Treatment of pelvi-ureteric junction obstruction by urologic oncologist Sergey Nikolaevich Glushchenko in the city of Dnipro

When addressing obstruction of the pelvi-ureteric junction, patients often complain of lower back pain, difficulty or pain during urination, swelling, or recurrent urinary tract infections.

The physician conducts a thorough clinical assessment, reviews the medical history and symptoms, and, if necessary, orders additional tests to accurately determine the cause of the problem.

The patient receives a clear action plan — what to do now, which examinations to undergo, and how to monitor the therapy results over time.

Sergey Nikolaevich pays special attention to differentiating the causes of obstruction and organizes the follow-up in such a way as to timely adjust treatment and prevent complications.

When to Consult a Doctor

Obstruction of the renal pelvis-ureter segment can manifest with various symptoms that may initially seem minor. However, if these discomforts begin to interfere with your daily life or reoccur, it is a reason to pay attention to your health. You should consider making an appointment with urologist-oncologist Sergey Nikolaevich Glushchenko if you notice the following symptoms related to obstruction:

• persistent pain or discomfort in the lower back
• occasional burning or stinging during urination
• sensation of incomplete bladder emptying
• noticeable decrease in urine output
• swelling in the abdomen or legs
• recurrent urinary tract infections
• increased pain during physical activity
• when symptoms repeat or become more intense
• if the condition interferes with proper sleep or work
• when there is no improvement after attempts at self-relief
• if previously prescribed treatment does not bring the expected results
• the appearance of new concerning sensations after injury or stress

Even if symptoms seem minor, consulting a specialist will help identify the causes and avoid possible complications. Early evaluation and timely examination contribute to developing an optimal action plan aimed at maintaining health and preventing the progression of the problem.

Emergency Conditions or When to See a Doctor Immediately

• sudden and severe lower back pain that does not subside over time
• sharp deterioration of general condition with fever and chills
• presence of blood in the urine or significantly changed urine color
• increasing difficulty urinating or complete inability to urinate
• combination of pain with severe weakness, nausea, and vomiting

If you experience these symptoms, do not wait for a scheduled appointment—seek urgent medical care. At our clinic, you can call a doctor to your home for an emergency assessment and necessary support.

Causes and Risk Factors of Pelvoureteric Junction Obstruction

This section explains the possible causes of pelvoureteric junction obstruction and the factors that may increase the risk of its development or worsening. Understanding these helps identify what is important to check when consulting a doctor.

Main Causes / Mechanisms (Brief)

• Narrowing of the ureter due to scar tissue formation following trauma or inflammation
• Presence of stones that block urine flow
• Congenital anomalies of the kidneys and ureters
• Tumorous processes causing pressure or obstruction
• Temporary ureteral spasm associated with infections

Risk Factors

• Age over 40–50 years, when the likelihood of kidney and urinary tract diseases increases
• Chronic urinary tract infections
• Repeated trauma to the lumbar area or surgical interventions in the kidney area
• History of kidney or urinary tract stones
• Metabolic disorders affecting stone formation
• Dehydration and poor nutrition
• Smoking and harmful habits that reduce overall vascular and tissue tone
• Hereditary predisposition to urolithiasis or structural anomalies

Reversible Causes to Exclude

• Acute ureteral spasm related to infection or inflammation
• Temporary blockage by stones or mucous plugs
• Mucosal swelling after trauma or procedure

Pelvoureteric junction obstruction can develop for various reasons; therefore, a comprehensive medical evaluation is necessary to choose the appropriate management strategy and clarify the source of the problem.

Diagnostics

Understanding the causes of pelviureteric junction obstruction requires a comprehensive approach. During the consultation, the doctor will evaluate your symptoms, perform a physical examination, and, if necessary, order tests to develop a plan for further management.

Diagnostic Approach

• Taking a detailed medical history, including description of complaints and disease history
• Physical examination focusing on the lumbar area and urinary system
• Ordering basic laboratory tests as indicated (urine and blood tests)
• Conducting instrumental investigations if necessary (ultrasound, CT, or MRI)
• Clarifying details through endoscopic procedures as indicated
• Analyzing results and developing a preliminary treatment plan or recommending additional tests
• Discussing with the patient the steps for ongoing monitoring and follow-up

Typical Tests as Indicated

• Ultrasound examination of the kidneys and ureters
• Computed tomography for precise localization and characterization of the obstruction
• Laboratory analysis of urine and blood to detect inflammation or other changes
• Excretory urography or other types of contrast radiographic studies
• Endoscopic methods to inspect the inner surface of the ureters

What to Bring to the Appointment

• Records and results of previous examinations
• A list of medications being taken, including dosages
• Images and reports from diagnostic procedures
• A symptom diary, if you maintain one
• Questions and notes for the doctor

Diagnosing pelviureteric junction obstruction requires a systematic and careful approach — this helps the doctor to select the most appropriate examination and treatment strategy tailored specifically for you.

Treatment

The treatment of pelvi-ureteric junction obstruction aims to restore normal urine flow, reduce symptoms, and prevent complications. The therapy plan is tailored individually, taking into account the patient's condition and the results of examinations.

Therapy Goals

• reduce pain and discomfort
• address the cause of obstruction when indicated
• improve kidney and urinary tract function
• prevent complications and recurrent issues

Main Treatment Approaches

• may include medications to reduce inflammation and spasms as indicated
• possible endoscopic or surgical interventions to restore patency
• rehabilitation methods and physiotherapy to support function
• individualized therapy selection considering comorbidities and overall condition
• monitoring and adjustment of the treatment plan based on disease dynamics

What the Doctor Does

• selects and adjusts therapy based on examination results
• considers the presence of comorbidities and their impact on treatment
• monitors possible side effects and treatment tolerability
• explains to the patient the criteria for assessing therapy effectiveness
• coordinates treatment with other specialists if necessary

What to Expect: Plan and Monitoring

• the doctor generally evaluates treatment effectiveness during follow-up visits
• if there is no improvement, the treatment plan is adjusted as needed
• regular monitoring is necessary to prevent complications
• follow-up visits are scheduled depending on the case complexity and response to therapy

Detailed information about treatment options for pelvi-ureteric junction obstruction can be obtained during a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention plays an important role in the obstruction of the pelvi-ureteric junction, helping to reduce the risk of complications and recurrent disorders. The preventive plan is tailored individually, taking health specifics into account.

Main Primary Prevention Measures

• maintaining optimal hydration
• following principles of healthy nutrition that reduce the risk of stone formation
• regular treatment and monitoring of urinary tract infections
• quitting smoking and harmful habits
• timely consultation with a doctor if alarming symptoms appear
• avoiding hypothermia and injuries to the lumbar area

Screening and Secondary Prevention / Regular Monitoring

• regular monitoring of kidney function and urine tests as indicated
• ultrasound examination of the kidneys and ureters to assess condition if necessary
• monitoring symptoms and timely follow-up examinations as recommended by a doctor
• monitoring comorbidities affecting the urinary system

Practical Advice

• discuss medication adjustments with your doctor if you have chronic conditions
• maintain an active lifestyle according to specialist recommendations
• avoid changing therapy on your own without consultation
• seek medical help at the first warning symptoms
• maintain hygiene of the genitourinary system and general health

Prevention of pelvi-ureteric junction obstruction helps to preserve health — discuss an individualized plan of measures and monitoring with your doctor.

Important to Know

Endoscopic treatment of pelvi-ureteric junction obstruction requires accurate diagnosis and understanding of the underlying causes. Early assessment helps determine the optimal treatment plan, reduce the risk of complications, and preserve kidney function. Symptoms may change over time, so it is important to have regular medical supervision and timely adjustment of therapy. Pay attention to your overall condition — factors such as physical stress, emotional stress, and comorbidities affect disease progression. Self-medication can complicate diagnosis and lead to unwanted effects.

• Careful evaluation of the cause is essential, not just symptom relief
• Early consultation provides more opportunities for effective treatment
• Dynamic monitoring helps adjust the plan and control the condition
• General factors like fatigue and chronic illnesses influence kidney health
• Self-selection of medications or methods can mask symptoms and hinder diagnosis
• Endoscopic methods help minimize trauma and speed up recovery
• An experienced doctor manages the entire process — from diagnosis to treatment monitoring

For detailed information on the treatment of urinary system diseases, we recommend reviewing our main page, which contains important information from A to Z.

Self-care Before the Appointment: Dos and Don’ts

Before your appointment regarding obstruction of the renal pelvis–ureter segment, it is important to follow safe guidelines to avoid worsening your condition or distorting the clinical picture. If your condition deteriorates, always seek timely assistance from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Note when and how symptoms began, and what relieves or worsens them
• Bring a list of all medications you are taking, including dosages, if known
• Measure and record your body temperature, if possible
• Keep a symptom diary, noting their intensity and time of occurrence
• Reduce physical activity and rest if you feel discomfort
• Drink water in moderation if you feel thirsty or risk dehydration
• Avoid cooling of the lower back area
• Stay calm to reduce the impact of stress on your condition

What You Should Not Do Before the Appointment

• Do not stop or change prescribed medications without consulting your doctor
• Do not start taking new medications or supplements on your own
• Do not use unverified folk remedies or advice without professional consultation
• Do not attempt to diagnose or interpret test results by yourself
• Do not ignore worsening symptoms or new alarming signs
• Do not increase physical activity if you experience pain or discomfort
• Do not postpone seeing a doctor if your condition suddenly worsens
• Do not undergo procedures or treatments without a specialist’s recommendation

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

How I Can Help as a Physician in the Treatment of Pelviureteric Junction Obstruction Using Endoscopic Methods

During a consultation on the treatment of pelviureteric junction obstruction, I can assist you in the following ways: assessing your current condition, identifying possible causes, and selecting the optimal treatment strategy. The physician carefully reviews your medical history, associated factors, and monitors the effectiveness of therapy at every stage.

• Analyze complaints and medical history to identify probable causes of the obstruction
• Evaluate the severity of symptoms and potential risks to the body
• Review current prescriptions and therapy tolerance, making adjustments if necessary
• Develop a plan for examinations and treatment methods considering individual patient characteristics
• Take into account concomitant diseases and prescribed medications to ensure safe therapy
• Provide lifestyle and regimen recommendations based on indications and the patient’s condition
• Discuss methods for monitoring progress and criteria for follow-up consultations
• Conduct an initial assessment with differential diagnosis to search for possible causes of urinary outflow obstruction
• Monitor the course of treatment and adjust the plan in case of insufficient effect or complications

This comprehensive approach allows not only to alleviate symptoms but also to address underlying causes and minimize the risk of complications. During the appointment, you will receive a clear action plan and support throughout all stages of your recovery.

What questions can I ask the doctor when undergoing endoscopic treatment for pelvi-ureteric junction obstruction?

During your appointment regarding treatment of pelvi-ureteric junction obstruction, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Persistent pain or discomfort in the lower back
• Difficulty or pain during urination
• The appearance of swelling, especially after physical activity
• Recurring urinary tract infections or inflammations
• Worsening condition despite previously prescribed treatment
• Incomplete bladder emptying and recurrence of symptoms
• Questions about the choice of diagnostic methods and therapy
• The need for a second opinion or review of the treatment already performed

In case of sudden severe pain, rapid deterioration, or blood in the urine — urgent medical help is required; do not wait for a scheduled appointment.

Questions you may want to ask during the consultation:

• What is happening to me, and what could it be?
• Why have the symptoms appeared now?
• How can I understand that this is related to obstruction and not another issue?
• What diagnostic tests are necessary in my particular case?
• Which analyses or investigations are essential, and which can be skipped?
• How should I prepare for the tests and the doctor's appointment?
• What treatment options are available, and how do they differ?
• Is it possible to avoid surgery or other invasive procedures?
• Why isn’t the prescribed treatment helping, and what should be done next?
• How long does the treatment usually last, and how often is follow-up needed?
• What signs indicate improvement or deterioration of my condition?
• What to do if my condition suddenly worsens or an exacerbation occurs?

Consulting a doctor with these questions allows for an accurate assessment of your condition and helps select the most appropriate treatment plan within the specialist’s expertise. In case of acute or emergency symptoms, it is crucial not to delay contacting a clinic or calling a specialist.

How the Consultation Proceeds

A consultation for obstruction of the pelvicalyceal-ureteric segment involves a detailed review of your complaints and an assessment of your overall condition. The doctor will discuss your symptoms, their progression, and possible risk factors, as well as develop a plan for further actions. The scope of examinations is determined individually and prescribed based on indications, depending on your situation. Usually, a final diagnosis is not made during a single visit; instead, a preliminary assessment and examination plan are formed.

1. Clarifying complaints and visit goals: finding out what bothers you, when it started, and what worsens or alleviates the symptoms.
2. Medical history collection: discussing risk factors, past illnesses, and living conditions affecting your condition.
3. Review of previous treatments and examinations: analyzing past procedures, test results, and current medications.
4. Physical examination and basic tests if indicated: assessing the lumbar region and urinary tract without complex or painful procedures.
5. Preliminary assessment: identifying probable causes and excluding serious conditions without making a final diagnosis on-site.
6. Planning further examinations, which may include ultrasound, urine and blood tests, computed tomography, and other methods as indicated.
7. Discussing treatment principles and management options, considering your health specifics and preferences.
8. Instructions for monitoring your condition: when to schedule a follow-up appointment, what symptoms to track, and when to seek help sooner.

If this is your first visit, the main focus is on careful clarification of symptoms and identifying possible causes. If previous treatment has been ineffective, the consultation includes analysis of reasons and adjustment of the management plan to achieve better results.

Preparation for the Appointment

To ensure the consultation with a urologic oncologist regarding the treatment of pelvi-ureteric junction obstruction is as effective as possible, proper preparation is important. This will help to establish a preliminary diagnosis and develop a treatment plan more quickly.

• Bring a list of all current medications including names, dosages, and schedules
• Take with you results of previous examinations, images, and tests, if available
• Write down your main complaints: when and how symptoms started, what worsens or alleviates the condition
• Do not stop taking prescribed medications without consulting your doctor
• If necessary, come on an empty stomach—avoid food and drinks for 8–12 hours (unless otherwise advised)
• Avoid applying cosmetics or creams before the examination if relevant to the procedure
• Prepare questions or topics to discuss so you don’t forget important points during the appointment
• If needed, bring a discharge summary or hospital records
• If you have doubts about preparation, clarify details with the registration desk when scheduling
• Bring original documents or high-quality copies of reports and images for easier evaluation

If you have any questions about medication or other details, do not change your therapy on your own — it is better to consult your doctor before the visit.

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 pelviureteric junction obstruction, including complex cases with chronic progression and patients with ineffective previous treatments. Sergey Nikolaevich places special emphasis on differential diagnosis and dynamic monitoring of the patient's condition.

Patients receive a comprehensive assessment of their problem and a clear treatment plan considering comorbidities and individual characteristics. During the consultation, you will receive a detailed analysis of the situation and recommendations for the next stage of therapy.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

Choosing a doctor for treating obstruction of the renal pelvis and ureter segment is an important decision. Sergey Nikolaevich offers a systematic approach that takes into account the individual characteristics of each patient and allows treatment to be planned step by step. Unlike other specialists, he focuses not only on eliminating symptoms but also on identifying the root cause, which helps prevent relapses and complications. By considering the results of previously conducted examinations, he uses them for accurate diagnosis and selecting the optimal treatment strategy.

• Clear treatment plan with precise steps: what to do now, what to monitor, and when to follow up
• Examinations only when indicated, avoiding unnecessary and costly procedures
• Consideration of comorbidities and medications for safe and coordinated treatment
• Monitoring patient’s condition dynamics and adjusting therapy if the effect is insufficient
• Review of previous prescriptions and assessment of tolerance to improve treatment quality
• Explanation of treatment goals and possible risks in simple and understandable language
• Ongoing management with emphasis on preventing complications and recurrent exacerbations

Sergey Nikolaevich pays special attention to complex and chronic cases, helping patients understand the causes and choose the safest path to improvement. This approach reduces uncertainty and ensures systematic therapy—every stage and decision is discussed openly and transparently.

Case Studies

Initial Presentation with Lower Back Pain and Urinary Dysfunction

A middle-aged patient presented with complaints of intermittent lower back pain and a sensation of incomplete bladder emptying. It was important to rule out serious causes of the pain and determine whether the condition was related to obstruction of the pelvicalyceal-ureteric segment. After thorough history taking and examination, a series of diagnostic procedures including ultrasound and laboratory tests were ordered, which helped to clarify the presumed cause. Over several weeks, symptoms decreased and the condition stabilized under the selected management approach. The further plan included regular monitoring and evaluation of treatment effectiveness.

Adjustment of Treatment Strategy Following Ineffective Therapy

A middle-aged woman came with persistent difficulties in urination and pain despite previously prescribed treatment. It was crucial to carefully analyze the reasons for lack of effect and possible side effects. The physician reviewed previously prescribed medications and examinations, then revised the treatment plan by including additional methods of condition assessment. Progress showed gradual improvement in well-being and symptom reduction. The patient was referred for long-term follow-up with periodic control visits.

Chronic Course with Comorbidities

An elderly patient presented with a long history of chronic urinary outflow obstruction and additional health problems such as cardiovascular diseases. It was important to consider the impact of comorbidities and pharmacotherapy on the obstruction. The physician conducted a comprehensive assessment, including consultations and indicated examinations. Treatment was tailored to the patient’s overall condition, which helped achieve symptom stabilization and improved quality of life. The patient continues to be monitored with an emphasis on exacerbation prevention and maintenance therapy.

Exacerbation with Worsening Symptoms

A young man was admitted with increasing lower back pain, difficulty urinating, and elevated temperature. It was necessary to promptly rule out serious complications and plan urgent measures. The physician organized an emergency evaluation, ordered necessary additional investigations, and adjusted the treatment plan. During the follow-up period, the patient’s condition normalized and symptoms decreased. A prevention and regular monitoring plan was developed to avoid recurrent exacerbations.

How long does the consultation last?

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

How to prepare for the appointment?

Write down your symptoms, list of medications you are taking, and don’t forget to bring any test results if available.

What should I bring to the appointment?

Bring your lab test results, scans, discharge summaries, as well as a list of current medications with dosages.

Do I need to come on an empty stomach or are there any restrictions?

Usually, there are no special restrictions unless stated otherwise when you booked.

How many visits are typically required?

The number of visits depends on your condition and chosen treatment approach; usually, multiple visits are needed for monitoring.

When can I expect the first results of the treatment?

This is individual and depends on the cause and the chosen therapy method.

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

If you experience red flags such as severe pain, blood in urine, or high fever, seek urgent medical help immediately.

Can treatment be combined with my current medications?

Compatibility is discussed during the consultation; do not change or stop your medications on your own.

Is online consultation possible?

Yes, remote consultation is available if there is no continuous severe symptomatology.

Can I come with already completed tests?

Yes, please bring all existing results for evaluation and analysis.

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

Follow-up visits are scheduled individually depending on progress and treatment plan.

Can I get a second opinion?

Yes, the doctor is ready to discuss the results of previous tests and therapy options.

What if symptoms return after improvement?

You should consult your doctor for evaluation and, if necessary, adjustment of the treatment plan.

What tests are needed for this kind of problem?

This is determined individually during the consultation stage and depends on your complaints and condition.

How to prepare for the tests?

Preparation is discussed during the appointment, considering the types of procedures prescribed.

What is included in the examination and treatment plan?

The plan is formed taking into account individual characteristics and includes tests, therapy, and monitoring.

Can treatment be prescribed without an in-person consultation?

Some initial assessment and recommendations can be done online, but an in-person examination is often necessary for accuracy.

What should I do if the treatment has no effect?

You need to return to the doctor for analysis of reasons and adjustment of therapy.

Can I consult again with recurring symptoms?

Yes, recurring complaints require additional evaluation and possible treatment adjustment.