Treatment of chronic urinary retention by urologist-andrologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with symptoms of difficult urination, incomplete bladder emptying, a weak urine stream, or intermittent inability to urinate.

The doctor conducts a thorough clinical assessment, reviews the complaints and medical history, and, if necessary, refers the patient for additional examinations to gain an accurate understanding of the situation.

The patient receives a clear action plan — ranging from initial recommendations to the selection of diagnostic methods and monitoring of the condition’s progress.

Special attention is given to the differential diagnosis of the causes of urinary retention, therapy adjustment, and observation considering comorbidities, which helps effectively manage the condition at all stages.

When to See a Doctor

Urinary retention is a complex issue that can significantly affect your quality of life. Sometimes it is accompanied by an inability to fully empty the bladder or by discomfort. Consulting a specialist helps identify the causes of such problems and choose the most appropriate solution. You should make an appointment with a urologist-andrologist if, in cases of chronic urinary retention, you notice:

• constant sensation of a full bladder and discomfort in the lower abdomen
• occasional difficulty starting urination
• weak urine stream or interrupted urination
• feeling of incomplete bladder emptying after going to the toilet
• need to strain during urination
• symptoms that recur or worsen over time
• urination difficulties that interfere with daily activities or sleep
• no improvement despite self-attempts to relieve the condition
• worsening of symptoms following infections or inflammations
• appearance of new unpleasant sensations in the genitourinary area
• insufficient effect from previous treatments or prescriptions
• repeated visits due to the prolonged nature of the problem

If you recognize any of these signs, do not ignore them or try to resolve the issue on your own. Clarifying the situation and selecting the correct approach requires the involvement of a specialist with the necessary experience and resources. To avoid complications and find a diagnostic and treatment plan convenient for you, it is best to see a doctor in a timely manner.

Emergency Conditions or When to See a Doctor Immediately

• sudden inability to completely urinate accompanied by severe discomfort in the lower abdomen
• a sharp increase in pain in the bladder area or genitourinary system
• a combination of strong straining when trying to urinate with a complete lack of urine output
• the appearance of blood in the urine along with a deterioration in overall well-being
• increasing weakness or a strong feeling of shortness of breath alongside urination problems

If you experience these symptoms, do not wait for a scheduled appointment — we recommend seeking urgent medical care. Our clinic offers a home visit service where a doctor can assess your condition and provide necessary assistance.

Causes and Risk Factors of Chronic Urinary Retention

Chronic urinary retention can develop due to various reasons related to dysfunction of the genitourinary system. Understanding the possible mechanisms helps to choose the appropriate diagnostic approach and further management. The physician evaluates potential causes and identifies which factors increase the risk of occurrence or worsening of the problem.

Main Causes / Mechanisms (briefly)

• decreased tone or narrowing of the urethra, hindering urine outflow
• prostate enlargement (adenoma), which obstructs free urination
• disorders of nervous regulation of the bladder
• residual effects after previous urinary tract infections
• mechanical obstacles or scar changes in the urinary tract

Risk Factors

• age over 50 years as a common associated factor
• chronic inflammatory diseases of the genitourinary system
• previous surgeries or injuries in the pelvic area
• presence of diabetes mellitus or other systemic diseases
• long-term use of certain medications affecting urination
• obesity and low physical activity
• hypothermia and frequent colds
• prolonged voluntary urine retention

Reversible Causes That Should Be Excluded

• infectious processes causing swelling and inflammation
• nervous regulation disturbances due to stress or trauma
• temporary effects of medications with side effects
• dehydration and improper fluid intake

Chronic urinary retention requires thorough evaluation by a specialist to identify causes and risk factors. Only after this is it possible to select optimal management and ongoing monitoring.

Diagnostics

The diagnosis of chronic urinary retention is based on a comprehensive approach that helps identify the causes of the problem and determine the next steps. The doctor carefully assesses the patient's condition to develop an examination and treatment plan, taking into account individual characteristics.

Diagnostic Approach

• taking a detailed medical history, including discussion of complaints and disease history
• physical examination focusing on the urinary system
• performing basic laboratory tests as indicated
• ordering additional studies if necessary
• analyzing the collected data and forming a preliminary plan for further actions
• discussing results with the patient and explaining possible treatment options
• monitoring the patient's condition over time during follow-up

Typical Indicated Studies

Diagnostics may include:

• general urine and blood tests
• ultrasound examination of the pelvic organs
• urodynamic tests to assess bladder function
• cystoscopy (endoscopic examination of the bladder)
• laboratory tests to detect inflammation or infection

What to Bring to the Appointment

• previous test results and analyses
• a list of medications currently taken
• description of symptoms and their dynamics (symptom diary)
• medical records from other healthcare institutions, if available
• questions and concerns to discuss with the doctor

Diagnosing chronic urinary retention requires a comprehensive approach and an individualized investigation plan. This helps physicians select the optimal strategy and monitor the effectiveness of therapy.

Treatment

The treatment of chronic urinary retention is aimed at reducing symptoms and improving the patient’s quality of life. The therapy plan is tailored individually, taking into account the specific condition and diagnostic results.

Goals of Therapy

• reduce the severity of urinary retention and associated symptoms
• correct underlying causes whenever possible, considering individual indications
• restore normal urinary function
• prevent complications and deterioration of condition

Main Treatment Approaches

• may include medication therapy to relieve symptoms and improve urine flow
• non-pharmacological support is applied, including physiotherapy and lifestyle recommendations
• minimally invasive or surgical methods may be considered in certain cases according to indications
• therapy is individualized and can combine different methods depending on the situation

Role of the Physician

• selects and adjusts therapy considering changes in the patient’s condition
• evaluates possible side effects of the prescribed treatments
• takes into account comorbidities when choosing the treatment strategy
• explains to the patient the criteria for assessing treatment effectiveness
• monitors progress and refers for additional examinations if needed
• coordinates treatment with other specialists when necessary

What to Expect: Plan and Monitoring

• the approximate timeframe for evaluating treatment results is discussed individually
• treatment efficacy is assessed based on symptom improvement and overall condition
• the plan is adjusted if effectiveness is insufficient or adverse reactions occur
• follow-up visits are important for monitoring and timely response to changes

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

Prevention

Prevention plays an important role in reducing the risk of developing chronic urinary retention and maintaining genitourinary health. An individual prevention plan is developed taking into account the patient's condition and the doctor's recommendations.

Key primary prevention measures

• monitoring fluid intake to avoid overhydration or dehydration
• maintaining physical activity within the limits recommended by the doctor
• timely treatment of urinary tract infections as indicated
• quitting smoking and limiting alcohol consumption
• regular visits to a specialist if chronic diseases are present
• avoiding prolonged delays in urination

Screening and secondary prevention / regular monitoring

• regular monitoring of the genitourinary system as indicated
• examination and observation in case of diagnosed prostate and bladder pathologies
• screening for urinary tract infections as recommended by the doctor
• evaluation of the effectiveness of previously prescribed treatment and adjustments if necessary

Practical tips

• discuss medication adjustments with your doctor if you have comorbid conditions
• avoid hypothermia and maintain a comfortable temperature environment
• keep a symptom diary for an objective assessment of disease progression
• follow a balanced diet with limited spicy and salty foods
• schedule regular medical check-ups and examinations as recommended by your specialist

Prevention of chronic urinary retention requires attention to lifestyle and regular monitoring — discuss appropriate measures tailored for you with your doctor.

Important to Know

Treatment of chronic urinary retention using endoscopic methods requires a comprehensive approach and precise diagnosis. It is important not only to relieve symptoms but also to identify the causes and factors affecting the condition. Early assessment helps choose the optimal strategy, reduce the risk of complications, and improve quality of life. Sometimes, treatment requires dynamic monitoring and adjustment of the plan based on changes. General factors such as stress, workload, comorbidities, and sleep quality can influence the course of the problem. Self-medication can delay accurate diagnosis and lead to side effects.

• Identifying the cause of urinary retention is the foundation for effective treatment
• Early consultation provides more opportunities to preserve bladder function
• Dynamic monitoring helps timely adjustment of therapy strategies
• Stress and chronic diseases can affect treatment effectiveness
• Taking medications independently without consultation may worsen the condition
• Modern techniques allow performing minimally invasive endoscopic surgeries

Consulting a specialist with experience allows for selecting the most appropriate treatment plan. To gain a comprehensive understanding of the methods and features of therapy, we recommend reviewing the detailed information on the related main topic page.

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

Before the appointment for chronic urinary retention, there are several safe steps you can take to help keep your condition stable and prepare information for your doctor. If symptoms worsen or alarming signs appear, do not delay seeking medical attention from Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Record when and how the symptoms started, and under what circumstances the urinary retention occurred
• Keep a symptom diary: note the time of onset, intensity, possible causes, and any relieving factors
• Bring a list of all medications you are taking, including names and dosages (if known)
• Measure and record your body temperature and general well-being, if possible
• Drink enough water to avoid dehydration, unless contraindicated
• Reduce physical activity and ensure rest, especially if you feel discomfort
• Try to avoid prolonged urine retention
• Track changes in symptoms to discuss them with your doctor during the appointment

What You Should Not Do Before the Appointment

• Do not start taking new medications or change prescribed treatments without consulting your doctor
• Do not stop taking chronic medications without medical advice
• Do not use folk remedies or unverified methods that promise quick cures
• Do not attempt to relieve symptoms with strong painkillers without a doctor’s recommendation
• Do not delay seeking care if your condition worsens or new symptoms appear
• Do not self-interpret or alter treatment based on information from the internet without professional consultation
• Do not ignore regular medical visits for monitoring and treatment adjustment

In case of emergency, do not hesitate to contact Sergey Nikolaevich Glushchenko for help.

How I Can Help as a Physician with the Treatment of Chronic Urinary Retention Using Endoscopic Methods

During a consultation on the treatment of chronic urinary retention with endoscopic methods, I can assist you in the following ways:

• Conduct a detailed analysis of your symptoms and medical history to identify possible causes
• Assess the severity of symptoms and recognize associated risks
• Review current medications and evaluate therapy tolerability if treatment has already been started
• Develop a plan for examinations and subsequent actions based on indications for accurate diagnosis
• Take into account any comorbidities and medications when devising a treatment plan
• Provide recommendations on lifestyle and daily habits tailored to your individual case
• Discuss criteria for monitoring the progression of your condition and timing for follow-up consultations
• Select and adjust treatment strategies with potential stepwise management and outcome control
• Organize prevention of complications and exacerbations with regular monitoring of your condition

A comprehensive approach and supervision at every stage help to respond promptly to changes and achieve stable improvement. During the appointment, you will receive clear explanations and support in addressing your condition.

What questions can I ask the doctor regarding endoscopic treatment of chronic urinary retention?

During a consultation about the endoscopic treatment of chronic urinary retention, you can discuss the following issues with Dr. Sergey Nikolaevich Glushchenko:

• Incomplete emptying of the bladder and discomfort during urination
• Weak or interrupted urine flow, difficulty starting urination
• Recurring symptoms of urinary retention or worsening over time
• Lack of effect from previously prescribed treatment and possible adjustments
• The impact of comorbid conditions on your health status and treatment course
• Questions about diagnostic tests and treatment strategy selection
• Recommendations on lifestyle and daily routine tailored to your specific situation

If you suddenly cannot urinate, experience severe pain, or notice blood in your urine, seek emergency medical care immediately—do not wait for a scheduled appointment.

Frequently asked questions from patients:

• What is happening to me, and why could it be related to urinary retention?
• Why have these symptoms appeared just now?
• How can I be sure that the symptoms are due to chronic urinary retention rather than another condition?
• What diagnostic tests and analyses do I personally need?
• Are there any tests that I can skip without risk to my health?
• How should I properly prepare for tests and the doctor’s appointment?
• What treatment options are available, and how do they differ?
• Is it possible to avoid surgery and manage the condition only with medication or other methods?
• Why isn’t the prescribed treatment working?
• How long does the treatment usually last, and how often should I come for follow-up?
• What symptoms indicate that my condition has improved or worsened?
• What should I do if my condition suddenly deteriorates or new acute symptoms appear?

Consulting a specialist helps to get an accurate assessment and select an effective treatment plan. The doctor will determine when emergency care is needed and, if necessary, refer you for additional tests or to specialized professionals.

How the Consultation Takes Place

A consultation with a doctor involves a detailed review of your complaints, an assessment of your condition, and the development of a plan for further actions. The scope of necessary examinations is determined individually, based on indications, and helps clarify the cause of the problem and select the optimal treatment. During one appointment, the doctor analyzes the information to understand the main directions for diagnosis and therapy.

1. Clarifying complaints and the purpose of the visit: the doctor finds out what exactly is bothering you, how long the symptoms have been present, which factors influence them, and your expectations for the appointment.
2. Collecting medical history and risk factors related to the genitourinary system and overall health.
3. Discussing previous treatments and examinations, reviewing existing documents and the list of medications you are taking.
4. Conducting a physical examination and specialized tests as indicated to assess the current condition.
5. Formulating preliminary conclusions: possible causes of symptoms and important factors to exclude at this stage.
6. Developing a diagnostic plan, which may include ultrasound, urine and blood tests, functional tests, and other procedures as indicated.
7. Discussing general principles of treatment and management that will be considered in your individual case.
8. Planning follow-up: scheduling the next visit, criteria for assessing progress, and recommendations on when to consult the doctor sooner than planned.

If this is your first visit, the appointment will focus on a thorough clarification of symptoms and identification of possible causes. If previous treatment did not yield the expected result, the emphasis will be on analyzing the reasons for the lack of effect and adjusting the treatment strategy.

Preparation for the Appointment

To ensure that your urologist consultation regarding chronic urinary retention is as effective as possible, it is important to prepare the necessary information and documents in advance. This will help the doctor understand your situation more quickly and develop a plan for examination and treatment.

• Prepare a list of all medications you are currently taking, including names and dosages, if known
• Bring any results from previous examinations, images, and tests, if available
• Write down your main complaints: when symptoms began, what worsens or alleviates them
• Do not stop taking prescribed medications without consulting your doctor
• Follow any special preparation instructions, such as avoiding cosmetics, if applicable
• When scheduling the appointment, ask if you need to come on an empty stomach; if so, refrain from eating or drinking for 8–12 hours (unless otherwise advised)
• If possible, bring with you any questions you wish to discuss during the appointment
• If you use special contact lenses or care products, check if you need to remove them temporarily
• Wear comfortable, simple clothing suitable for examination, if appropriate
• If you have any doubts, clarify the preparation details with the clinic reception

If you have questions about preparation or specific requirements for the appointment, it is best to clarify them by phone in advance and do not change your medication regimen without consulting a specialist.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, oncologist, and a first-category physician with 20 years of experience. He specializes in the treatment of chronic urinary retention, working with patients at various stages:

• initial diagnosis,
• chronic progression,
• recurring symptoms,
• cases where previous treatments have been ineffective.

When addressing this issue, the doctor pays close attention to differential diagnosis and therapy adjustment, taking into account comorbidities. During the consultation, you will receive a clear analysis of your situation and a plan of next steps tailored to your specific case.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating chronic urinary retention using endoscopic methods, it is important not only to obtain accurate diagnostics but also to have a consistent, patient-tailored treatment plan. Sergey Nikolaevich works to ensure that each stage is accompanied by a clear understanding of the goals and rationale behind the prescribed interventions. Patients choose him for his comprehensive analysis of the underlying causes and his attentive approach to their overall health. Working with him involves reviewing previous treatments and considering comorbidities, which is especially important in complex or chronic cases.

• A clear treatment plan with step-by-step stages and defined criteria for monitoring effectiveness
• Examinations are prescribed strictly based on indications to minimize unnecessary procedures
• Review of previous prescriptions and adjustment of therapy in case of side effects or lack of results
• Consideration of comorbidities and interactions with other medications to ensure patient safety
• Monitoring of condition dynamics and timely adjustment of the treatment plan
• Interpretation of already completed examinations to avoid repetitions and speed up diagnosis
• Explanation of treatment goals and potential risks in simple, accessible language
• Emphasis on prevention of exacerbations and complications to stabilize the condition in the long term

This approach helps patients feel engaged in the process and better understand their possibilities and limitations. By working with Sergey Nikolaevich, you receive comprehensive support through all stages of addressing the problem, including analysis of complex cases and adaptation of therapy to your lifestyle and overall health.

Case Studies

Initial Presentation with Difficult Urination

A middle-aged patient presented with complaints of difficulty initiating urination and a feeling of incomplete bladder emptying. It was important to rule out mechanical obstructions and inflammatory processes. A comprehensive examination was conducted, including symptom assessment and necessary investigations as indicated. As a result, the most likely causes were identified, allowing for the development of a treatment and monitoring plan. After several weeks, the condition stabilized, with management accompanied by regular follow-up.

Therapy Adjustment in the Absence of Improvement

An elderly female patient sought consultation after ineffective treatment of chronic urinary retention that provided no relief. Attention was given to reviewing previous prescriptions, analyzing tolerability, and possible side effects. Based on the consultation results, the management plan was adjusted, and additional investigations were prescribed as indicated. Follow-up visits showed gradual improvement of symptoms and therapy was adapted according to the patient’s response.

Chronic Course with Comorbidities

A mature-aged man with a long history of urinary retention and concomitant diabetes mellitus presented for consultation. A thorough analysis of risk factors and the interrelation of diseases was required. A comprehensive evaluation was carried out, including a review of pharmacotherapy, and a management strategy was developed taking into account the features of the comorbid condition. The condition stabilized over a month, with ongoing monitoring and regular adjustment of the treatment plan.

Symptom Exacerbation and Prevention Plan

A patient with chronic urinary problems complained of a sudden worsening of urinary retention and discomfort. The physician assessed the condition, ruled out serious complications, and prescribed an urgent monitoring plan. A strategy for exacerbation prevention and rehabilitation was developed, including regular follow-up. On subsequent visits, positive progress was noted, and the treatment plan was refined based on the dynamics.

Recurrent Symptoms and Request for Second Opinion

A young patient with recurring urinary retention symptoms sought an additional opinion after multiple consultations at another clinic. The physician conducted a detailed review of the medical history and examinations, paying special attention to ruling out additional causes. Based on a thorough analysis, an alternative management and support strategy was proposed. Subsequent visits showed a reduction in symptom severity and an improvement in quality of life.

How long does the consultation last?

On average, the appointment takes from 30 to 60 minutes; please confirm the exact time when booking.

How should I prepare for the appointment?

It is recommended to write down your symptoms, their progression, and to continue taking all your usual medications without changing the regimen.

What should I bring to the consultation?

Bring results of previous examinations, a list of medications you are taking, and notes about your symptoms.

Do I need to come fasting?

Usually no, unless otherwise specified at the time of booking.

How many visits are usually required?

The number of visits depends on the complexity of the case and the chosen approach; typically, several visits are needed for monitoring.

When can I expect the first results of treatment?

This depends on the chosen therapy and individual characteristics; timeframes are clarified during the appointment.

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

If your condition worsens or new alarming symptoms appear, contact your doctor immediately.

Can I combine treatment with my current medications?

This is discussed during the consultation; do not change your medication without your doctor’s recommendation.

Is online consultation available?

Yes, online consultations are possible by prior arrangement and based on the patient’s technical readiness.

Can I come with already completed tests?

Yes, bring all available test results for a more comprehensive assessment.

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

Follow-up visits are scheduled depending on progress and treatment goals; this is discussed on an individual basis.

Can I get a second opinion?

Yes, the doctor is ready to provide a consultation to evaluate previously received treatment.

What should I do if symptoms return after improvement?

Inform your doctor about any changes; this will help adjust the further treatment plan.

What examinations are needed for urinary retention?

The examination approach depends on symptoms; the condition is evaluated individually with the involvement of necessary tests.

How do I know if I need urgent medical attention?

Seek immediate medical help if you experience severe pain, complete inability to urinate, or blood in the urine.

Can I start treating urinary retention on my own?

It is not recommended; self-treatment can mask symptoms and complicate diagnosis.

Do symptoms immediately reveal the cause of urinary retention?

Symptoms provide guidance, but an accurate cause requires a comprehensive evaluation by a specialist.

How long does treatment for chronic urinary retention last?

The duration depends on the cause and specifics of the condition; the plan is tailored individually.