Treatment of kidney stones using endoscopic methods by surgeon-urologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with lower back pain, difficulty urinating, pulling sensations in the kidney area, or recurrent signs of inflammation.

The doctor conducts a thorough clinical evaluation, analyzes the complaints and medical history, and, if necessary, orders additional tests to clarify the condition.

The patient receives a clear and understandable action plan: what to do now, which examinations to undergo, and how to monitor changes over time.

The doctor pays special attention to the differential diagnosis of the causes and helps adjust the treatment considering comorbidities, ensuring a safer and more effective process.

When to See a Doctor

If you notice new or worsening symptoms while undergoing endoscopic treatment for kidney stones, it is important to consult a doctor. Seeking medical advice will help identify the causes of your discomfort, assess how your condition is progressing, and, if necessary, adjust your treatment approach. You should make an appointment with a urologic surgeon if you experience any of the following during your kidney stones or their treatment:

• Persistent or intermittent pain in the lower back or abdomen
• Difficulty or pain during urination
• Presence of blood in the urine or changes in its color
• Feeling of heaviness or discomfort in the kidney area
• Unexplained fever
• Worsening of symptoms after self-management attempts
• Symptoms interfere with normal sleep or daily activities
• Recurring pain or unpleasant sensations some time after the procedure
• Lack of significant improvement after starting treatment
• Need to clarify the treatment strategy if symptoms change in nature
• Symptoms appear for the first time accompanied by weakness
• Need for consultation to determine further examinations and monitoring

If you notice one or more of these signs, making an appointment with a doctor can help avoid uncertainty and obtain a clear plan for next steps. This approach is important to timely address possible changes and tailor treatment to the individual patient's situation.

Emergencies or When You Need to See a Doctor Immediately

• Sudden severe lower back pain that does not subside and worsens
• Sudden difficulty urinating or inability to urinate
• High fever with pronounced chills and worsening overall condition
• Presence of a large amount of blood in the urine or blood clots
• Combination of weakness, dizziness, and pain in the kidney area

If you experience any of these symptoms, do not wait for a routine appointment — seek urgent medical evaluation immediately. Our clinic offers home visits by specialists for emergency care.

Causes and Risk Factors in the Endoscopic Treatment of Kidney Stones

Understanding the possible causes and risk factors helps prepare for kidney stone treatment and reduces the likelihood of recurrent issues. It is important to undergo a medical examination to identify the causes and choose the optimal approach.

Main Causes / Mechanisms (Brief)

• Metabolic disorders leading to the formation of mineral deposits
• Impaired urine outflow due to anatomical features or strictures
• Chronic inflammatory processes in the kidneys and urinary tract
• Elevated levels of certain substances in the urine that promote stone formation
• Insufficient fluid intake leading to urine concentration

Risk Factors

• Hereditary predisposition to urolithiasis
• A lifestyle with a lack of physical activity and poor nutrition
• Obesity and metabolic disorders
• Frequent urinary tract infections
• Low daily water intake
• History of exacerbations and injuries to the urinary tract
• Use of certain medications affecting urine composition

Reversible Causes to Exclude

• Insufficient fluid intake causing concentrated urine
• Chronic infections requiring treatment
• Use of medications that promote stone formation
• Acute urinary retention related to functional disorders

Each case requires evaluation by a doctor and additional tests to identify the causes of kidney stones and to select the safest and most effective treatment plan.

Diagnostics

Diagnostics in the treatment of kidney stones using endoscopic methods aim to identify the causes of symptoms and assess the current condition of the kidneys and urinary tract. The physician conducts a sequential examination to develop a plan for further actions and to monitor the effectiveness of the treatment.

Diagnostic Approach

• Taking medical history with emphasis on complaints and previous illnesses
• Physical examination to assess overall condition and possible complications
• Performing basic laboratory tests as indicated (urinalysis, blood tests)
• Ordering additional studies as needed, such as ultrasound or X-ray
• Evaluating results in the context of medical history and developing a treatment and monitoring plan
• Discussing possible options for further examinations and therapy
• Monitoring the progression of the condition during follow-up visits

Typical Tests as Indicated

• Ultrasound examination of the kidneys and bladder
• Complete urinalysis and blood tests
• Computed tomography to clarify the location and size of the stones
• Radiography of the urinary tract
• Urine collection for composition analysis and detection of inflammation

What to Bring to the Appointment

• Previously obtained examination results and imaging
• List of current medications and supplements
• Symptom diary or description of complaints
• Medical records from other clinics (if available)
• Information about past surgeries and procedures

Diagnostics in the treatment of kidney stones requires a comprehensive approach and individualized selection of methods, which allows for the most accurate assessment of the condition and determination of subsequent steps.

Treatment

Endoscopic treatment of kidney stones is aimed at reducing symptoms and preventing complications while preserving kidney function. The therapy plan is tailored individually, taking into account the patient’s condition and diagnostic results.

Goals of Therapy

• Reduce pain and discomfort
• Remove or reduce the size of stones to normalize urine flow
• Preserve kidney function and prevent complications
• Maintain quality of life and enable normal activity

Main Treatment Approaches

• May include minimally invasive endoscopic procedures when indicated
• Use of medication to alleviate symptoms and correct metabolic disorders
• Recommendations for lifestyle changes and risk factor management
• Rehabilitation and monitoring to assess therapy effectiveness
• Individual selection of methods based on clinical evaluation and diagnostics

Physician’s Role

• Develops and adjusts the treatment plan based on changes in the patient’s condition
• Assesses comorbidities and potential interactions with therapy
• Monitors possible side effects and works to minimize them
• Explains to the patient the criteria for evaluating treatment effectiveness
• Coordinates collaboration with other specialists as needed

What to Expect: Planning and Monitoring

• Evaluation of treatment outcomes and symptom dynamics is performed regularly, approximately several weeks after intervention or therapy initiation
• The plan is adjusted if there is no positive effect or if complications arise
• Follow-up visits are scheduled to monitor the condition and determine the need for additional procedures
• It is important to maintain communication with the physician for timely response to any changes

Detailed information about endoscopic treatment options for kidney stones can be obtained during a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention plays an important role in the treatment of kidney stones using endoscopic methods, helping to reduce the risk of stone recurrence and complications. The prevention plan is tailored individually, taking into account the patient’s health characteristics.

Main Primary Prevention Measures

• Monitoring daily fluid intake to prevent urine concentration
• Balanced nutrition with a reduction of products that contribute to stone formation
• Maintaining a healthy body weight and physical activity
• Quitting harmful habits that affect metabolism
• Managing chronic diseases that may promote stone development
• Timely treatment of urinary tract infections

Screening and Secondary Prevention / Regular Monitoring

• Regular monitoring of kidney function and urine analysis as indicated
• Screening for metabolic disorders when necessary
• Follow-up with a urologist to assess the condition after procedures
• Discussing the need for additional examinations with your doctor

Practical Tips

• Increase fluid intake according to your doctor's recommendations
• Include foods in your diet that support the normal composition of urine
• Discuss medication adjustments with your doctor if you have concomitant diseases
• Pay attention to changes in your well-being and seek medical help promptly
• Maintain an active lifestyle within your capabilities and recommendations

Prevention in kidney stone disease helps reduce the risk of complications and recurrent attacks but requires regular monitoring and discussion with your doctor.

Important to Know

Treatment of kidney stones using endoscopic methods requires a careful approach and understanding of the underlying causes. Early assessment of the condition helps choose the most appropriate strategy and reduce the risk of complications. During therapy, it is important to monitor the progress to adjust the treatment plan if necessary. The course of the disease is influenced by many factors, including physical activity level, stress, and concurrent illnesses. Self-treatment can complicate making the correct diagnosis and lead to undesirable effects.

• Identifying the cause of kidney stones is more important than just eliminating the symptoms.
• Early consultation helps prevent progression and complications.
• Dynamic monitoring allows timely adjustment of treatment.
• Factors such as stress, sleep, and physical load can affect kidney health.
• Self-medication may mask symptoms and hinder diagnosis.
• An individualized therapy plan requires evaluation by a specialist based on indications.
• Dr. Sergey Nikolaevich Glushchenko takes into account all patient health specifics.

For more comprehensive information about kidney stone treatment, we recommend reviewing the main page, which provides detailed information about diagnostics, therapy methods, and important care aspects. For any questions, it is best to consult a specialist for an accurate assessment and safe treatment.

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

Before your appointment with Dr. Sergey Nikolaevich Glushchenko, it is important to follow safe measures to alleviate your condition and gather information. If symptoms worsen, do not delay seeking medical help.

What You Can Do Before the Appointment

• Note when and how your symptoms started, as well as what helps or worsens the discomfort.
• Bring a list of all medications you are taking and their dosages, if known.
• Measure and record your body temperature and pulse rate, if you know how to do this correctly.
• Keep a symptom diary indicating the intensity and time of occurrence.
• Reduce physical activity and ensure rest before the consultation.
• Drink water to avoid dehydration, unless contraindicated.
• Stay calm and avoid overexertion.
• Gather results of previous tests and imaging, if available.

What You Should Not Do Before the Appointment

• Do not stop taking your chronic medications on your own without consulting a doctor.
• Do not start new medications or combine treatments without medical approval.
• Do not use folk remedies or methods not approved by your doctor.
• Do not try to interpret test results or imaging on your own.
• Do not postpone your visit if pain increases or other alarming symptoms appear.
• Do not increase physical load or engage in intense sports before examination.
• Do not use painkillers for a prolonged period without consulting a specialist.
• Do not self-treat inflammation or infections without an official prescription.

If you experience alarming symptoms or your condition worsens, urgently seek help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Assist as a Doctor with Endoscopic Treatment of Kidney Stones

During a consultation on endoscopic treatment of kidney stones, I can help you with the following: conduct a comprehensive assessment of your condition, identify possible causes, and select the optimal treatment approach. It is important not only to relieve symptoms but also to develop a monitoring and complication prevention plan.

• Review symptoms and medical history to understand the possible causes of your condition
• Assess the severity of the problem and identify any accompanying health risks
• Analyze current prescriptions and evaluate the tolerance of medications and procedures
• Develop a plan for the next steps: examinations, treatment, and subsequent monitoring
• Consider the impact of comorbidities and concurrent medications on the treatment
• Provide recommendations on lifestyle and daily regimen based on your individual needs
• Discuss criteria for improvement and when to seek follow-up care
• Perform an initial diagnosis to determine causes and rule out other possible conditions
• Adjust the treatment plan if the effect is insufficient or side effects occur

A comprehensive approach allows not only to resolve current issues but also to reduce the likelihood of recurrence, ensuring safety and comfort in the long term.

What questions can you ask a doctor about endoscopic treatment of kidney stones

During a consultation regarding endoscopic treatment of kidney stones, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Constant or intermittent pain in the lower back or kidney area
• Difficulty and pain during urination
• Presence of blood in the urine or changes in its color
• Recurring symptoms after previous procedures or treatments
• Lack of improvement following prescribed therapy
• Discussion of comorbidities affecting kidney health
• Preparation and planning of examinations if indicated
• Choosing the most suitable treatment or observation strategy

In case of sudden severe pain, acute urinary retention, or high fever — seek emergency care immediately; do not wait for a scheduled appointment.

Questions you can discuss during the consultation

• What is happening to me and what could it be?
• Why have the symptoms appeared now?
• How can I tell if this is related to kidney stones?
• What examinations are necessary in my case?
• Which tests and investigations are mandatory, and which can be omitted?
• How should I prepare for tests and the doctor’s visit?
• What treatment options are available, and how do they differ?
• Is it possible to completely get rid of the stones, or is this a chronic condition?
• What should I do if the prescribed treatment does not work?
• Can I avoid surgery or endoscopic procedures?
• How long will the treatment last, and how often do I need to see the doctor?
• What signs indicate that my condition is improving or worsening?
• What should I do in case of sudden deterioration or symptom flare-up?

This is not a complete list, but it can help you understand what questions to discuss in detail during your consultation. It is important to remember that in acute or dangerous situations, emergency medical care is required. For other issues, Dr. Sergey Nikolaevich Glushchenko will help you develop an action plan and select safe and effective treatment.

How the Consultation Proceeds

A consultation with a doctor for the endoscopic treatment of kidney stones includes reviewing complaints, assessing the condition, and developing a plan for further actions. The extent of necessary examinations is determined individually, based on indications. A precise diagnosis is not promised during the first visit, as the process requires a comprehensive approach.

1. Clarification of complaints and visit objectives — determining what is bothering the patient, how long symptoms have been present, and what worsens or alleviates the condition.
2. Collection of medical history and risk factors — taking into account metabolic features, presence of comorbidities, and previous kidney problems.
3. Review of previous treatments and examinations — evaluating the results of past procedures and tests, with recommendations to bring medical documents and a list of current medications.
4. Examination and specialized tests as indicated — the doctor assesses the general condition, possible external signs, and, if necessary, prescribes additional procedures.
5. Preliminary conclusion — discussing the likely nature of the problem and the importance of excluding other conditions without making a diagnosis on the spot.
6. Examination plan — may include kidney ultrasound, urine and blood tests, X-rays, and other diagnostic methods as indicated.
7. Treatment and patient management plan — outlining general therapy principles and the need for monitoring.
8. Follow-up and next steps — setting timelines for repeat visits, criteria for assessing effectiveness, and recommendations for contacting the doctor if changes occur.

If this is your first visit, the consultation will focus on thoroughly identifying all symptoms and possible causes. If previous treatment has been ineffective, the emphasis will be on analyzing the reasons for the lack of results and adjusting the approach.

Preparation for the Appointment

To ensure an effective consultation with the urologic surgeon regarding kidney stone treatment, it is important to prepare in advance. This will speed up the development of an accurate plan and help the doctor consider all details of your condition.

• Bring a list of all medications you are taking, including names and dosages, if known.
• Take the results of previous examinations, images, and tests — originals or copies.
• Write down when and how your symptoms begin, and what worsens or eases your condition.
• Do not stop taking prescribed medications without consulting your doctor.
• If possible, come on an empty stomach; do not eat or drink for 8–12 hours before the appointment (unless otherwise instructed—confirm when booking).
• Avoid using cosmetics, creams, or other products on your hands before the examination (if applicable).
• If you wear contact lenses, bring a spare pair or glasses (if an eye examination is planned).
• Prepare any questions you want to ask during the appointment.
• If possible, note your usual routine and lifestyle habits.
• If in doubt, clarify preparation details when booking by phone.

If you have questions about preparation or special conditions, be sure to inform the staff when making your appointment. Do not stop taking medications without consulting your doctor; this is important for your safety.

About the Doctor

Sergey Nikolaevich Glushchenko is a first-category surgeon-urologist with 20 years of experience. In his practice treating kidney stones using endoscopic methods, he often works with patients who have recurring symptoms, chronic disease progression, or for whom previous treatments were ineffective.

The doctor pays special attention to the differential diagnosis of causes and individualized therapy adjustment, taking into account comorbidities. This approach allows for comprehensive patient management, monitoring progress, and minimizing the risk of complications.

During the consultation, you will receive a clear explanation of the situation and a plan for the next steps.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating kidney stones using endoscopic methods, it is important for patients to receive not only effective therapy but also a clear understanding of each stage of the process. Dr. Sergey Nikolaevich Glushchenko structures his work to fully consider individual characteristics and ensure treatment safety. Special attention is given to diagnosing the underlying causes of the disease and monitoring the dynamics of the patient’s condition. Patients are welcome to bring prior examinations — reviewing them helps avoid unnecessary procedures and allows for adjustment of the treatment plan.

• Clear step-by-step treatment plan: what is being done now, what is being monitored, and when the follow-up appointment is
• Examinations conducted as indicated, without the need to undergo every possible test
• Consideration of comorbidities and concurrent medications to ensure safe treatment
• Monitoring changes and timely adjustment of the plan if the effect is insufficient
• Review of previous exams and analyses for accurate assessment of the condition
• Explanation of risks and alternatives in simple and accessible language
• Emphasis on preventing complications and flare-ups during treatment
• Experience managing patients with recurrent and complex cases of kidney stones

This approach helps patients feel involved in the process and confident in the safety of their therapy. Monitoring and adapting treatment at every stage makes the therapy more transparent and understandable.

Case Studies

Initial Consultation for Lower Back Pain and Changes in Urination

A middle-aged patient presented with complaints of intermittent lower back pain and discomfort during urination. It was important to rule out acute inflammatory processes and assess for the presence of kidney stones. After a thorough examination using ultrasound and urine analysis, the likely cause was identified. Based on the examination results and clinical evaluation, an endoscopic treatment plan was developed. Over several weeks, the patient's condition stabilized, symptoms decreased, and overall well-being improved. Further management includes regular monitoring and preventive measures.

Adjustment of Treatment Strategy Due to Lack of Effect from Previous Therapy

A mature woman sought medical advice due to recurring pain and symptoms despite previously prescribed treatment. The physician reviewed her medical history and assessed possible reasons for the lack of effect, including comorbid conditions. Additional examinations were ordered, and based on their results, the therapy plan was adjusted with emphasis on reducing the risk of complications. Within a month, the patient reported gradual improvement. Follow-up includes ongoing monitoring with the possibility of further treatment adjustments.

Chronic Course of Stones with Concomitant Urinary System Diseases

An elderly patient presented with a long-standing history of kidney stones complicated by chronic urinary tract inflammation. The physician evaluated not only the primary disease but also comorbidities influencing treatment choices. Comprehensive diagnostics were performed, and a sequential therapy was prescribed, taking into account the risk of side effects. During follow-up, stabilization of complaints and improvement in quality of life were observed. The management plan includes regular monitoring and prevention of relapses.

Exacerbation of Symptoms Following Endoscopic Treatment and Subsequent Management

A young man was admitted with worsening pain and urinary disturbances after kidney surgery. It was crucial for the physician to promptly assess the severity of the exacerbation and rule out complications. After additional examinations and discussion of the results, a plan was made for repeated monitoring and supportive therapy. During the follow-up period, a gradual reduction of acute symptoms was noted. The continued strategy includes preventive measures and regular visits to evaluate the patient’s condition.

Recurrent Symptoms in Chronic Stone Formation

A middle-aged female patient was monitored for chronic urolithiasis with periodic exacerbations. The physician focused not only on treating current manifestations but also on long-term risk factor control. The consultation included discussion of previous procedures and their effectiveness. An adapted management strategy was implemented with an emphasis on preventing new stone formation. The patient reported improved well-being and a decreased frequency of exacerbations during subsequent visits. The plan includes ongoing observation and adjustment of the condition based on disease progression.

How long does the consultation last?

The consultation usually takes 30–60 minutes; please confirm the exact time when booking.

How to prepare for the appointment?

Preparation includes gathering information about symptoms, a list of medications, and previous examinations.

What should I bring to the appointment?

Bring test results, images, medical reports, as well as a list of current medications.

Do I need to come fasting?

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

How many visits are typically required?

The number of visits depends on the complexity of the case and the chosen approach; often several stages are needed.

When can I expect to see the first treatment results?

The appearance of first changes is assessed individually, depending on the therapy method and condition.

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

If symptoms intensify, you have a high fever, or difficulty urinating, contact a doctor immediately.

Is it possible to combine treatment with current medications?

Discuss compatibility and therapy adjustments directly during the appointment; do not change medications on your own.

Can I get a consultation online?

Yes, online consultations are available; please clarify the conditions and format when booking.

Can I come with already completed examinations?

Yes, bring all current examination results for a detailed review.

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

Follow-up visits are determined by the doctor to monitor the condition and adjust treatment.

Can I get a second opinion on my case?

Yes, the doctor is willing to discuss your situation and provide an additional opinion.

What should I do if symptoms return after improvement?

It is recommended to see a doctor for condition assessment and plan adjustment.

What examinations are needed for kidney stones?

The examination approach depends on symptoms and the situation; the doctor will prescribe necessary tests as indicated.

What should I do if the treatment is not effective?

At the appointment, causes are analyzed and an alternative management strategy is chosen.

Can I come immediately with a set of tests?

Yes, having examinations helps the doctor assess the situation faster and plan treatment accordingly.

Are there any restrictions before the appointment regarding food or medications?

Usually, there are no restrictions unless specifically instructed; please check when booking.

How to understand if surgery is needed or if other treatments are possible?

This is decided individually based on examinations and clinical evaluation.

Will the treatment plan be explained in detail during the appointment?

Yes, the doctor discusses goals, therapy stages, and effectiveness criteria in an accessible manner.