Treatment of hydronephrosis using endoscopic methods by urologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with complaints of lower back pain, swelling, and discomfort in the kidney area, as well as a decline in overall well-being and urinary disturbances.

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

This allows for the development of a clear and step-by-step plan for examination and treatment with monitoring of the condition's dynamics.

Special attention is given to differential diagnosis and dynamic observation, which helps to timely adjust the treatment strategy and prevent exacerbations.

When to See a Doctor

It is recommended to consult urologist Sergey Nikolaevich Glushchenko if you experience symptoms or situations that may indicate problems with the kidneys or urinary system. It is important to promptly identify the cause of troubling symptoms and receive a professional assessment of your condition. You should make an appointment with a urologist if, during the endoscopic treatment of hydronephrosis, you notice:

• constant or intermittent pain in the lower back
• a feeling of heaviness or discomfort in the kidney area
• swelling, especially in the mornings
• urination problems — frequent urges or difficulty
• unexplained fever
• deterioration of general well-being and weakness
• recurring symptoms after treatment
• symptoms interfere with normal work or sleep
• no improvement after self-care measures or previously prescribed treatment
• the need to clarify tactics in chronic conditions
• appearance of new symptoms on top of existing ones
• after urinary tract infections or injury

Even if symptoms seem minor or temporary, consulting a specialist will help rule out possible complications and select the appropriate treatment approach. Early medical consultation allows for a comprehensive assessment of your condition and helps control disease progression without unnecessary risks.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe lower back pain that rapidly intensifies
• High fever with chills and weakness
• Sudden difficulty urinating or complete inability to urinate
• Combination of pain with swelling and general weakness
• Presence of blood in the urine or a sudden change in its color

If you experience any of these symptoms, do not wait for a scheduled appointment — seek urgent medical care. Our clinic offers a home doctor visit service to respond promptly to such conditions.

Causes and Risk Factors in the Endoscopic Treatment of Hydronephrosis

This section outlines the possible causes of hydronephrosis development and factors that may influence the risk of its occurrence or worsening. Understanding these aspects helps the physician to prescribe the necessary examinations and select the appropriate treatment.

Main Causes / Mechanisms (Briefly)

• Impaired urine outflow from the kidney, often associated with ureteral stricture
• Kidney stones blocking fluid movement
• Congenital anomalies of the urinary tract structure
• Inflammatory processes complicating passage
• Scar tissue changes following injuries or surgeries

Risk Factors

• Recurrent urinary tract infections
• Chronic kidney or bladder diseases
• Age over 40 as a possible factor reducing tissue elasticity
• History of urolithiasis
• Abdominal or lumbar injuries
• Unhealthy lifestyle and dehydration
• Hereditary predisposition to kidney pathologies

Reversible Causes That Should Be Ruled Out

• Urinary tract infections that are treatable
• Temporary ureteral narrowing due to inflammation or swelling
• Incomplete bladder emptying due to functional impairments

Each case of hydronephrosis requires careful diagnosis, as causes and risk factors may vary. A physician’s examination is necessary to choose the optimal treatment strategy.

Diagnostics

Diagnostics in the treatment of hydronephrosis using endoscopic methods is aimed at thoroughly identifying the causes and assessing the condition of the kidneys. The process is designed so that the patient understands the sequence of actions and feels confident.

Approach to Diagnostics

• detailed collection of medical history and complaints
• physical examination assessing the condition of the kidneys and urinary tract
• basic laboratory tests (urine and blood analysis) as indicated
• ultrasound examination of the pelvic organs and kidneys
• additional studies (e.g., CT scan or urography) if necessary
• discussion of results and planning of further steps

Typical Investigations as Indicated

• ultrasound examination of the kidneys and urinary tract
• general blood and urine tests
• contrast-enhanced computed tomography (if indicated)
• cystoscopy — endoscopic examination of the bladder
• excretory urography to assess patency

What to Bring to the Appointment

• results of previous examinations and tests
• list of current medications and dosages
• description of symptoms and their onset history
• ultrasound or other scan results, if available

Each stage of diagnostics helps the doctor determine the condition as accurately as possible and choose the most appropriate method for treating hydronephrosis.

Treatment

Treatment of hydronephrosis using endoscopic methods aims to improve urine flow, reduce symptoms, and preserve kidney function. The therapy plan is tailored individually based on the specifics of your condition and examination results.

Therapy Goals

• reduction of pain and discomfort
• elimination or correction of the cause of urine flow obstruction
• preservation and improvement of kidney function
• prevention of complications and recurrences

Main Treatment Approaches

• may include medication to alleviate symptoms
• use of endoscopic methods to restore patency
• rehabilitation measures and lifestyle recommendations as indicated
• monitoring and control of condition with possible therapy adjustments

What the Doctor Does

• selects and adjusts treatment based on examination data
• considers comorbidities and potential risks
• monitors possible side effects of prescribed therapy
• explains criteria for effectiveness and follow-up procedures
• coordinates interaction with other specialists as needed

What to Expect: Plan and Monitoring

• individualized schedule for follow-up and repeat examinations
• assessment of treatment effectiveness based on symptoms and tests
• adjustment of the plan if the expected effect is not achieved or complications arise
• possibility of additional examinations as indicated

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

Prevention

Prevention in cases of hydronephrosis helps reduce the risk of complications and difficulties in kidney function. The plan of measures is tailored individually, taking into account the patient’s health condition and specific characteristics.

Main primary prevention measures

• monitoring and timely treatment of urinary tract infections
• maintaining adequate fluid intake to prevent dehydration
• avoiding injuries to the lower back and abdominal area
• regular follow-up when urinary stone disease or related conditions are present
• following the doctor’s recommendations regarding lifestyle adjustments and routines

Screening and secondary prevention / regular monitoring

• regular monitoring of kidney function as indicated
• control of the urinary tract condition using ultrasound or other diagnostic methods as needed
• examinations to detect possible complications as recommended by the doctor
• management of comorbid conditions affecting the kidneys

Practical advice

• discuss medication adjustments with your doctor if you have chronic illnesses
• pay attention to any changes in your well-being and promptly inform your healthcare provider
• maintain an active lifestyle according to professional recommendations
• avoid hypothermia and stress factors that could affect kidney health

Discussing prevention with your doctor will help choose optimal measures and maintain kidney health in cases of hydronephrosis.

Important to Know

Treatment of hydronephrosis using endoscopic methods requires a careful approach and comprehensive evaluation of the patient's condition. It is important to understand not only the symptoms but also the causes of the problem in order to choose the correct strategy. Early consultation helps reduce the risk of complications and delay disease progression. Patients should remember that the course of the disease can change, and the treatment plan sometimes needs to be adjusted according to the current condition. Additionally, general factors such as stress, physical exertion, and comorbidities can affect the recovery dynamics.

• it is important to identify the cause of hydronephrosis, not just eliminate the symptoms
• early assessment helps to select an effective strategy and reduce the risk of complications
• dynamic monitoring allows for treatment adjustments when the condition changes
• stress, physical activity, and concomitant diseases can influence disease progression
• self-medication can obscure the clinical picture and delay accurate diagnosis
• a comprehensive approach and the physician’s experience are key factors in successful patient management

For a detailed study of the topic and a better understanding of treatment mechanics, we recommend reviewing the general page “Hydronephrosis: Diagnosis and Treatment,” which contains useful information and explains the main aspects of the process.

Self-Care Before Your Appointment: Dos and Don’ts

Before your appointment for the treatment of hydronephrosis using endoscopic methods, it is important to follow safe guidelines to avoid worsening your condition and to obtain an accurate assessment. If you experience any deterioration in your condition, seek immediate help from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Record when and how your symptoms started: the time, circumstances, and what relieves or worsens the pain.
• Bring a list of all medications you are taking, including dosages if known.
• Measure and note your temperature, blood pressure, and pulse rate if you know how.
• Keep a symptom diary: note the time, intensity, and possible triggers.
• Reduce physical activity and get plenty of rest before your consultation.
• Drink water, unless contraindicated, to avoid dehydration.
• Prepare any results from previous tests or examinations you may have.

What You Should Avoid Before the Appointment

• Do not stop or change any prescribed chronic medications without your doctor’s approval.
• Do not start new medications or unverified remedies without consulting a specialist.
• Avoid using folk remedies that have not been supervised by a doctor.
• Do not attempt to diagnose yourself or interpret test results on your own.
• Do not ignore worsening symptoms — timely medical help is crucial.
• Do not delay your visit out of fear or underestimation of your symptoms.

If you experience signs of an emergency, seek immediate medical assistance from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Endoscopic Treatment of Hydronephrosis

During a consultation regarding endoscopic treatment of hydronephrosis, I can assist you in the following ways:

• Analyze your symptoms and medical history to identify possible causes of the condition
• Assess the severity and extent of the problem, as well as any associated risks
• Review your current prescriptions to detect potential intolerances or shortcomings in therapy
• Develop a plan of action following the logic of examination → treatment → monitoring
• Take into account any comorbidities and medications to ensure safe and effective treatment
• Provide recommendations on lifestyle and daily routine appropriate for your situation
• Discuss criteria for monitoring disease progression and indicate when a follow-up consultation is necessary
• Conduct an initial evaluation and differential diagnosis to clarify the cause
• Adjust the treatment plan if the effect is insufficient or side effects occur

I strive to provide a systematic and step-by-step approach to help you understand your condition, receive a clear plan, and obtain support at all stages of treatment. This approach reduces the risk of complications and improves patients’ quality of life.

What questions can I ask a doctor about endoscopic treatment of hydronephrosis?

During a consultation about endoscopic treatment of hydronephrosis, you can discuss the following concerns with Sergey Nikolaevich Glushchenko:

• Pain and discomfort in the lower back and kidney area
• Urination problems and frequent urges
• Swelling and general deterioration of wellbeing
• Recurring symptoms after previous treatment
• Lack of effect from previously prescribed therapy
• Need for a second opinion or review of examinations
• Questions about monitoring and controlling the condition over time

In case of sudden severe pain, acute urination problems, or high fever with chills, urgent medical attention is required — do not wait for a scheduled appointment.

Common patient questions:

• What is happening to me and what could it be?
• Why have these symptoms appeared now?
• How can I tell if this is related to hydronephrosis or another issue?
• What examinations are necessary in my particular case?
• Which tests and investigations are truly essential?
• How should I properly prepare for examinations and the consultation?
• What treatment options are available and how do they differ?
• Is this condition completely curable or does it require long-term monitoring?
• What should I do if the prescribed treatment does not improve my condition?
• Is it possible to avoid surgery or other interventions?
• How long does treatment usually last and how often do I need follow-up checks?
• What signs indicate that my condition is improving or worsening?
• What should I do in case of sudden worsening or symptom flare-ups?

If your questions go beyond the scope of a routine consultation or if urgent symptoms arise, we recommend seeking immediate medical care to assess your condition and decide on timely intervention.

How the Consultation Proceeds

A consultation involves a careful review of your complaints, an assessment of your current condition, and the development of a plan for further action. The extent of necessary examinations is determined individually and depends on your symptoms and indications. The doctor does not make a final diagnosis during a single appointment but forms a preliminary assessment and recommendations.

1. Clarifying complaints and visit goals: we discuss what exactly is bothering you, how long the symptoms have been present, what aggravates or relieves them, and what your expectations are from the consultation.
2. Gathering medical history and risk factors related to kidney and urinary tract conditions, including previous illnesses and injuries.
3. Analyzing past treatments and examinations; if possible, please bring all available results and a list of medications you are taking.
4. Physical examination and basic tests if necessary — this may include palpation of the lower back area and simple physical assessment methods.
5. Preliminary evaluation of the condition, discussion of possible causes and what is important to exclude, without making a definitive diagnosis.
6. Planning necessary additional investigations: this may include ultrasound, blood and urine tests, computed tomography, and other methods as indicated.
7. Discussing general principles of treatment and patient management without specific prescriptions during the first visit.
8. Defining follow-up timelines and next steps: when to schedule a repeat appointment and which symptoms to monitor that may require earlier consultation.

If this is your first visit, the consultation will focus on a detailed clarification of symptoms and exploring possible causes. If previous treatment was ineffective, we discuss the reasons and adjust the patient management strategy.

Preparation for Your Urologist Appointment

This checklist will help you prepare for your appointment with the urologist and speed up the diagnosis or treatment plan. Proper preparation facilitates communication with the doctor and improves the quality of the consultation.

• Bring a list of all current medications, including names and dosages, if known.
• Take results of previous examinations, including kidney ultrasounds, blood and urine tests, as well as CT or MRI scans (if available).
• Write down when and how the symptoms started, and what worsens or relieves the discomfort.
• Do not stop taking prescribed medications without consulting your doctor.
• Come fasting (no food or drinks) for 8–12 hours unless otherwise advised—check when making the appointment.
• Avoid applying creams, cosmetics, or other products to the lower back area before the examination.
• Prepare a list of questions or concerns you want to discuss during the appointment.
• If possible, bring medical records and results of other examinations related to your condition.

If you have any doubts about preparation, it’s best to clarify details by phone when making the appointment to ensure the visit is as effective as possible. Do not change your medication regimen without consulting your doctor.

About the Doctor

Sergey Nikolaevich Glushchenko is a urologist, andrologist, oncologist, and a first-category physician with 20 years of experience. He specializes in the diagnosis and treatment of complex cases related to hydronephrosis and other diseases of the genitourinary system.

He frequently works with patients at various stages of their condition — during initial consultations, recurring symptoms, and complications following previous treatments. In his practice, the doctor pays special attention to differential diagnosis and dynamic monitoring, which helps to timely adjust the treatment plan.

During the consultation, you will receive a detailed analysis of your condition and recommendations for further management.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating hydronephrosis using endoscopic methods, it is important not only to prescribe therapy but to establish a consistent and clear process that takes into account all the patient’s individual characteristics. Sergey Nikolaevich places special emphasis on comprehensive diagnostics of the causes and careful review of previous treatments, which helps to select the most effective approach. The doctor regularly monitors the patient’s condition dynamics and, if necessary, adjusts the treatment considering comorbidities and possible drug interactions. Patients appreciate clear explanations of the treatment plan, criteria for effectiveness, and the importance of preventing exacerbations.

• Clear action plan: what we are doing now, what is being monitored, and when the next appointment is needed
• Examinations are prescribed only when indicated to avoid unnecessary procedures
• Consideration of comorbidities and medications for safe therapy selection
• Monitoring progress and prompt adjustment of treatment if the effect is insufficient
• Review and interpretation of previously conducted examinations to optimize treatment
• Detailed explanations of goals, risks, and alternative treatment options in plain language
• Emphasis on preventing exacerbations and complications to maintain a stable condition

This systematic approach helps patients better understand their condition, feel supported, and receive timely care. It is especially important in chronic and complex cases that require careful monitoring and a flexible treatment strategy.

Case Studies

Initial consultation for suspected hydronephrosis

A middle-aged patient presented with complaints of intermittent lower back pain and urinary disturbances. It was important to rule out acute inflammatory processes and identify the cause of urinary outflow obstruction. Comprehensive diagnostics were performed, including laboratory tests and imaging studies, and the examination approach was clarified. The condition stabilized over several weeks with decreased discomfort. The patient was referred for regular monitoring and ongoing follow-up to prevent complications.

Adjustment of treatment strategy due to lack of effectiveness

A young patient sought help for recurring hydronephrosis symptoms after prior therapy showed no improvement. During evaluation, a possible factor complicating urinary tract patency restoration was identified, and the treatment regimen was reviewed considering tolerability. The treatment plan was revised and supplemented with new approaches based on clinical indications. Subsequent follow-up visits showed gradual symptom improvement and maintenance of a stable condition.

Chronic course with comorbidities

An elderly female patient with longstanding hydronephrosis and multiple chronic conditions sought assistance in adjusting her treatment. Emphasis was placed on considering comorbid diagnoses and potential drug interactions. Kidney function was monitored, and therapy was adapted to the clinical picture. Over several months, stabilization of parameters and improved overall well-being were observed. The patient continues under regular supervision.

Hydronephrosis exacerbation and complication prevention plan

A middle-aged patient came with worsening symptoms and residual signs of inflammation. Rapid assessment of complication risks and determination of urgent measures were necessary. The condition was reviewed, additional examinations were ordered as indicated, and the treatment plan was adjusted. Follow-up showed symptom reduction and improved functional indicators. An individualized prevention plan was developed along with periodic monitoring visits.

Second opinion and review of examinations

A patient with prior investigations and doubts about diagnostic accuracy sought a reassessment. The physician conducted a detailed review of the results, clarified the clinical picture, and identified the need for additional studies. A revised management and observation plan was developed. At the next visit, positive changes in well-being and reduced complication risks were noted. Comprehensive support continues with consideration of all risk factors.

How long does a consultation last?

A consultation usually takes between 30 and 60 minutes. Please confirm the exact duration when booking.

How should I prepare for the appointment?

Prepare by noting the details of your symptoms, any related factors, and questions you want to ask the doctor.

What should I bring to the consultation?

Bring results of previous examinations, images, medical reports, and a list of your current medications.

Do I need to come fasting or are there any restrictions?

Usually, fasting is not required unless there are special instructions. Please clarify when booking.

How many visits are typically needed for treatment?

The number of visits depends on the situation and treatment effectiveness; usually from a few sessions to regular follow-ups.

When can I expect to see the first treatment results?

This varies individually depending on the chosen therapy and your body's response.

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

If your condition worsens or you experience alarming symptoms, contact the doctor as soon as possible.

Can treatment be combined with my current medications?

Discuss combining medications during the appointment; do not adjust your regimen on your own.

Is an online consultation available?

Yes, online consultations are available with full support and recommendations.

Can I attend the consultation with tests I have already done?

Yes, bring all existing test results for a more accurate assessment.

Is it necessary to come back for follow-up appointments?

Follow-up visits are scheduled based on medical indications to monitor progress and adjust treatment.

Can I get a second opinion on my treatment?

Yes, the doctor is willing to review your results and provide a second opinion if needed.

What should I do if symptoms return after improvement?

In that case, it is advisable to make a follow-up appointment to adjust the treatment plan.

What examinations are usually prescribed for diagnosis?

The list depends on your complaints and clinical picture and is prescribed as necessary.

What if I am afraid to visit the clinic in person?

You can use an online consultation for initial evaluation and recommendations.

Can I stop or change my medications on my own before the appointment?

It is not recommended to change or stop medications without consulting your doctor.

What should I do if the prescribed treatment has no effect?

Inform the doctor so they can analyze the situation and possibly adjust the therapy.