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

Patients present with complaints of difficulty urinating, increased frequency, weak urine flow, or discomfort in the bladder area. The doctor carefully analyzes the complaints and medical history, conducts a clinical evaluation, and, if necessary, orders additional tests for an accurate understanding of the condition.

After diagnosis, the patient receives a clear and accessible plan: what to do now to relieve symptoms, which examinations to undergo, and how to monitor the course of the disease over time.

A distinctive feature of Dr. Sergey Nikolaevich Glushchenko’s work is his focus on differential diagnosis and therapy adjustment considering comorbid conditions, which helps prevent exacerbations and maintain quality of life.

When to See a Doctor

Difficulty urinating and discomfort in the pelvic area are common reasons to consult a urologist. If you notice changes in your usual well-being, problems with urination, or recurring concerning symptoms, it is important to see a specialist for an evaluation. The doctor will gather information about your complaints, review your medical history, and, if necessary, order additional tests.

You should make an appointment with a urologist if, with benign prostatic hyperplasia, you notice:

• A constant feeling of incomplete bladder emptying
• Weak or intermittent urine flow
• Frequent urges to urinate, especially at night
• Difficulty starting urination or the need to strain
• Occasional pain or discomfort in the pubic area and perineum
• Symptoms recur or gradually worsen
• Urination problems interfere with work, sleep, or daily life
• No improvement after self-care measures or prescribed treatment
• First-time consultation regarding changes in urinary symptoms
• Repeated flare-ups or worsening condition after a period of improvement
• Need to adjust treatment in the presence of comorbidities
• Symptoms appear or intensify after a stressful event or an infection

Even if symptoms seem minor, they may indicate the need for further examination. The doctor will help determine which changes require attention and develop a plan of action without unnecessary complications or worries. Seeking timely consultation is an important step in maintaining the health of your urinary and reproductive system.

Emergency Conditions or When to See a Doctor Immediately

• Sudden inability to urinate accompanied by severe abdominal discomfort
• Sharp and intense pain in the groin or lower back area
• Appearance of blood in the urine or frequent changes in its color
• Rapid onset of weakness, dizziness, or loss of consciousness
• Combination of a high fever with significant urinary problems

If you experience any of these symptoms, do not wait for a scheduled appointment—seek medical help immediately. You can call a doctor to your home for a prompt assessment and necessary care.

Causes and Risk Factors of Benign Prostatic Hyperplasia

This section explains where benign prostatic hyperplasia (BPH) may develop from and which factors increase the likelihood of its occurrence. This will help understand what is important to check and discuss with a doctor for timely diagnosis and management of the condition.

Main Causes / Mechanisms (Briefly)

• Age-related hormonal changes affecting the growth of prostate tissue
• Imbalance of male sex hormones (e.g., testosterone and dihydrotestosterone)
• Slowed metabolism and impaired microcirculation in the pelvic area
• Inflammatory processes in the prostate that may stimulate tissue growth
• Genetic predisposition to an enlarged prostate

Risk Factors

• Age over 50 — risk increases with age
• Obesity and sedentary lifestyle promoting metabolic disorders
• Presence of chronic diseases such as diabetes and cardiovascular conditions
• Smoking and frequent alcohol consumption affecting vascular health
• Decreased physical activity and overeating
• Frequent stress, which may worsen overall health and hormonal balance
• Family history of prostate diseases

Reversible Causes That Are Important to Exclude

• Inflammatory processes (prostatitis) requiring treatment and monitoring
• Inherited or acquired hormonal disorders
• Consequences of pelvic trauma or surgery that may affect prostate function

Benign prostatic hyperplasia often develops under the influence of several factors combined, so an expert evaluation is necessary for an accurate understanding of the causes and risk of progression.

Diagnosis

Understanding the causes of changes and symptoms in benign prostatic hyperplasia is important for choosing the right treatment approach. The doctor carefully gathers information, assesses the condition, and orders tests as indicated to develop a clear plan for further actions.

Diagnostic Approach

• Taking a detailed medical history considering symptoms and individual characteristics
• Physical examination with assessment of the genitourinary system
• Ordering basic laboratory tests to identify possible concomitant disorders
• Conducting additional investigations as indicated if necessary
• Analyzing results and formulating a diagnostic and treatment plan
• Discussing next steps and monitoring progression with the patient
• Considering comorbidities and risk factors when selecting a treatment strategy

Typical Tests as Indicated

The diagnostic process may include:

• Ultrasound examination of the prostate and pelvic organs
• Urine and blood tests to assess inflammatory processes and kidney function
• Prostate-specific antigen (PSA) testing
• Uroflowmetry — measurement of urine flow rate and volume
• Cystoscopy to evaluate the condition of the urethra and bladder when indicated

What to Bring to the Appointment

• Results of previous medical examinations and tests
• A list of medications being taken along with dosages
• A symptom diary describing frequency and characteristics of manifestations
• Information on chronic diseases and past surgeries

Diagnosis of benign prostatic hyperplasia allows for understanding the current condition and choosing an effective strategy to control symptoms and improve quality of life.

Treatment

Treatment for 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 each case and requires evaluation by a physician.

Therapy Goals

• Reduce symptom severity and improve comfort
• Slow the progression of prostate changes
• Improve urinary function and overall quality of life
• Prevent possible complications related to urinary outflow obstruction

Main Treatment Approaches

• May include medication therapy to reduce symptoms and slow tissue growth
• Possibility of using non-pharmacological methods such as physical exercise and lifestyle changes
• Use of minimally invasive procedures as indicated to restore normal urinary flow
• Assessment and correction of other conditions affecting the disease course
• Therapy is individualized based on all patient-specific factors

What the Doctor Does

• Selects and adjusts the treatment plan depending on the patient’s response
• Considers comorbidities and overall health status
• Monitors for side effects and their impact on therapy
• Explains criteria for evaluating treatment effectiveness and the need for monitoring
• Coordinates interaction with other specialists for comprehensive management

What to Expect: Plan and Monitoring

• Effectiveness and symptom assessment are conducted regularly as indicated
• Treatment plan adjustments are possible if desired outcomes are not achieved
• The schedule of doctor visits is individually developed, considering disease progression
• Close monitoring helps prevent complications and maintain quality of life

To customize an individual treatment plan, schedule a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention of benign prostatic hyperplasia helps reduce the risk of developing symptoms and slows the progression of the disease. The prevention plan is tailored individually, taking into account the patient’s condition and the doctor’s recommendations.

Main primary prevention measures

• Maintaining a healthy weight and metabolic control
• Regular physical activity as advised by a doctor
• Quitting smoking and limiting alcohol consumption
• Managing chronic diseases such as diabetes and cardiovascular conditions
• Balanced nutrition with sufficient fruits and vegetables
• Minimizing stress and improving sleep quality

Screening and secondary prevention / regular monitoring

• Regular monitoring of the prostate gland condition according to specialist recommendations
• Hormone level and blood parameter testing as indicated
• Screening for urinary system dysfunction symptoms when necessary
• Monitoring of comorbid conditions under medical supervision
• Scheduled visits to assess progression and adjust the treatment plan

Practical advice

• Discuss possible lifestyle changes with your doctor to reduce the burden on the prostate
• Keep track of urination regularity and note any changes in symptoms
• Avoid prolonged sitting and exposure to cold
• Maintain an optimal level of physical activity recommended by your specialist
• Take medications and undergo procedures only as prescribed and do not alter the regimen independently
• Pay attention to your overall health and consult a specialist promptly if new symptoms arise

Prevention of benign prostatic hyperplasia requires regular attention and an individualized approach.

Important to Know

When treating benign prostatic hyperplasia, it is important not only to relieve symptoms but also to understand the causes and contributing factors. Early consultation helps to choose the appropriate strategy in time and reduce the risk of complications or disease progression. The doctor may recommend dynamic monitoring and adjust the treatment plan depending on the patient's condition. The course of the disease is influenced by overall lifestyle, stress levels, sleep quality, and comorbidities — these are important aspects to manage together with a specialist. Self-medication can complicate the correct diagnosis, cause undesirable effects, and delay receiving necessary medical care.

• Considering the cause of the disease helps to select an effective treatment strategy
• Early assessment reduces the risk of complications and symptom worsening
• Dynamic monitoring allows timely adjustments to the therapy plan when needed
• The condition is affected by bodily stress, stress levels, sleep quality, and chronic diseases
• Self-treatment can mask symptoms and complicate timely detection of the problem
• The doctor applies a comprehensive approach, taking into account the patient’s individual characteristics

You can find detailed information about benign prostatic hyperplasia and its treatment on our general page. Discussing any questions and specifics with a doctor will help choose the most suitable plan and maintain control over your condition.

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

Before seeing a doctor for symptoms related to the prostate gland, it is important to know what you can do to relieve discomfort and what to avoid so as not to complicate the diagnosis. If your condition worsens, seek immediate medical attention from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Record the time and circumstances of symptom onset, as well as factors that relieve or worsen them
• Keep a symptom diary noting their intensity and possible triggers
• Bring a list of your current medications and dosages, if any
• Reduce physical activity and rest if you experience persistent discomfort
• Monitor the frequency of urination and note any changes
• Drink enough water to avoid dehydration, unless contraindicated
• Measure and record your temperature if you feel feverish or chilled
• Try to avoid prolonged sitting and exposure to cold

What You Should Not Do Before the Appointment

• Do not stop taking previously prescribed medications without consulting your doctor
• Do not start taking new medications or combine treatments on your own
• Do not turn to unproven folk remedies or “quick-fix” recipes
• Do not try to interpret lab results or examinations by yourself
• Do not postpone your visit to the doctor if symptoms or pain worsen
• Do not use strong painkillers without a specialist’s recommendation
• Do not increase physical activity if you are experiencing discomfort or tension
• Do not ignore the appearance of new symptoms, even if they seem minor

If you experience signs of an emergency or sudden severe worsening, immediately seek help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Benign Prostatic Hyperplasia

During a consultation regarding benign prostatic hyperplasia (BPH), I will help you understand the causes of your symptoms and the specifics of your individual condition. Together, we will assess the severity of the problem and identify risks that may affect your overall well-being. I will review your current prescriptions and their tolerability, as well as propose a structured plan for examinations, treatment, and follow-up. Special attention will be given to any comorbidities and lifestyle factors to ensure you receive a comprehensive and clear approach. During the consultation, you will also receive recommendations on monitoring symptom progression and criteria for when to seek further medical advice.

Here is how I can assist you in managing benign prostatic hyperplasia:

• Analyze your symptoms and medical history to determine possible causes
• Evaluate the severity of your condition and risk factors affecting your health
• Review and adjust current medications and their tolerability
• Develop an individualized plan for further investigations, treatment, and monitoring
• Consider comorbidities and current medications when choosing the management strategy
• Provide lifestyle and regimen recommendations tailored to your condition
• Explain how to monitor symptom progression and when to schedule follow-up visits
• Conduct initial diagnostic assessments and differential diagnosis of symptom changes
• Adjust treatment plans if there is insufficient effect or if side effects occur

This comprehensive approach not only helps alleviate symptoms but also reduces the risk of complications and flare-ups. Collaborative planning and regular monitoring will help maintain prostate health at a stable level and improve your quality of life.

What questions can I ask the doctor about benign prostatic hyperplasia?

During a consultation regarding benign prostatic hyperplasia, you can discuss the following important issues with Sergey Nikolaevich Glushchenko: difficulty urinating, feeling of incomplete bladder emptying, frequent or urgent urination, as well as pain or discomfort in the pelvic area. If symptoms recur, worsen, or treatment is ineffective, this is also a reason to seek medical advice. In case of sudden inability to urinate, severe pain, or bleeding, urgent medical attention is required—do not wait for a scheduled appointment.

At the consultation, you can discuss questions such as:

• What is happening to me and what could it be?
• Why have the symptoms appeared now?
• How can I understand if this is related to prostate hyperplasia or another condition?
• What examinations do I need in my case?
• Which tests and investigations are mandatory, and which can be skipped?
• How should I prepare for the scheduled tests and appointment?
• What treatment options are available and how do they differ?
• Is this condition completely curable or does it require ongoing monitoring?
• Why is the prescribed treatment not helping, and what should I do in that case?
• Is it possible to avoid surgery or any procedures?
• How long does the treatment usually last and how often should I undergo follow-up?
• What signs indicate that the condition has improved or worsened?
• What should I do if the condition suddenly deteriorates or there is an exacerbation?

Dr. Sergey Nikolaevich helps to comprehensively assess your condition, select the appropriate diagnostics and treatment, and organize follow-up care. If necessary, he will refer you to other specialists or arrange urgent care. The consultation will help you get answers to your concerns and choose a convenient and safe way to maintain your health.

How the Consultation Proceeds

A consultation with a urologist for benign prostatic hyperplasia involves reviewing complaints, assessing the condition, and developing a plan for further action. The scope of necessary examinations is determined individually, depending on the specific case and symptoms. It is not always possible to obtain a complete diagnosis in one visit, but the doctor will conduct a preliminary evaluation and decide on the next steps.

1. Clarifying complaints and the purpose of the visit: which symptoms are concerning, when they appeared, what affects their severity, and what the patient expects from the consultation.
2. Collecting medical history, considering risk factors, overall health status, and concomitant diseases.
3. Discussing results of previous examinations and treatments, if any, with a request to bring documents and a list of medications.
4. Conducting a physical examination and, if necessary, simple tests to assess the condition of the genitourinary system.
5. Providing a preliminary conclusion about possible causes of the symptoms and what is important to exclude at this stage.
6. Developing a plan for examinations based on indications, which may include prostate ultrasound, blood and urine tests, urodynamic tests, and other procedures.
7. Formulating a treatment or observation plan considering individual characteristics and the stage of the condition.
8. Discussing timing and methods for monitoring progress, as well as recommendations on symptoms that require scheduling a follow-up visit.

If this is your first visit, the consultation will focus in detail on clarifying symptoms and searching for possible causes. If there has been no improvement after previous treatment, the main task will be to analyze reasons for ineffectiveness and adjust the treatment strategy.

This step-by-step approach ensures safety and informativeness of the appointments, helping the patient understand their condition and choose the optimal path for treatment and management.

Preparation for the Appointment

Proper preparation for your appointment with the urologist helps to diagnose faster and choose the most suitable treatment plan. Follow this checklist to make your consultation as effective as possible.

• Bring a list of all your current medications, including names and dosages, if known
• Take previous test results with you, including ultrasound, blood tests, and urine analysis
• Write down your main complaints: when symptoms started, what worsens or eases them
• Do not stop taking prescribed medications without consulting your doctor
• If in doubt, clarify important points when making the appointment or by phone
• Come without makeup or creams in the area to be examined, if applicable
• If recommended by your doctor, avoid eating and drinking for 8–12 hours before the appointment (confirm when scheduling)
• Prepare questions and topics you want to discuss during the appointment
• Wear comfortable clothing suitable for the examination, if one is expected
• Bring your ID and insurance card if required

If you have any doubts about preparation, it’s best to check the details with the clinic’s reception. Do not change your medication regimen without consulting your doctor.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, oncologist, and a first-category physician with 20 years of experience. He frequently works with patients requiring treatment for benign prostatic hyperplasia, including initial consultations, chronic cases, and situations where previous treatments have been ineffective.

In his practice, Sergey Nikolaevich focuses on the differential diagnosis of symptom causes and therapy adjustment considering comorbidities. Patients receive a thorough explanation of their condition, a clear plan for examinations, and subsequent steps to manage their health.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

Choosing a doctor for benign prostatic hyperplasia depends on confidence in a comprehensive and safe approach to the condition. Sergey Nikolaevich pays special attention to thorough diagnostics of the underlying causes of symptoms and is experienced in handling complex clinical cases, which allows him to develop a consistent treatment plan. Patients value the clarity of the action plan and monitoring criteria, so the doctor always explains the next steps and what exactly will be evaluated. Taking into account comorbidities and medications being taken, he adjusts therapy to avoid adverse effects. Additionally, patients appreciate the convenience of being able to come with existing test results — the doctor interprets them and builds recommendations without unnecessary appointments.

• Clear action plan: what we do now, what we monitor, and when the next appointment is
• Examinations only as indicated — avoiding unnecessary procedures and tests
• Consideration of comorbidities and drug interactions — enhancing safety
• Monitoring changes and timely treatment adjustments if effectiveness is insufficient
• Reviewing previous prescriptions, tolerability, and side effects of therapy
• Focus on diagnosing causes and excluding concomitant problems
• Management of chronic and complex cases that require attention and experience
• Ability to use previously conducted test results to save time

This approach allows patients to feel confident and understand every step of their treatment. The doctor pays attention not only to current complaints but also to preventing complications, helping to maintain a stable condition over the long term.

Case Studies

Initial Consultation for Difficult Urination

A middle-aged patient presented with complaints of frequent urges and a sensation of incomplete bladder emptying. It was important to rule out inflammatory processes and possible tumors that could be causing the symptoms. The doctor conducted a thorough medical history, examination, and recommended necessary tests to clarify the cause. Based on the results, the condition stabilized, and the symptoms became less pronounced after several weeks. The patient continues under regular monitoring with assessment of progress and adjustment of recommendations as needed.

Treatment Adjustment Due to Lack of Effect

An elderly patient complained of persistent urination problems despite previously prescribed treatment. The key task was to revise the approach and exclude side effects or inappropriate therapy. After a detailed analysis of current medications and condition assessment, the doctor proposed a modified treatment plan and additional examinations. Partial improvement and reduction of symptom severity were observed over the following month. The patient continued regular visits for monitoring and therapy adjustments.

Chronic Course with Comorbidities

A middle-aged patient with a long history of benign prostatic hyperplasia and diabetes mellitus came for evaluation of treatment effectiveness. It was important to consider the impact of comorbidities on the prostate condition and possibilities for therapy adaptation. The doctor conducted a comprehensive review of current complaints and prescriptions and adjusted the course taking into account the patient’s overall condition. The condition remained stable over time, and a clear follow-up schedule was established to prevent exacerbations.

Symptom Exacerbation Following a Stressful Period

A young man presented with a sudden worsening of urinary symptoms following recent stress. It was necessary to quickly assess the condition and exclude infections or other complications. The doctor performed an examination, recommended necessary tests, and made prompt adjustments to the treatment. At the follow-up visit a few weeks later, significant improvement was noted, and a preventive monitoring plan with lifestyle recommendations was developed.

How long does the consultation last?

On average, a consultation takes 30–60 minutes; please check the exact time when booking.

How should I prepare for the appointment?

Write down your symptoms, their onset and characteristics, as well as any questions for the doctor.

What should I bring to the consultation?

It is recommended to bring results of previous examinations, a list of current medications, and medical records.

Do I need to come fasting?

Usually no, unless otherwise specified during booking or by the specialist.

How many visits are usually required?

It depends on your condition and chosen treatment approach, usually from a few to several visits.

When can I expect the first results of the treatment?

Expectations are individual and depend on the chosen strategy and the body’s response.

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

Seek medical help immediately in case of serious deterioration or emergency symptoms.

Can treatment be combined with current medications?

Discuss this with your doctor during the appointment; do not change your medication regimen on your own.

Is it possible to have an online consultation?

Yes, remote consultation is possible if there is no need for physical examination or additional tests.

Can I come with tests already done?

Yes, results of already completed tests will help the doctor assess your condition more accurately.

Do I need to come for follow-up visits?

Follow-up visits are scheduled individually to monitor progress and treatment effectiveness.

Can I get a second opinion?

Yes, the doctor is open to reviewing results from other specialists and discussing options.

What should I do if symptoms return after improvement?

Contact the doctor to evaluate the situation and adjust the treatment plan.

What tests are usually prescribed?

The testing strategy depends on symptoms and condition; the doctor will determine necessary tests as indicated.

Can I stop taking medications before the appointment?

Do not discontinue medications without consulting your doctor.

How does the initial consultation proceed?

The doctor takes your complaints, reviews your medical history, assesses your condition, and develops a plan for further action.

What if previously prescribed treatment did not help?

During the consultation, your prescriptions will be reviewed and therapy adjustments considered.

How do I know if the illness requires urgent care?

Seek immediate medical attention for sudden severe pain, inability to urinate, or blood in the urine.

Can I consult for recurring symptoms?

Yes, regular monitoring is important for treatment adjustment and complication prevention.