Treatment of benign prostatic hyperplasia by urologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients often present with complaints of difficulty urinating, frequent urges, a sensation of incomplete bladder emptying, or sleep disturbances due to genitourinary symptoms.

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

As a result, the patient receives a clear action plan: what should be done immediately, which examinations are necessary, and how to properly monitor changes over time.

Special attention is given to a comprehensive approach, including differential diagnosis and dynamic observation, which helps to more accurately select effective treatment methods and reduce the risk of exacerbations.

When to See a Doctor

Knowing when to schedule a consultation with a urologist is an important part of health care. If you experience symptoms that interfere with your normal lifestyle or cause concern, it is best not to delay a visit. Especially if symptoms persist or recur over time, and the measures you have taken on your own do not provide the needed relief. You should see a urologist if, while being treated for benign prostatic hyperplasia, you notice:

• Frequent urges to urinate, especially at night
• Difficulty starting urination or a weak stream
• A feeling of incomplete bladder emptying
• Occasional pain or discomfort in the lower abdomen
• Worsening of symptoms during physical exertion or stress
• Sleep disturbances due to frequent bathroom trips
• Symptoms recur or gradually worsen
• Your well-being interferes with work or daily activities
• No improvement despite self-care measures or prescribed treatment
• New onset of symptoms and a desire to understand the causes
• Recurring worsening of symptoms after urinary tract infections
• The need to clarify the plan for examination and treatment during chronic progression

If some of these symptoms or situations sound familiar, seek a consultation. Even if complaints seem minor, a doctor can help assess the situation, rule out serious causes, and suggest an appropriate course of action. It is important to remember that timely evaluation helps manage symptoms more effectively and maintain quality of life.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe difficulty urinating with complete inability to urinate
• Sharp increase in pain in the pelvic or lower back area
• Combination of severe pain with fever and chills
• Appearance of a large amount of blood in the urine or worsening bleeding
• Significant deterioration of overall condition with weakness and severe malaise

If you experience these symptoms, do not wait for a scheduled appointment and seek urgent medical help. Our clinic offers a home doctor visit service for prompt assessment and assistance.

Causes and Risk Factors of Benign Prostatic Hyperplasia

Understanding the possible causes of benign prostatic hyperplasia (BPH) helps to navigate the situation and identify which factors should be discussed with a doctor. Evaluating these aspects requires thorough examination and analysis of the medical history.

Main Causes / Mechanisms (Briefly)

• Age-related changes in male hormonal balance
• Dysregulation of prostate cell growth
• Impaired blood circulation and inflammatory processes in the pelvic organs
• Genetic predisposition to prostate tissue overgrowth
• Chronic infections of the genitourinary system affecting prostate health

Risk Factors

• Age over 50 years — the most common factor for prostate changes
• Excess weight and metabolic disorders
• Comorbidities such as diabetes mellitus and cardiovascular diseases
• Sedentary lifestyle and lack of physical activity
• Poor diet with predominance of fats and insufficient intake of vegetables and fruits
• Smoking and alcohol abuse
• Hereditary tendency to prostate diseases
• Chronic stress and overstrain

Reversible Causes That Should Be Excluded

• Inflammatory prostate conditions (prostatitis) requiring treatment
• Urinary retention due to temporary factors such as medications or infections
• Concomitant urinary disorders caused by bladder or urethral diseases

Diagnosis and evaluation of the causes of benign prostatic hyperplasia help to determine an individualized plan for examination and further monitoring.

Diagnosis

Diagnosis in the treatment of benign prostatic hyperplasia is aimed at accurately understanding the condition and identifying factors that influence the symptoms. The approach is designed so that the patient feels comfortable and well-informed at every stage of the examination.

Diagnostic Approach

• Taking a detailed medical history: analyzing complaints, medical history, and lifestyle
• Physical examination to assess the condition of the pelvic organs
• Conducting basic laboratory tests as indicated
• Ordering additional examinations if further clarification of the diagnosis is needed
• Interpreting results and developing a plan for further actions
• Discussing the goals of the examination and treatment options with the patient
• Referring to specialists for comprehensive evaluation if necessary

Typical Examinations as Indicated

May include:

• Ultrasound examination of the pelvic organs
• Urine and blood tests to assess inflammation and kidney function
• Evaluation of urinary function (urodynamics)
• Cystoscopy if complications are suspected
• Hormone tests to assess the body's balance

What to Bring to the Appointment

• Results of previous examinations and tests
• List of medications taken and dosages
• Symptom diary, if maintained
• Copies of medical documentation for comorbid conditions
• Questions or comments you wish to discuss with the doctor

The diagnostic process for benign prostatic hyperplasia helps determine the optimal examination and treatment plan, taking into account the individual characteristics of each patient.

Treatment

Treatment of benign prostatic hyperplasia is aimed at reducing symptoms and improving the patient’s quality of life. The therapy plan is tailored individually, taking into account the specifics of the condition and the results of examinations.

Goals of Therapy

• Reduce the severity of symptoms and discomfort
• Address the causes contributing to the development of the disease
• Improve urinary system function
• Prevent possible complications and progression of the condition

Main Treatment Approaches

• May include medication therapy to alleviate symptoms
• Key directions: lifestyle changes and recommendations on diet and physical activity
• Minimally invasive methods may be used if indicated
• Therapy is individualized and can combine different approaches depending on the situation

What the Doctor Does

• Selects and adjusts therapy considering individual patient features
• Takes into account comorbidities and risks when prescribing treatment
• Monitors possible side effects and treatment effectiveness
• Explains to the patient the criteria for evaluating treatment results
• Coordinates care with other specialists if necessary

What to Expect: Plan and Monitoring

• Regular assessment of symptom dynamics and response to therapy
• Treatment plan adjustments based on the clinical situation and results
• Follow-up visits are important for state monitoring and complication prevention
• Additional examinations may be prescribed if indicated

You can learn more about treatment options during a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention of benign prostatic hyperplasia helps reduce the risk of exacerbations and slow the progression of the condition. A prevention plan is tailored individually, taking into account the patient’s health characteristics.

Main Primary Prevention Measures

• Weight control and maintaining a healthy lifestyle
• Moderate physical activity recommended by a doctor
• Quitting smoking and reducing alcohol consumption
• Timely treatment of urinary tract infections
• Management of chronic diseases such as diabetes and hypertension

Screening and Secondary Prevention / Regular Monitoring

• Regular medical check-ups and urologist consultations as indicated
• Monitoring symptoms and urinary function
• Laboratory and instrumental examinations as recommended by the doctor
• Management of concomitant diseases to prevent complications

Practical Advice

• Discuss possible lifestyle and dietary changes with your doctor
• Keep a symptom diary to track the progression of your condition
• Maintain appropriate hydration and avoid exposure to cold
• Take prescribed treatments according to specialist recommendations
• Undergo regular examinations and consult your doctor if symptoms change

Maintaining prostate health requires an individual approach and close collaboration with a healthcare professional.

Important to Know

The treatment of benign prostatic hyperplasia using endoscopic methods requires a thorough preliminary assessment of the patient’s condition. It is important to understand that the goal of therapy is not only to reduce symptoms but also to identify factors affecting the course of the disease. Early evaluation allows for selecting the most appropriate approach and reducing the risk of complications. Often, long-term monitoring and adjustment of the treatment plan depending on the patient’s progress are necessary. It is important to consider the effects of workload, stress, sleep, and comorbidities on the overall treatment outcome.

• Treatment is aimed at improving symptoms and preserving prostate function
• Identifying the cause and triggering factors is more important than merely suppressing symptoms
• Early consultation helps reduce risks and choose the optimal treatment plan
• Dynamic monitoring allows for regular therapy adjustments based on results
• Lifestyle factors and comorbid conditions affect treatment effectiveness
• Self-medication can obscure the clinical picture and delay diagnosis
• Clinic physicians use modern methods that minimize the invasiveness of the procedure

For more detailed information about diagnostic and treatment options, please refer to the general article on the clinic’s website.

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

Before your visit to Dr. Sergey Nikolaevich Glushchenko, it is important to understand which safe measures you can take on your own and what should be avoided. If your condition worsens, do not delay seeking medical help.

What You Can Do Before the Appointment

• Note when and how your symptoms started, what worsens or relieves them
• Bring a list of all medications you are currently taking, including dosages if known
• Keep a symptom diary: record the intensity and timing of complaints
• If possible, measure your temperature, blood pressure, and pulse for a general assessment
• Reduce physical activity and try to rest until your appointment
• Drink enough water to avoid dehydration, unless you have contraindications
• Gather results of previous examinations and tests for the doctor
• If you have urinary issues, avoid holding urine for prolonged periods

What You Should Avoid Before the Appointment

• Do not stop or change your treatment without consulting your doctor
• Do not start taking new medications or folk remedies without discussing them with your doctor
• Do not attempt to interpret test results or imaging on your own
• Do not ignore increasing pain or worsening symptoms
• Do not overexert yourself physically, especially if symptoms are severe
• Do not postpone your visit if symptoms worsen or new ones appear
• Do not use treatment methods whose safety you are unsure about
• Do not neglect your doctor’s recommendations after assessment

If you experience emergency symptoms or a sudden deterioration, seek immediate assistance from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Physician with Endoscopic Treatment of Benign Prostatic Hyperplasia

During a consultation for the treatment of benign prostatic hyperplasia (BPH), I can assist you in the following ways:

• Review your symptoms and medical history to identify possible causes
• Assess the severity of symptoms and potential health risks
• Analyze current medications and their tolerability to optimize therapy
• Develop a detailed plan for further steps: examination, treatment, and monitoring
• Consider comorbidities and concomitant medications when choosing the treatment approach
• Provide lifestyle and regimen recommendations tailored to your individual needs
• Discuss methods for monitoring disease progression and criteria for follow-up consultations
• Perform an initial evaluation of the causes and differential diagnosis of possible factors
• Select and adjust treatment strategies if the desired effect is insufficient or side effects occur

Medical care for benign prostatic hyperplasia is based on a comprehensive approach. A consultation helps establish a logical and step-by-step action plan aimed at minimizing symptoms and reducing the risk of complications.

Patient management includes assessment not only at the initial visit but also throughout therapy, with possible adjustments and supportive measures.

What Questions Can I Ask the Doctor Regarding Endoscopic Treatment of Benign Prostatic Hyperplasia?

During your consultation about the treatment of benign prostatic hyperplasia, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Difficulty or painful urination
• Frequent urges to urinate, especially at night
• Feeling of incomplete bladder emptying
• Presence of blood in the urine or pelvic pain
• Recurring or worsening symptoms after treatment
• Lack of effect from previously prescribed treatments
• Discussion of further diagnostic and therapeutic options
• Emergency situations involving severe pain, inability to urinate, or high fever require urgent medical attention

In acute cases—such as sudden pain, urinary retention, or fever—immediate care is necessary and you should not wait for a scheduled appointment. The doctor may also refer you to related specialists or order additional tests if indicated.

Frequently Asked Questions

• What is happening to me, and what could it be?
• Why have these symptoms appeared now?
• How can I tell if this is related to benign prostatic hyperplasia?
• What examinations do I need in my particular case?
• Which tests are absolutely necessary, and which can be omitted?
• How should I best prepare for examinations and the consultation?
• What treatment options are available and how do they differ?
• Is it possible to avoid surgery or complex procedures?
• What should I do if the prescribed treatment does not work?
• How long does treatment usually last, and how often do I need follow-up?
• How can I tell if my condition is improving or worsening?
• What should I do in case of sudden worsening or flare-up of symptoms?

Addressing these questions will help you gain a complete understanding of your condition and choose the right treatment strategy. It is important to remember that timely consultation can prevent complications and improve your quality of life. If you experience acute symptoms, do not delay seeking urgent medical care.

How the Consultation Takes Place

A consultation with a urologist for the treatment of benign prostatic hyperplasia involves a thorough review of your complaints and an assessment of your condition. The doctor discusses your symptoms, takes into account your overall health, and develops an individualized plan for further steps. The scope of examinations is determined on a case-by-case basis, according to indications, to obtain the most informative picture possible. Keep in mind that a definitive diagnosis may not always be possible in a single visit, but this is an important initial step in choosing the optimal treatment approach.

1. Clarification of complaints and the purpose of the visit: the doctor will ask in detail about what exactly is bothering you, when the symptoms appeared, how they affect your life, and what expectations you have from the consultation.
2. Collection of medical history and risk factors related to prostate condition and overall health.
3. Analysis of previous treatments and examinations: if you have already undergone diagnostics or treatment, it is important to bring documents and a list of medications to evaluate their effectiveness.
4. Examination and specialized tests are performed as indicated, without unnecessary procedures, and with safety in mind.
5. Preliminary discussion of possible causes of complaints and factors that need to be ruled out at this stage.
6. Plan for examinations if necessary: this may include ultrasound, urine and blood tests, urodynamic studies, and other procedures.
7. Formation of a treatment and management plan aimed at reducing symptoms and improving quality of life.
8. Discussion of monitoring progress: when to come for a follow-up visit, how to track changes, and when to seek help if symptoms worsen.

If this is your first time consulting, the appointment will help clarify your symptoms and identify their causes. If previous treatments have been ineffective, special attention will be given to analyzing reasons and adjusting the therapy plan to enhance its effectiveness.

Preparation for the Appointment

To ensure that your consultation with the urologist is effective and helps determine a treatment plan more quickly, it is important to prepare properly for the appointment. This will save time and allow the doctor to get a complete understanding of your condition.

• Bring a list of all current medications, including names and dosages, if you know them
• Bring results of previous examinations, images, and tests if you have them
• Write down your main complaints: when symptoms started, what makes them worse or better
• Come on an empty stomach unless otherwise instructed: do not eat or drink 8–12 hours before the appointment
• Do not stop taking prescribed medications without consulting your doctor
• Note any special preparation instructions: do not use cosmetics or creams in the examination area
• Bring a symptom diary or questions you want to discuss with the doctor
• Arrive 10–15 minutes before your scheduled time for registration and preparation
• If you have any doubts about the preparation, clarify the information when making the appointment

By following these recommendations, your appointment with the urologist will be as productive as possible and help you get the necessary results faster. It is important not to change your treatment on your own without consulting your doctor.

About the Doctor

Sergey Nikolaevich Glushchenko is a urologist, andrologist, oncologist, and a first-category physician with 20 years of experience. He specializes in the treatment of benign prostatic hyperplasia and frequently works with patients during initial diagnosis, recurrent or chronic symptoms, and cases where previously prescribed treatment has been ineffective.

The doctor pays special attention to differential diagnosis and ongoing patient management, which helps to tailor therapy and reduce the risk of exacerbations. During the consultation, you will receive a clear analysis of your situation and a plan of further actions tailored to your individual needs.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating benign prostatic hyperplasia, patients choose Dr. Sergey Nikolaevich Glushchenko for his systematic and step-by-step approach to therapy. The doctor pays special attention to analyzing the causes of symptoms and adjusting treatment in case of lack of effect or side effects. This approach ensures more accurate diagnosis and careful management of patients, taking into account comorbidities. Consultations focus on clear explanations of plans and monitoring criteria, helping patients better navigate the treatment process.

• Clear treatment plan with specific steps and explanations of benefits for the patient
• Examinations are prescribed only when clearly necessary, avoiding unnecessary procedures
• Consideration of comorbid conditions and concurrent medications to ensure patient safety
• Monitoring the dynamics of the condition and timely adjustment of the plan if changes occur
• Interpretation of previously conducted examinations to optimize consultations
• Review of prior prescriptions and side effects to adjust therapy accordingly
• Emphasis on preventing exacerbations and reducing the risk of complications
• Experience in managing complex and recurrent cases with a comprehensive approach

This organization of care allows patients to feel more confident and receive precisely the amount of support they need in their situation. Dynamic management ensures therapy adapts to changes in condition and helps maintain quality of life.

Case Studies

Initial Presentation with Difficulty Urinating

A middle-aged patient presented with complaints of worsening urination, frequent urges, and a feeling of incomplete bladder emptying. It was important to rule out possible oncological conditions and infections. A comprehensive examination was performed, including laboratory tests and ultrasound imaging. Over time, a decrease in symptoms and improvement in the patient’s quality of life were observed. Regular monitoring and symptom control were recommended for timely adjustment of therapy.

Treatment Adjustment Due to Lack of Effect

An elderly patient complained of persistent symptoms following previous treatment. Particular attention was given to reviewing prescribed medications and potential side effects, as well as assessing comorbidities. The treatment plan was adjusted considering individual patient characteristics. Partial improvement and stabilization were noted during the follow-up visit. Observation continues with periodic evaluation of treatment effectiveness.

Chronic Course Against the Background of Comorbidities

A middle-aged man with a long history of symptoms and a diagnosis of prostate hyperplasia visited the doctor for evaluation and optimization of treatment. An important task was to consider the impact of diabetes mellitus and cardiovascular problems when selecting therapy. A stepwise approach with monitoring of the body’s response was developed. After several visits, symptoms stabilized and overall condition showed positive dynamics. Control and preventive measures were agreed upon for a long-term period.

Exacerbation of Symptoms and Prevention Plan

An elderly patient presented with increased pain and difficulty urinating, necessitating exclusion of infection and other complications. Necessary examinations were conducted, and the treatment plan was adjusted with emphasis on reducing exacerbation. Over the course of a month, a reduction in symptoms and improvement in comfort were observed. An individualized monitoring and preventive care plan was developed to prevent relapses.

Second Opinion and Additional Diagnostics

A middle-aged patient who had previously received treatment at another facility sought a second opinion regarding his condition. The physician thoroughly analyzed the examinations already performed and the results of prior therapy. Based on a comprehensive assessment, a new management strategy was proposed. Improved symptom control was noted over time. The patient continues regular monitoring under specialist supervision.

How long does a consultation last?

A consultation usually lasts between 30 and 60 minutes; please confirm the time when booking.

How should I prepare for the appointment?

Write down your main complaints, symptom history, and bring a list of medications you are taking.

What should I bring to the appointment?

Bring results of previous examinations, images, discharge summaries, and a list of current medications.

Do I need to come on an empty stomach?

Usually not required unless specifically instructed when booking.

How many visits are typically needed?

The number of visits depends on the situation and complexity; follow-up and treatment adjustments are often necessary.

When can I expect to see the first results?

The effect varies individually and depends on the chosen treatment approach.

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

Seek medical help if your condition deteriorates; do not delay your visit if there are warning signs.

Can I combine the treatment with my current medications?

Discuss all medications with your doctor; do not stop or start any drugs on your own.

Is it possible to have an online consultation?

Yes, online consultations are available; check details when booking about the format of the visit.

Can I come with previously completed examinations?

Yes, bring all available results for a comprehensive assessment.

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

Follow-up visits are scheduled individually to monitor progress and adjust therapy.

Can I get a second opinion?

Yes, a second opinion consultation is possible for reviewing examinations and current treatment.

What should I do if symptoms return after improvement?

Contact your doctor for a re-examination and treatment plan adjustment.

What examinations are usually prescribed?

Examinations are selected individually based on indications.

Can I bring children or elderly relatives?

Appointments for all age groups are discussed separately; please specify when booking.

Will there be additional procedures during the appointment?

Additional tests may be prescribed based on indications after the initial assessment.

Can I change the medication dosage on my own?

It is not recommended to change dosages without consulting your doctor.

What if I have several diseases at the same time?

The doctor considers comorbidities when choosing therapy to ensure safety and effectiveness.