Treatment of bladder stones by urologist-andrologist Sergey Nikolaevich Glushchenko in Dnipro city

Patients present with painful sensations in the lower abdomen, frequent urges to urinate, difficulty with urine flow, or recurring symptoms after previous treatment.

The doctor conducts a thorough clinical examination, analyzes the complaints and medical history, and, if necessary, orders additional tests for an accurate assessment of the condition.

As a result, the patient receives a clear and understandable plan of further actions: what to do immediately, which examinations to undergo, and how to monitor their condition over time.

Special attention is given to the differential diagnosis of the causes of the problems and the prevention of exacerbations, which helps to timely adjust treatment and avoid complications.

When to See a Doctor

If you experience discomfort or changes in bladder function, it is important to consult a specialist. You should make an appointment with a urologist-andrologist if, during treatment for bladder stones, you notice:

• Frequent and painful urges to urinate
• Difficulty or delay when starting urination
• A feeling of incomplete bladder emptying after urination
• Periodic or constant pain in the lower abdomen
• Presence of blood in the urine
• Worsening of symptoms after physical exertion or stress
• Recurring complaints after previous treatment
• Symptoms that interfere with normal sleep or work
• No improvement after attempts at self-relief
• Worsening symptoms without an obvious cause
• A need to clarify the cause of new or changed symptoms
• If the condition worsens or symptoms appear for the first time

Seeing a doctor allows timely identification of the causes of your discomfort and the selection of the right approach to manage them. Do not ignore recurring or increasing symptoms—even if they seem minor, a specialist can help determine what to do next.

Emergency Conditions or When You Need to See a Doctor Immediately

• Sudden severe pain in the lower abdomen or bladder area
• Sudden inability to urinate
• Increasing weakness and dizziness along with symptoms
• Combination of pain with high fever and chills
• Presence of a large amount of blood in the urine or blood clots

If you experience any of these symptoms, do not wait for a scheduled appointment and seek emergency medical help immediately. Our clinic offers a home visit service for timely assessment and care.

Causes and Risk Factors in the Treatment of Bladder Stones

To understand where the problem with bladder stones may arise, it is important to consider the main causes and risk factors. This helps the doctor determine the necessary examinations and develop an appropriate treatment plan.

Main Causes / Mechanisms (briefly)

• Delayed emptying of the bladder, which promotes salt deposits
• Urine composition disorders leading to crystal formation
• Urinary tract infections contributing to stone formation
• Injuries or abnormalities of the genitourinary organs
• Chronic inflammation of the inner bladder walls

Risk Factors

• Age over 50, when metabolism changes
• Chronic diseases of the urinary system or prostate
• Insufficient fluid intake and dehydration
• Sedentary lifestyle and lack of physical activity
• Recurrent urinary tract infections
• Obesity and metabolic disorders
• Urine outflow obstruction, including urethral strictures
• Genetic predisposition to urolithiasis

Reversible Causes That Should Be Excluded

• Acute infectious processes of the urinary tract
• Temporary hydration and drinking regimen disturbances
• Use of certain medications affecting urine composition
• Inflammatory processes amenable to treatment

Understanding the possible causes and risk factors of bladder stones helps to seek timely medical attention and undergo the necessary examinations for choosing the optimal treatment.

Diagnosis

The diagnosis in the treatment of bladder stones is aimed at accurately understanding the cause of symptoms and selecting the optimal plan. The doctor sequentially collects information and orders tests as indicated to exclude other conditions and assess the current state of the patient.

Approach to Diagnosis

• Medical history: discussion of complaints, medical history, and previous treatments
• Physical examination, including palpation and assessment of the genitourinary system
• Ordering basic urine and blood tests as indicated
• Ultrasound examination of the bladder and kidneys to detect stones and assess the condition of the organs
• If necessary — additional tests, such as computed tomography (CT) or cystoscopy
• Discussion of results and preparation of a plan for further actions

Typical Tests as Indicated

• Ultrasound examination of the pelvic organs
• Complete blood count and biochemical blood analysis
• Urinalysis with microscopy and culture
• CT scan of the urinary tract (in complicated cases)
• Cystoscopy — examination of the bladder’s internal surface

What to Bring to the Appointment

• Results of previous examinations and tests, if any
• List of medications and supplements being taken
• Records of symptoms: when and how they occur
• Information about previously performed procedures or surgeries

A thorough diagnosis of bladder stones helps identify the causes and select an effective treatment plan, taking into account the patient’s individual characteristics.

Treatment

The treatment of bladder stones is aimed at reducing symptoms and restoring normal functioning of the urinary system. The therapy plan is tailored individually, taking into account the patient's condition and the results of examinations.

Therapy Goals

• Reducing pain and discomfort during urination
• Addressing the causes of stone formation and preventing new ones
• Restoring normal urine flow and bladder function
• Preventing complications and exacerbations

Main Treatment Approaches

• May include medication to relieve symptoms and control inflammation as indicated
• Primary focus on minimally invasive procedures to remove or break up stones when necessary
• Non-medication methods, including recommendations on fluid intake and diet
• Possible combination of several approaches based on individual characteristics and comorbidities
• Therapy is always based on the physician's evaluation and adjusted as needed

What the Doctor Does

• Selects and adjusts treatment methods considering the patient’s medical history
• Takes into account concomitant diseases and contraindications
• Monitors the development and severity of side effects
• Explains to the patient the criteria for evaluating therapy effectiveness
• Coordinates treatment with other specialists if necessary

What to Expect: Plan and Monitoring

• Assessment of condition dynamics and symptoms is conducted regularly according to an individual schedule
• Treatment plan is adjusted depending on the body’s response and examination results
• Follow-up visits help to promptly identify the need for changes
• Monitoring aims to prevent complications and maintain quality of life

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

Prevention

Prevention is important for reducing the risk of recurrent bladder stones and maintaining the health of the urinary system. A prevention plan is tailored individually, taking into account the patient's characteristics and examination results.

Main Primary Prevention Measures

• Monitoring adequate fluid intake to prevent urine concentration
• Following a diet regimen and nutritional quality as recommended by the doctor
• Maintaining an active lifestyle appropriate to the health condition
• Managing chronic urinary system diseases and related conditions
• Minimizing factors that contribute to difficulty urinating

Screening and Secondary Prevention / Regular Monitoring

• Regular ultrasound monitoring of the bladder and kidneys as indicated
• Urine and blood tests to assess metabolic processes and inflammation based on medical advice
• Discussing medication regimens with your doctor when managing comorbidities
• Planned urologist check-ups to evaluate the effectiveness of preventive measures

Practical Advice

• Discuss the optimal drinking and dietary regimen with your doctor
• Try to avoid prolonged urine retention
• Monitor your weight and adjust your lifestyle if necessary
• Consider regular consultations to monitor your condition
• Pay attention to new symptoms and promptly inform your healthcare provider

Preventive measures for bladder stones help reduce the risk of recurrence and support quality of life; therefore, regular consultation and medical follow-up are important.

Important to Know

Endoscopic treatment of bladder stones requires a professional approach and thorough diagnostics. It is important not only to remove the stones themselves but also to identify the causes of their formation to reduce the risk of recurrence. Early assessment of the condition helps to choose the most appropriate strategy and minimize the likelihood of complications. Sometimes, dynamic monitoring and adjustment of the treatment plan are necessary depending on changes in the patient’s condition. It is also important to consider the impact of general factors — such as physical activity, stress, sleep quality, and comorbidities — which can affect the course of the problem.

• Identifying causes and triggering factors is more important than just alleviating symptoms
• Early consultation helps select the optimal treatment and reduce risks
• Monitoring and adjusting treatment based on progress is common practice
• Stress, lack of sleep, and other factors can influence the condition
• Self-medication can complicate diagnosis and lead to undesirable effects
• Dr. Sergey Nikolaevich Glushchenko’s clinic employs a comprehensive approach and gentle methods

For a more complete understanding of the processes and treatment options, we recommend reviewing general urology information available on our website.

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

Before seeing the doctor, you can perform several simple and safe actions that will help you prepare for the consultation and will not harm your condition. If your symptoms worsen or alarming signs appear, it is recommended to urgently contact Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Write down when and how the symptoms started, what relieves or worsens your condition
• Bring a list of all medications you are taking to the appointment; if you know the dosages, write those down as well
• Measure your temperature, blood pressure, and pulse if you know how and have the means to do so
• Keep a symptom diary: note the intensity, time of occurrence, and possible causes
• Drink enough water to avoid dehydration, unless contraindicated
• Reduce physical activity and try to rest until your visit to the doctor
• Stay calm and avoid stressful situations that may worsen your condition
• Prepare information about previous examinations and treatments, if any

What You Should Not Do Before the Appointment

• Do not stop or change prescribed medications without consulting your doctor
• Do not start using new medications or remedies without specialist advice
• Do not use folk remedies or methods not supported by medical evidence
• Do not ignore worsening symptoms or the appearance of new alarming signs
• Do not try to diagnose yourself or interpret tests and examinations on your own
• Do not take medications taken from other patients or without a prescription
• Do not delay seeing the doctor if pain increases or if you have difficulty urinating
• Do not exceed your usual fluid intake recommendations without doctor’s advice

If signs of an emergency arise, immediately seek help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Physician in the Endoscopic Treatment of Bladder Stones

During a consultation for bladder stone treatment, I can assist you in the following ways: identify possible causes of your symptoms, assess your current condition, and choose the optimal approach. We will discuss convenient and understandable methods for controlling and preventing complications, taking into account all the specifics of your body.

• Review your symptoms and medical history to understand possible causes
• Evaluate the severity of symptoms and health risks
• Analyze current medications and their tolerability, adjusting if necessary
• Develop a plan for next steps: examinations, treatment, and follow-up
• Consider comorbidities and concurrent medications for a comprehensive approach
• Provide lifestyle and regimen recommendations tailored to your situation
• Discuss criteria for monitoring progress and when to seek further medical advice
• Perform initial diagnostics and differential diagnosis to pinpoint causes
• Help adjust treatment if effects are insufficient or side effects occur

This comprehensive approach not only helps alleviate symptoms but also reduces the risk of complications, improves quality of life, and prevents recurrence. If needed, I can offer a second opinion or review existing exam results for a more accurate assessment.

What questions can you ask a doctor regarding endoscopic treatment of bladder stones

During a consultation about bladder stone treatment, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Pain and discomfort in the lower abdomen or during urination
• Frequent or difficult urges to urinate
• Presence of blood in the urine or changes in urine color
• Recurring or worsening symptoms after previous treatment
• Difficulties with urination and feeling of incomplete bladder emptying
• Adjusting treatment if it is ineffective or causes side effects
• Reviewing medical history and current complaints
• Getting a second opinion on previously prescribed therapy

In cases of sudden severe pain, inability to urinate, or significant worsening of your general condition, seek emergency care immediately—do not wait for a scheduled appointment.

Questions you can ask during the consultation

• What is happening to me and what could it be?
• Why have my symptoms appeared now?
• How can I tell if my complaints are related to bladder stones?
• What examinations are necessary in my case for an accurate diagnosis?
• Which tests and investigations are mandatory, and which can be skipped?
• How should I prepare for the examinations and the doctor’s appointment?
• What treatment options are available and how do they differ?
• Is it possible to get rid of the stones completely without surgery?
• Why is the prescribed therapy not working and what should I do next?
• How long will the treatment last and how often do I need check-ups?
• What signs indicate improvement or deterioration of my condition?
• What should I do if my symptoms suddenly worsen or flare up?

If you have questions or concerns related to the treatment of bladder stones, consulting with a doctor will help clarify the situation and develop a safe and effective management plan. It is important to remember that acute symptoms require urgent medical attention and should not be postponed.

How the Consultation Proceeds

A consultation with a urologist-andrologist for the treatment of bladder stones involves reviewing your complaints, assessing your condition, and developing a plan for further action. The scope of examinations is determined individually based on indications and does not always require a full range of tests at once. The goal of the visit is to understand the situation and agree on the next step, without promises of a "definitive diagnosis in one appointment."

1. Clarification of complaints and visit objectives: we find out what bothers you, how long it has been happening, and which factors influence the symptoms.
2. Medical history collection: we discuss concomitant diseases, previous surgeries, and possible risk factors.
3. Review of previous treatments and examination results: if you have undergone tests, it is important to bring any related documents and a list of medications you are taking.
4. Conducting an examination and, if necessary, basic tests to assess overall condition and local signs.
5. Preliminary conclusion: we discuss possible causes of symptoms and important aspects that need to be ruled out.
6. Examination plan (if indicated): may include ultrasound, urine and blood tests, sometimes CT scan or cystoscopy.
7. Discussion of possible treatment options and further monitoring considering individual characteristics.
8. Determining follow-up timing: when to return for a follow-up and which changes in condition require urgent consultation.

If this is your first visit, special attention is paid to gathering detailed information and clarifying factors that might have triggered the development of symptoms. If previous treatment has not led to improvement, the consultation focuses on analyzing the reasons for lack of effect and adjusting the management strategy.

This consultation structure helps to use time as efficiently as possible and determine the optimal way to address your problem.

Preparation for the Appointment

To make your consultation with the urologist as effective as possible and to help determine a treatment plan more quickly, it is important to prepare properly for your visit. This will help the doctor better assess the situation and make the right decisions.

• Bring a list of all current medications with their names and dosages, if known
• Take any results from previous examinations, images, and tests, if available
• Write down your main complaints: when symptoms appeared, what worsens or relieves your condition
• Do not stop taking prescribed medications without consulting your doctor
• If possible, come with information about any comorbidities and previous surgeries filled out
• Check with the reception whether any special preparation is required before the appointment
• If necessary, bring a symptom diary or notes about your condition
• If you are unsure about preparation, it is better to clarify details by phone before your visit
• If instructed to come fasting — do not eat or drink for 8–10 hours unless otherwise directed

By preparing according to these points, you will help the doctor conduct a faster evaluation and develop an appropriate treatment plan. Do not change or stop medications without consulting a specialist.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, and oncologist of the first category with 20 years of experience.

In the field of bladder stone treatment, he frequently works with patients who experience recurring symptoms, chronic disease progression, and complications following previous treatment attempts.

Sergey Nikolaevich places special emphasis on the differential diagnosis of causes and the prevention of exacerbations, which helps to develop a well-founded and clear patient management plan.

During the consultation, you will receive a detailed analysis of your current situation and recommendations for further actions, taking into account your individual characteristics.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating bladder stones with Dr. Sergey Nikolaevich, patients receive a gradual and structured approach based on a thorough analysis of symptoms and medical history. He pays special attention to differential diagnosis of the causes and adjusts therapy considering any concomitant conditions. In his practice, the doctor focuses on monitoring progress and adapting the treatment plan as needed, which helps to avoid complications. Moreover, Sergey Nikolaevich explains every step in simple terms so that the patient understands the therapy goals and possible risks—something that is not always available when consulting other specialists.

• Clear step-by-step treatment plan emphasizing current steps and timing of follow-ups
• Examinations performed only when indicated to avoid unnecessary procedures and expenses
• Consideration of comorbidities and drug interactions for patient safety
• Monitoring therapy effectiveness with the option to adjust in case of side effects
• Analysis and interpretation of previously conducted examinations for a comprehensive understanding of the situation
• Emphasis on preventing complications and exacerbations throughout patient management
• Experience in managing complex and recurrent cases, including chronic disease courses

This approach ensures individualized and informed patient care, helping to avoid common mistakes and unnecessary actions. By choosing Sergey Nikolaevich, patients gain access to attentive analysis and condition monitoring, which contribute to more stable and predictable treatment outcomes.

Case Studies

Initial Consultation for Painful Urination

A middle-aged patient presented with complaints of frequent and painful urges to urinate, as well as a sensation of incomplete bladder emptying. It was important to rule out inflammatory processes or tumors that could be causing these symptoms. A comprehensive assessment of complaints, physical examination, and basic tests were performed. Based on the results, a diagnostic plan was developed, including ultrasound and urine tests to clarify the cause. During the follow-up visit, a reduction in symptoms and stabilization of the condition were noted. The patient was referred for ongoing monitoring with preventive recommendations.

Therapy Adjustment in Case of Ineffective Treatment

A middle-aged woman came after ineffective treatment of pain and urinary disturbances for several months. The physician paid special attention to reviewing previously prescribed medications and possible side effects. Additional diagnostic work was carried out to determine the current condition. Based on the findings, the treatment plan was adjusted taking into account comorbidities. Over time, improvement and a decrease in symptom frequency were observed. Further management includes regular monitoring and therapy adjustments as needed.

Chronic Course with Comorbidities

An elderly patient with a long history of urolithiasis presented with recurrent episodes of discomfort and urinary problems. It was important to consider concurrent cardiovascular and metabolic diseases to minimize treatment risks. A comprehensive evaluation was conducted, including examinations and an assessment of drug therapies. The condition stabilized due to an integrated approach with an emphasis on prevention of complications. The patient was placed on regular monitoring with scheduled visits to assess progress.

Symptom Exacerbation and Control Plan Development

A young man presented with a sudden increase in pain and urinary problems, requiring urgent evaluation. The physician conducted a thorough assessment of complaints and ordered necessary tests to exclude acute complications. After resolving the exacerbation, an individualized maintenance therapy and medical monitoring plan were developed. Subsequent visits showed gradual symptom reduction and overall improvement. The physician continues to monitor the patient’s progress and adjusts treatment as needed to prevent relapses.

Recurring Symptoms After Previous Treatment

A female patient, after multiple treatment stages, presented with recurring symptoms, raising concerns about a potentially inappropriate approach. A detailed review of the medical history, including analysis of prior diagnostics and therapies, was undertaken. Additional diagnostics were performed to identify hidden factors influencing the disease course. The management strategy was revised based on new data and changes in the clinical picture. Follow-up visits showed gradual stabilization of the condition. The patient continues receiving monitoring and preventive care recommendations.

How long does a consultation last?

A consultation usually takes between 30 and 60 minutes; please confirm the duration when booking.

How to prepare for the appointment?

Write down your symptoms, medical history, and prepare questions for the doctor.

What should I bring to the appointment?

Bring all test results, scans, medical records, and a list of medications you are currently taking.

Do I need to come on an empty stomach?

Usually not required unless otherwise specified when making the appointment.

How many visits are usually needed for treatment?

The number of visits depends on the complexity of the situation and the chosen treatment plan.

When can I expect to see the first results from treatment?

Timing depends on individual factors and the selected therapy.

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

If you experience severe pain, difficulty urinating, or other serious symptoms, seek emergency medical help.

Can I combine treatment with my current medications?

This should be discussed during the appointment; do not stop or add medications on your own.

Is online consultation available?

Yes, remote consultations are available; please check the conditions when booking.

Can I come with already completed tests?

Yes, bring any existing test results for a thorough assessment.

Do I need to come for follow-up visits?

Follow-up visits are recommended as per the doctor’s plan to evaluate effectiveness and adjust therapy.

Can I get a second opinion from this doctor?

Yes, the doctor is ready to review your case in detail and provide clarifications.

What should I do if symptoms return after improvement?

Inform the doctor to adjust the treatment plan and possibly conduct additional tests.

What tests are usually prescribed?

Tests depend on symptoms and the individual case; they are selected based on medical indications.

Is treatment possible without surgery?

Treatment options are discussed individually; surgery is prescribed only if necessary.

How can I understand if the problem is related to bladder stones?

Diagnosis includes analyzing symptoms and conducting tests; the doctor will help clarify during the appointment.

How often should tests be done for chronic conditions?

The frequency is determined by the doctor based on your condition and treatment results.

Can consultations be combined with other specialists?

Yes, if necessary, the doctor coordinates treatment with relevant specialists.

What if I’m not sure whether I need a consultation?

If in doubt, consult with the receptionist or the doctor; the assessment is always individual.