s condition
• Explains to the patient what changes to expect and when follow-up visits are necessary
• Coordinates treatment with other specialists if needed

What to Expect: Treatment Plan and Monitoring

• Patient’s condition is regularly monitored through examinations to assess progress
• Treatment plan is adjusted if efficacy is insufficient or adverse reactions occur
• Follow-up visits are scheduled depending on disease course and chosen therapy
• Regular evaluations are important for timely adjustment of the treatment plan

Detailed information about treatment options can be obtained during a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention of acute urinary retention caused by benign prostatic hyperplasia is important to reduce the risk of complications and maintain genitourinary health. The prevention program is tailored individually by the physician, taking into account the patient's specific health characteristics.

Main Measures of Primary Prevention

• weight control and maintaining physical activity to improve overall condition
• reducing alcohol consumption and quitting smoking
• timely treatment of chronic genitourinary diseases
• avoiding prolonged postponement of urination
• monitoring and adjusting medications that affect urinary tract function

Screening and Secondary Prevention / Regular Monitoring

• regular monitoring of prostate condition as indicated
• follow-up with a urologist to assess symptoms and treatment effectiveness
• screening for possible complications as recommended by the doctor
• periodic assessment of kidney and bladder function

Practical Advice

• discuss any changes in urination and well-being with your doctor
• maintain an optimal level of physical activity as recommended by your specialist
• ensure adequate fluid intake without excess
• avoid factors that may worsen symptoms, such as hypothermia
• adjust lifestyle and diet together with your doctor, considering your overall condition

Preventive measures help reduce the risk of exacerbations and support quality of life in acute urinary retention; discuss the optimal plan with your physician.

Important to Know

Acute urinary retention caused by benign prostatic hyperplasia requires a careful approach and timely consultation with a doctor. The problem can arise suddenly and be accompanied by significant discomfort, so it is important not to delay diagnosis and treatment. Early assessment of the condition helps to choose the optimal therapy strategy and reduce the risk of complications. Sometimes monitoring with adjustment of the treatment plan is necessary to maintain a stable condition. Taking into account comorbidities, stress levels, and sleep patterns plays a role in the patient’s overall health.

• It is important to identify the cause of urinary retention, not just relieve the symptoms
• Timely consultation helps to adjust treatment and reduce risks
• Dynamic monitoring allows therapy to be adapted if the condition changes
• Stress, physical exertion, and chronic illnesses can affect the progression of the situation
• Self-medication can obscure the clinical picture and delay correct diagnosis
• The physician at our clinic considers all individual factors and selects a plan based on your health

If you want to learn more about the causes, diagnosis, and treatment of urinary system problems, we recommend visiting our detailed page with a comprehensive overview of the topic. Remember that every case requires an individual approach and professional evaluation.

Self-care Before the Appointment: Dos and Don'ts

Before your appointment for acute urinary retention, it is important to follow safe measures to avoid worsening your condition and distorting the clinical picture. If symptoms worsen, do not delay seeking help from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Make note of when and how the symptoms started, and identify what helps or worsens your condition
• Keep a symptom diary: record the intensity and timing of symptoms
• Bring a list of all medications you are taking, including dosages if known
• Reduce physical activity and try to rest before the consultation
• Drink water in moderation to avoid dehydration, if it is generally safe for you
• Measure your temperature and blood pressure if possible, and record the results
• Note any additional complaints or changes in your condition
• Stay calm, avoid stressful situations and overexertion

What You Should Avoid Doing Before the Appointment

• Do not cancel or change prescribed medications without consulting your doctor
• Do not start taking new medications or folk remedies on your own
• Do not increase physical activity that might worsen symptoms
• Do not postpone seeing the doctor if your condition deteriorates
• Do not attempt to relieve symptoms abruptly with unproven methods
• Do not interpret lab results or imaging studies on your own without consultation
• Do not ignore the appearance of new symptoms or increasing pain
• Do not use strong medications without a specialist’s prescription

If signs of an emergency arise or your condition suddenly worsens, seek immediate medical attention from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Acute Urinary Retention Due to Benign Prostatic Hyperplasia

During a consultation regarding acute urinary retention caused by benign prostatic hyperplasia, I will help you understand the underlying causes and answer important questions about your health. Together, we will assess your symptoms, review your current treatments, and determine the optimal plan of action. I will suggest diagnostic options and develop a treatment sequence tailored to the specifics of your condition.

In a consultation about acute urinary retention, I can assist you with the following:

• Analyzing symptoms and medical history to identify possible causes of urinary retention
• Assessing the severity of your condition and potential health risks
• Reviewing current medications to evaluate their tolerability and effectiveness
• Creating a step-by-step plan for investigations, treatment, and monitoring progress
• Considering comorbidities and medications that may affect treatment
• Providing lifestyle and regimen recommendations based on your condition and clinical indications
• Explaining criteria for evaluating treatment effectiveness and when to seek further consultation
• Conducting initial diagnostic assessments and referring you for additional tests if needed
• Adjusting treatment strategies in case of insufficient response or side effects

Each step is based on careful evaluation of your condition and individual characteristics. This comprehensive approach helps to select the most appropriate treatment and reduce the risk of complications. It is important to remember that ongoing monitoring and plan adjustments ensure better management of your condition and improve your quality of life.

What questions can I ask the doctor about acute urinary retention due to benign prostatic hyperplasia?

During a consultation regarding acute urinary retention caused by benign prostatic hyperplasia, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Difficulty starting urination and painful urges
• Frequent nighttime urination disrupting sleep
• Feeling of incomplete bladder emptying
• Recurring episodes of urinary retention or worsening symptoms
• Lack of effect from previously prescribed treatment
• Associated symptoms such as discomfort in the pelvic or groin area
• Need for a second opinion or review of examination results

If you suddenly cannot urinate, experience severe lower abdominal pain, or have a fever — seek emergency care immediately; do not wait for a scheduled appointment.

Questions to discuss during the consultation:

1. What is happening to me and what could it be?
2. Why has this problem arisen right now?
3. How can I understand if this is related to prostate enlargement or another cause?
4. What examinations are needed to accurately understand my condition?
5. Which tests and investigations are truly necessary, and which can be skipped?
6. How should I properly prepare for the examinations and appointment?
7. What treatment options are available for my situation and how do they differ?
8. Is it possible to manage without surgery or medications?
9. Why is the prescribed treatment not producing the expected results?
10. How long might the treatment last and how often should I undergo check-ups?
11. What signs will indicate improvement or worsening of my condition?
12. What should I do if symptoms suddenly worsen or flare up?

During the appointment, the doctor will help assess your condition and determine the most suitable diagnostic and treatment methods. If necessary, he will refer you to related specialists or to a hospital for urgent care. This comprehensive approach allows timely identification of risks and adjustment of treatment, ensuring attention to your individual needs.

How the Consultation Proceeds

A consultation for acute urinary retention involves a detailed review of your complaints and medical history, as well as an assessment of your current condition. The doctor will determine which examinations are necessary specifically for you, based on your symptoms and individual characteristics. Do not expect an immediate diagnosis — this is a process that requires time and a comprehensive approach.

1. Clarification of complaints and visit goals: the doctor gathers information about what troubles you, when the symptoms appeared, what worsens or relieves them, and your expectations from the consultation.
2. Collection of medical history and risk factors: discussion of concomitant diseases, lifestyle, and other important aspects affecting your condition.
3. Analysis of previous examinations and treatments: if you have test results or a list of medications you are taking, bring them to the appointment for a comprehensive evaluation.
4. Examination and basic tests: the doctor will conduct a general examination and, if necessary, order additional tests to clarify your condition.
5. Preliminary assessment: discussion of possible causes and factors that need to be ruled out or specified, without making a final diagnosis.
6. Examination plan: recommendations may include ultrasound of the pelvic organs, urine and blood tests, measurement of residual urine after urination, and other investigations as indicated.
7. Development of a treatment and management plan: the doctor will explain possible therapeutic approaches and follow-up options, considering your individual characteristics.
8. Follow-up and next steps: determination of timing for a repeat visit, criteria for evaluating treatment effectiveness, and situations when you should seek help earlier.

If this is your first experience with such symptoms, the consultation will help thoroughly understand the causes and choose the right path. If you have previously undergone therapy without improvement, the appointment will focus on analyzing the reasons for the lack of effect and adjusting the plan.

This structured approach makes the process clearer and more comfortable for the patient, helps establish effective treatment, and ensures timely monitoring of the condition.

Preparation for the Appointment

To make your consultation with surgeon-urologist Sergey Nikolaevich Glushchenko as effective as possible, it is important to prepare properly. This will speed up diagnosis and help develop a treatment plan.

• Bring a list of all current medications with names and dosages, if known.
• Bring the results of previous examinations: ultrasound scans, urine and blood tests, medical records.
• Write down your main complaints: when symptoms began, and what worsens or relieves them.
• If available, prepare a diary of symptoms and changes in your condition.
• Do not stop taking prescribed medications without consulting your doctor.
• Arrive 10-15 minutes before your appointment for registration and preparation.
• If instructed, come on an empty stomach: do not eat or drink for 8-12 hours (unless otherwise specified).
• Avoid using cosmetics and strong fragrances before the appointment.
• If in doubt, clarify preparation details when booking by phone.

If it's necessary to change medication intake, discuss this only with your doctor—do not do it on your own. This approach minimizes risks and ensures a quality consultation.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, oncologist, and a first-category physician with 20 years of experience. He specializes in treating acute conditions, including acute urinary retention caused by benign prostatic hyperplasia, as well as managing patients with chronic and recurrent symptoms. He often works with patients who have not responded to previous treatments, taking into account their comorbidities. The doctor’s focus is on thorough differential diagnosis of causes and dynamic monitoring for timely adjustment of therapy.

During the consultation, you will receive a clear explanation of your situation and a plan for the next steps based on a comprehensive assessment of your condition.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

In the treatment of acute urinary retention due to benign prostatic hyperplasia, accurate diagnosis and a flexible therapeutic approach are crucial. Sergey Nikolaevich structures his work around understanding the underlying causes of the disease and takes into account all the individual characteristics of each patient, setting him apart from other specialists in the clinic. Patients appreciate his attention to detail and consistent follow-up, which helps to timely adjust the treatment plan.

• A clear treatment plan with defined stages: what we do now, how we monitor progress, and when the next visit is scheduled
• Examinations are performed strictly based on indications, without unnecessary procedures or time expenditure
• Consideration of comorbidities and interactions with current medications to ensure therapy safety
• Monitoring of condition dynamics and prompt adjustment of treatment in case of insufficient effect or side effects
• Review of previously conducted tests and integration of their results into the overall treatment plan
• Explanation of therapy goals and potential risks in simple and accessible language for patient understanding
• Emphasis on prevention of exacerbations and complications to reduce the likelihood of recurrent issues
• Experience in managing complex cases and patients with chronic or combined genitourinary problems

This structured and balanced approach not only helps to choose the optimal treatment method but also ensures comfortable support for the patient at every stage. It aids in maintaining health and reducing anxiety related to the disease.

Case Studies

Initial Presentation with Acute Urinary Retention

A middle-aged patient presented with sudden inability to urinate, severe lower abdominal discomfort, and frequent painful urges. It was important to rule out acute dangerous conditions and clarify the cause of retention. The physician conducted a comprehensive examination and ordered the necessary tests to understand the underlying reasons. Through monitoring the clinical course, the condition was stabilized and symptoms alleviated. Further follow-up included regular check-ups and therapy adjustments as needed.

Adjustment of Treatment Strategy Due to Lack of Effect

An elderly patient complained of recurrent episodes of urinary retention despite previous treatment. The physician reviewed the medical history and evaluated prior investigations, identifying weaknesses in the therapy. Changes were made to the treatment plan, and additional indicated examinations were performed. Over the course of several weeks, a reduction in symptoms and improvement in well-being were noted. The patient transitioned to systematic monitoring with regular assessment of progress and treatment modifications as necessary.

Chronic Course with Comorbidities

A mature man with a long history of urinary problems sought evaluation for condition control in the context of cardiovascular diseases. The physician assessed the overall state comprehensively, incorporating comorbid diagnoses into the examination and treatment plan. The primary focus was on safe symptom management considering the chronic illnesses. Follow-up visits documented stabilization of the condition and absence of serious exacerbations. The ongoing plan included supportive therapy and regular monitoring.

Exacerbation and Prevention Plan

A patient presented with worsening symptoms and frequent episodes of acute urinary retention. The physician identified factors contributing to the exacerbations and developed a phased assistance plan emphasizing prevention of recurrent episodes. Following the treatment course, a significant reduction in symptom intensity and number of exacerbations was observed. The patient received recommendations for prevention and was scheduled for regular follow-up visits to assess effectiveness and timely adjustments.

Second Opinion and Review of a Complex Clinical Case

A middle-aged man with ambiguous test results and varying therapies sought an additional opinion. The physician performed a detailed analysis of existing data, systematized the clinical picture, and clarified potential causes of urinary retention. A plan for further actions was formulated, including additional indicated investigations. The condition stabilized, and the patient was provided with a clear and understandable treatment pathway with continuous monitoring.

How long does the consultation last?

The consultation usually takes 30–60 minutes, but please confirm the exact duration when booking.

How to prepare for the appointment?

Write down your symptoms, when they started and how they have changed, as well as a list of any medications you are taking.

What should I bring to the appointment?

Bring the results of any previous examinations, tests, imaging, and a list of your medications.

Do I need to come on an empty stomach?

Usually not required unless otherwise specified when booking.

How many visits are usually needed?

The number of visits depends on your situation and treatment plan, typically several appointments.

When can I expect the first results of the treatment?

Results depend on your individual condition and the therapy used.

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

If symptoms worsen with severe pain, inability to urinate, or a high fever, seek medical attention immediately.

Can treatment be combined with my current medications?

Discuss medication compatibility with your doctor; do not change your medication regimen on your own.

Is it possible to have an online consultation?

Yes, online consultations are available for initial visits or follow-up evaluations.

Can I come with tests I have already done?

Yes, please bring all your existing test results for a comprehensive analysis.

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

Follow-up visits are scheduled based on your progress and medical indications.

Can I get a second opinion?

Yes, you can request an additional opinion from a doctor regarding your case.

What should I do if symptoms return after improvement?

See your doctor to reassess your condition and possibly adjust treatment.

What tests may be prescribed?

The scope of tests is determined individually and may include ultrasound, blood tests, and urine tests.

What do the first steps of treatment include?

The approach depends on the cause and condition, including symptom evaluation and therapy selection.

Can I stop taking medications on my own?

Do not discontinue any medication without consulting your doctor.

How do I know when to see a doctor?

Seek medical help if you experience new urinary retention, worsening pain, or other alarming symptoms.

Are there any restrictions before the appointment?

Usually, there are no special restrictions, but confirm details when booking.