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

Patients present with complaints of lower abdominal pain, frequent urges to urinate, discomfort, and difficulty emptying the bladder.

The physician conducts a thorough clinical evaluation, reviews the medical history and symptoms, and, if necessary, orders additional examinations to clarify the condition.

The patient receives a clear action plan: recommendations for initial measures, necessary tests, and methods for monitoring the condition to ensure timely response to any changes.

Sergey Nikolaevich Glushchenko places special emphasis on differential diagnosis and the prevention of recurrent exacerbations, providing comprehensive support at all stages.

When to See a Doctor

Bladder stones often cause severe and unpleasant symptoms that can interfere with daily life. Sometimes the discomfort appears suddenly, while in other cases the symptoms develop gradually. You should make an appointment with a urologist if you notice any of the following when you have bladder stones:

• Persistent pain in the lower abdomen or groin area
• Frequent and painful urges to urinate
• Difficulty or interrupted urination
• A feeling of incomplete bladder emptying after urination
• The presence of blood in the urine, even if it happens occasionally
• Recurring symptoms that do not go away or return after treatment
• Worsening symptoms that interfere with work, rest, or sleep
• No improvement after self-care or previously prescribed treatment
• Repeated episodes of urinary tract inflammation
• New unpleasant sensations following recent infections or injuries
• The need to adjust treatment if other urological conditions are present
• Initial symptoms that appear after stressful situations or physical exertion

Even if the symptoms seem minor or temporary, an examination can help clarify their causes and determine the appropriate course of action. It is important not to ignore these problems to avoid potential complications and maintain your quality of life.

Emergency Conditions or When You Need to See a Doctor Immediately

• sudden severe pain in the lower abdomen
• increasing pain that does not subside and worsens over time
• combination of severe pain and high fever
• presence of a large amount of blood in the urine or recurring bleeding
• sudden difficulty urinating or complete urinary retention

If you experience any of these symptoms, do not wait for a scheduled appointment — it is important to get medical help as soon as possible. Our clinic offers a home visit service so that your condition can be assessed and first aid provided as quickly as possible.

Causes and Risk Factors of Bladder Stones

This section will help you understand the causes that may contribute to the formation of bladder stones and the factors influencing the risk of their development. It is important to note that an accurate determination of causes requires medical examination and assessment by a doctor.

Main Causes / Mechanisms (Briefly)

• urine stasis in the bladder due to impaired outflow
• imbalance of mineral substances in the urine that promotes crystal formation
• inflammatory processes in the urinary tract
• chronic diseases of the prostate or urethra
• injuries or surgeries of the urinary system

Risk Factors

• age over 50 and associated changes in urinary system function
• presence of bladder, prostate, or kidney diseases
• dehydration and insufficient fluid intake
• improper diet with excess salt and protein
• frequent urinary tract infections
• sedentary lifestyle and reduced physical activity
• metabolic disorders, including problems with mineral metabolism
• presence of foreign bodies or catheters in the bladder

Reversible Causes That Should Be Excluded

• temporary urine stasis caused by certain medications
• infections provoking sediment formation in the urine
• improper fluid intake leading to increased mineral concentration
• dietary imbalances that can be corrected

Each case of bladder stones is individual, so it is important to undergo examination to determine the specific causes and choose appropriate treatment.

Diagnosis

Diagnosis of bladder stones is aimed at determining the causes of symptoms and selecting the appropriate treatment strategy. The approach is designed to ensure the patient feels comfortable and receives clear information about the next steps.

Diagnostic Approach

• taking a detailed medical history, considering complaints and disease history
• visual examination and palpation to assess the condition of the abdomen and groin area
• conducting basic laboratory tests, including urinalysis
• ordering additional tests as indicated to clarify the size and location of the stones
• evaluating accompanying factors and comorbidities
• discussing results and formulating the further examination and treatment plan

Typical Tests as Indicated

• ultrasound examination of the bladder and kidneys
• radiography of the urinary tract
• cystoscopy — inspection of the inner surface of the bladder
• general and biochemical blood tests
• additional urine tests and microbiological analyses

What to Bring to the Appointment

• previous test results and examinations, if available
• list of medications and supplements currently taken
• symptom diary indicating time and nature of symptoms
• information about past surgeries and diseases of the urinary system

The diagnostic phase allows for a preliminary assessment of the condition in the presence of bladder stones and helps determine the necessary steps for further examination and effective management.

Treatment

Treatment of bladder stones is aimed at reducing symptoms and preventing complications. The therapy plan is tailored individually, taking into account the patient's condition and the results of examinations.

Therapeutic Goals

• reduce pain and discomfort during urination
• correct factors contributing to stone formation
• restore normal bladder function
• prevent development of complications and recurrent exacerbations

Main Treatment Approaches

• may include medication therapy to reduce inflammation and relieve symptoms
• non-pharmacological methods aimed at improving urine outflow are possible
• minimally invasive or surgical procedures are performed if necessary based on indications
• a comprehensive approach considering comorbidities and the patient’s overall condition

What the Doctor Does

• analyzes and clarifies the causes of stone formation, selects and adjusts therapy
• takes into account comorbidities and the patient’s general condition
• monitors treatment effectiveness and possible side effects
• explains criteria for evaluating results and the importance of following recommendations
• coordinates with other specialists if needed

What to Expect: Plan and Monitoring

• approximate symptom dynamics are assessed based on examination results and observations
• if there is no improvement or new symptoms appear, the doctor adjusts the treatment plan
• regular monitoring and follow-up visits are scheduled as indicated and individually
• the treatment plan may change depending on the response to therapy and overall condition

To receive an individualized treatment plan, schedule a consultation with Dr. Sergey Nikolayevich Glushchenko.

Prevention

Prevention of bladder stones helps reduce the risk of their formation and complications. The plan of measures is tailored individually, taking into account the condition and characteristics of each patient.

Main Primary Prevention Measures

• Maintaining an adequate level of hydration to dilute urine
• Dietary adjustments to reduce salty and protein-rich foods as recommended by the doctor
• Timely treatment of urinary infections and inflammations
• Control of chronic diseases affecting the urinary system
• Avoiding prolonged retention of urine to reduce urinary stasis
• Regular physical activity as recommended by a specialist

Screening and Secondary Prevention / Regular Monitoring

• Regular monitoring of bladder function and the urinary system as indicated
• Periodic examinations to assess the condition of the prostate and kidneys when necessary
• Observation of symptom changes and timely medical consultation
• Discussion of therapy adjustments in case of comorbidities and changes in condition

Practical Advice

• Drink an adequate amount of fluids, following specialist recommendations
• Avoid hypothermia and stressful situations that may worsen the condition
• Maintain a regular urination schedule; do not delay bathroom visits
• Discuss possible medication adjustments with your doctor if you have other diseases
• Keep a symptom diary to track changes and inform your doctor promptly

Preventive measures help reduce the risk of recurrent stone formation and support urinary system health — discuss them individually with your doctor.

Important to Know

Treatment of bladder stones requires a thorough assessment of the causes and specifics of each patient's condition. It is important not only to relieve unpleasant symptoms but also to understand what exactly triggered their formation. Early diagnosis allows for determining the optimal treatment plan and reducing the risk of complications. Sometimes dynamic monitoring is necessary to adjust the therapy regimen based on changes in the condition. Physical exertion, stress, and comorbidities can influence the course of the process, so it is important to consider various factors. Self-medication carries the risk of masking clinical symptoms and delaying accurate diagnosis.

• It is important to identify the causes and factors provoking stone formation, not just to eliminate symptoms
• Early assessment of the condition helps choose the right strategy and reduce the risk of complications
• Dynamic monitoring makes it possible to timely adjust the treatment plan when changes occur
• Overall lifestyle, stress levels, and concurrent illnesses can affect the course of the condition
• Taking medications without a doctor’s supervision may complicate further diagnosis
• A comprehensive approach by the physician includes evaluating all aspects of the patient’s health and needs

Detailed information on the diagnosis and treatment of bladder stones is available on the general information page. Discussing these aspects with a doctor helps select an individualized and safe solution.

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

Before your visit to Dr. Sergey Nikolaevich Glushchenko, it is important to take measures that will not harm you or distort the picture of your condition. If symptoms worsen, you should immediately seek medical attention.

What You Can Do Before the Appointment

• Note the time and circumstances of symptom onset, as well as possible factors that may worsen them.
• Keep a symptom diary: record the frequency and nature of any discomfort.
• Bring a list of all medications and dosages you are taking, if known.
• Measure and record your temperature and general well-being, if possible.
• Drink enough fluids to avoid dehydration.
• Avoid excessive physical exertion and stress; ensure adequate rest.
• Do not change your diet without consulting your doctor.
• Gather and keep any previous test results and examinations, if available.

What You Should Not Do Before the Appointment

• Do not take new medications or remedies without your doctor’s recommendation.
• Do not stop taking your regular medications without consulting your doctor.
• Do not use folk remedies that promise quick improvement.
• Do not ignore increasing pain or difficulty urinating.
• Do not try to self-diagnose or interpret test results.
• Do not delay your visit if symptoms suddenly worsen.
• Do not engage in physical activities that increase pain.
• Do not take painkillers without your specialist’s approval.

If you notice signs of deterioration or emergency conditions, seek immediate medical attention from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Bladder Stones

During a consultation about bladder stones, I can assist you in the following ways: identify possible causes of your symptoms, assess your condition, and develop an optimal plan for further management. Together, we will discuss treatment options and monitoring stages, paying close attention to your individual health characteristics.

• Review symptoms and medical history to identify possible causes
• Assess the severity of the condition and risks to prioritize treatment
• Analyze current prescriptions and medication tolerance, adjusting therapy if necessary
• Develop a step-by-step plan for examinations and treatment based on indications
• Consider comorbidities and medications that may affect the course of treatment
• Provide lifestyle and regimen recommendations tailored to your individual needs
• Explain the criteria for monitoring progress and when it is important to seek follow-up consultation
• Perform initial diagnostics and differential analysis to clarify the condition
• Organize observation and effectiveness control with possible therapy adjustments

This comprehensive approach allows us to address not only the symptoms but also the underlying causes, forming a treatment and monitoring plan. It helps minimize risks and enhance comfort throughout the recovery process.

What questions can be asked to a doctor about bladder stones

During a consultation regarding bladder stones, you can discuss with Sergey Nikolaevich Glushchenko the following issues: how the disease manifests and why symptoms occur, options for examinations and treatment methods, as well as specifics of monitoring and possible complications. The doctor will help clarify any concerns and develop a suitable plan.

If you experience sudden severe pain, difficulty urinating, or blood in the urine, urgent medical attention is needed—do not delay seeking help.

• What causes persistent lower abdominal pain and discomfort during urination?
• Why is there a frequent urge to go to the bathroom but only a small amount of urine comes out?
• How are bladder stones related to other diseases of the urinary tract?
• How can I tell if the symptoms are caused by stones and not another problem?
• What examinations are necessary for an accurate diagnosis?
• What tests should I undergo, and how should I prepare for them?
• How do different treatment methods differ, and which one is best for my case?
• Is it possible to avoid surgery, and how can the condition be treated without intervention?
• What should I do if the prescribed treatment is not effective?
• How long does treatment usually last, and when is a follow-up check needed?
• What signs indicate improvement or worsening of the condition?
• What should I do if symptoms suddenly worsen and how to act during an exacerbation?

If your symptoms align with the questions listed, a consultation can help to understand the situation in detail. In case of urgent symptoms, it is important not to delay seeking medical help, and if necessary, the doctor will refer you to other specialists for a comprehensive approach.

How the Consultation Proceeds

A consultation with a doctor is a detailed discussion of your complaints, an assessment of your condition, and the development of a plan for further action. The scope and types of examinations are determined individually, based on your symptoms and indications. During a single visit, the doctor does not make a final diagnosis but helps to form a preliminary understanding and determine the next step.

1. Clarifying complaints and the purpose of the visit: the doctor will ask what exactly is bothering you, how long the symptoms have been present, and what worsens or alleviates them.
2. Collecting medical history and risk factors related to the urinary system and general health.
3. Reviewing previous treatments and examinations if any; it is recommended to bring test results, discharge summaries, and a list of medications you are taking.
4. Conducting a physical examination and, if necessary, specialized tests aimed at assessing the function of the bladder and related organs.
5. Providing a preliminary conclusion with an explanation of possible causes of symptoms and recommendations for ruling out other conditions.
6. Developing an examination plan based on indications; this may include ultrasound, urine tests, X-rays, or cystoscopy (inspection of the bladder’s internal surface).
7. Discussing treatment principles and management, which are tailored individually without prescribing specific medications during the first visit.
8. Planning follow-up to monitor progress: the doctor will explain when repeat visits are recommended, what to watch for, and when to seek earlier consultation.

If this is your first time addressing this problem, special attention will be given during the consultation to a detailed collection of complaints and identification of possible causes. If previous treatment has been ineffective, the doctor will analyze prior prescriptions and adjust the strategy based on new information.

Preparation for the Appointment

To make your consultation with a urologist-andrologist as effective as possible, it is important to prepare in advance. This will help speed up diagnosis and the choice of treatment plan.

• Bring a list of all current medications: names, dosages, and schedules, if known.
• Take with you the results of previous examinations, including ultrasound of the kidneys and bladder, urine and blood tests, and medical reports.
• Write down your main complaints: when and how symptoms begin, and what worsens or alleviates your condition.
• Do not stop taking prescribed medications without consulting your doctor.
• Arrive 10–15 minutes before your appointment to complete paperwork.
• If there are any special instructions—such as fasting—confirm these when scheduling your appointment.
• Avoid using makeup or applying creams to the area to be examined, if applicable.
• Prepare a list of questions you want to discuss during the appointment.

If you have any doubts about preparation, it is best to clarify the details by calling the clinic. Do not change your medication regimen 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. He specializes in the diagnosis and treatment of complex cases related to bladder stones and often works with patients who have chronic conditions, recurring symptoms, or for whom previous treatments have been unsuccessful.

In his practice, Sergey Nikolaevich places special emphasis on the differential diagnosis of causes and the prevention of exacerbations. Patients receive a clear understanding of their situation and a plan for further actions, taking into account all health-related factors.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating bladder stones, precise diagnosis and consideration of the complexities of each individual case are prioritized. Dr. Sergey Nikolaevich Glushchenko organizes his work to ensure clarity and safety at every stage. Patients appreciate the opportunity to review previous prescriptions and receive ongoing support, which helps monitor treatment effectiveness and promptly adjust the plan as needed.

• A clear treatment plan with detailed descriptions of stages and criteria for monitoring results
• Examinations and procedures prescribed strictly based on indications, without unnecessary tests
• Consideration of comorbidities and drug interactions to ensure therapy safety
• Monitoring progress with treatment adjustments if no improvement occurs or side effects arise
• Review of previously conducted examinations and recommendations for further steps based on results
• Explanation of goals, risks, and alternative treatment options in understandable language
• Emphasis on preventing exacerbations and complications for long-term condition improvement
• Experience working with patients who have combined and chronic diseases of the urinary system

This approach helps patients feel confident throughout all stages of treatment. The doctor focuses not only on relieving symptoms but also on addressing the root causes, ensuring transparency in the process and timely support based on individual needs.

Case Studies

Initial Consultation for Pain and Frequent Urination

A middle-aged patient presented with complaints of lower abdominal pain and frequent urination accompanied by discomfort. It was important to rule out inflammatory processes and determine whether the symptoms were related to a possible formation of bladder stones. A comprehensive assessment was performed, including medical history, examination, and necessary diagnostic tests.

Based on the results, the causes of the symptoms were clarified and a treatment plan was prescribed. At the follow-up visit, a reduction in pain intensity and a decrease in frequency of urges were noted. The patient continues under observation with a focus on preventive measures.

Therapy Adjustment Due to Lack of Effect

An elderly patient who had previously undergone treatment without improvement — persistent pain and urinary problems remained — was reassessed. The physician reviewed the medical history and prior prescriptions, identifying the need to adjust the treatment plan. Additional tests were ordered and the therapeutic approach was changed.

Subsequent visits showed gradual symptom improvement and stabilization of the condition. Ongoing monitoring continues with potential for further adjustments.

Chronic Condition with Comorbidities

A young man with a chronic condition and comorbid diseases came for comprehensive management. The physician considered the impact of other illnesses and medications when developing the treatment plan. Special attention was paid to symptom control and prevention of exacerbations.

During follow-up, the condition stabilized, and symptom intensity decreased. Regular monitoring and maintenance therapy are planned.

Exacerbation and Symptom Intensification

A middle-aged female patient presented with a sudden worsening of pain and significant discomfort during urination. It was necessary to exclude complications and promptly determine an intervention strategy. An examination was performed, along with the required diagnostic workup, and an accelerated monitoring plan was established.

Follow-up visits showed symptom reduction and overall improvement. Continued observation was recommended to prevent recurrent exacerbations.

How long does the consultation last?

The consultation usually takes between 30 and 60 minutes; please confirm the exact duration when making an appointment.

How should I prepare for the appointment?

It is recommended to write down your complaints, questions, and symptoms, as well as review your list of medications.

What should I bring to the appointment?

Please bring the results of any previous examinations, tests, imaging, and a list of medications you are currently taking.

Do I need to come on an empty stomach?

Usually, it is not necessary to come fasting unless otherwise specified when you make the appointment.

How many visits are usually required?

The number of visits depends on your condition and treatment plan; on average, several appointments are needed.

When can I expect the first results of the treatment?

Expectations depend on the type of treatment chosen and the specifics of your condition; timeframes vary individually.

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

If symptoms worsen, contact your doctor as soon as possible; in cases of severe pain, bleeding, or difficulty urinating, urgent medical help is required.

Is it possible to combine the treatment with my current medications?

Discuss all medications with your doctor and do not change or stop them on your own.

Is online consultation available?

Yes, online consultations are available; please inquire about the options when booking your appointment.

Can I come with already completed examinations?

Yes, bringing all available test results will help speed up the diagnosis.

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

Follow-up visits are scheduled individually based on the progress of your condition and the planned treatment.

Can I get a second opinion?

Yes, you can discuss additional questions and receive a second opinion during the consultation.

What should I do if symptoms return after improvement?

Contact your doctor for a re-evaluation and possible adjustment of treatment.

What examinations are needed for bladder stones?

The scope of examinations is determined individually, usually including an ultrasound and urine tests.

Do I need to stop taking medications before the appointment?

Do not stop taking your medications without consulting your doctor.

Are there any restrictions before the appointment?

Usually, there are no restrictions; however, please check the details when scheduling if there are special considerations.

What should I do if I am unsure about how to prepare for the appointment?

It is better to clarify all questions with the receptionist or your doctor when booking.

Can I diagnose myself?

Self-diagnosis is not recommended; an accurate diagnosis requires examination and consultation with a specialist.

How do I know when to seek urgent care?

Seek immediate medical help in cases of severe pain, difficulty or pain during urination, and bleeding.