Treatment of prostate adenoma by endoscopic methods with surgeon-urologist Sergey Nikolaevich Glushchenko in Dnipro.

Patients present with difficulty urinating, frequent urges, a sensation of incomplete bladder emptying, or a decreased quality of life due to prostate symptoms.

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

The patient receives a clear plan of action: what to do now, which tests to undergo, and how to monitor changes in the future.

Special attention is given to differential diagnosis and the management of patients with comorbidities, which helps minimize risks and select the optimal treatment strategy.

When to See a Doctor

When treating prostate adenoma using endoscopic methods, timely consultation with a specialist is essential. You should see a doctor if you experience symptoms that worsen your quality of life or do not go away on their own. It is advisable to make an appointment with a urologic surgeon if you notice any of the following with prostate adenoma:

• Persistent difficulty urinating or a weak urine stream
• Frequent nighttime urination that disrupts sleep
• The sensation that your bladder is not fully emptied
• Occasional urges to urinate that become stronger over time
• Painful or uncomfortable sensations during urination
• Symptoms that recur or worsen despite measures taken
• Frequent urges interfering with work or daily activities
• No improvement from previously prescribed treatment or self-care efforts
• Symptoms appearing for the first time and causing concern
• Chronic condition with periodic flare-ups
• Need to assess your condition after undergoing procedures
• Increasing discomfort or new complaints arising

Even with mild changes in urination, it is important not to postpone a consultation. This will allow for a thorough evaluation of your condition and help determine the appropriate next steps. If you notice that symptoms are affecting your well-being or interfering with your daily life, seeing a specialist can help identify the causes and possible treatment options.

Emergency Situations or When to Seek Immediate Medical Attention

• Sudden severe difficulty urinating with complete inability to urinate
• Severe or worsening pain in the lower abdomen or groin
• Presence of blood in the urine accompanied by significant discomfort
• Combination of high fever and severe chills along with urination problems

If you experience these symptoms, do not wait for a scheduled appointment — seek urgent care or call a doctor to your home for timely evaluation and necessary support.

Causes and Risk Factors

Understanding the causes and risk factors will help to better comprehend why prostate adenoma develops and which aspects should be carefully discussed with a doctor. This is important for timely monitoring and choosing the optimal treatment strategy.

Main Causes / Mechanisms (Briefly)

• Hormonal changes associated with aging
• Impaired blood circulation in the prostate tissue
• Chronic inflammation or infections of the genitourinary system
• Genetic predisposition to prostate dysfunction
• Age-related changes in the tissues and function of the prostate gland

Risk Factors

• Age over 50 years and aging of the body
• Male gender and family history if close relatives had prostate issues
• Obesity and sedentary lifestyle
• Poor diet high in fats and low in fiber
• Smoking and excessive alcohol consumption
• Comorbidities such as diabetes mellitus and cardiovascular diseases
• Frequent chronic urinary tract infections

Reversible Causes That Should Be Ruled Out

• Inflammatory processes and infections that can be treated
• Metabolic disorders that can be controlled by lifestyle changes
• Side effects of certain medications affecting prostate function

Understanding the causes of prostate adenoma is facilitated by consultation and examination by a doctor — only a specialist can assess all factors and offer an appropriate plan of action.

Diagnostics

Diagnostics in the treatment of prostatic adenoma by endoscopic methods are aimed at thoroughly identifying the causes of symptoms and assessing the condition of the prostate gland. This approach helps determine which examinations are specifically needed for you and develop a plan for further actions.

Diagnostic Approach

• Taking a detailed medical history, considering complaints and disease history
• Physical examination, including digital rectal examination as indicated
• Ordering basic laboratory tests to assess general health
• Conducting additional instrumental studies as needed
• Analyzing results and forming a preliminary diagnosis
• Discussing the examination plan and possible treatment options with the patient

Typical Examinations as Indicated

• Uroflowmetry (assessment of urine flow rate and quality)
• Ultrasound examination of the prostate gland and urinary bladder
• Blood and urine tests to detect inflammation or infection
• Cystoscopy to examine the inner surface of the bladder and urethra
• Biochemical tests if necessary to assess comorbid conditions

What to Bring to Your Appointment

• Results of previous examinations and tests
• List of currently taken medications
• Symptom diary indicating frequency and nature of manifestations
• Information about any prior surgeries or procedures in the urological area

Diagnostics of prostatic adenoma is a comprehensive process that helps to select an optimal plan for examinations and treatment considering the patient’s individual characteristics.

Treatment

Endoscopic treatment of prostate adenoma aims to reduce symptoms and restore normal urine flow. The treatment plan is customized individually, taking into account the patient’s condition and accompanying factors.

Treatment goals

• Reduce the severity of urination symptoms and discomfort
• Correct the causes of urinary obstruction whenever possible
• Improve prostate function and quality of life
• Prevent complications related to disease progression

Main treatment approaches

• May include medication therapy to control symptoms and inflammation
• Application of endoscopic methods to remove obstructions and restore urinary tract patency as indicated
• Non-pharmacological measures such as lifestyle changes and management of comorbidities
• Rehabilitation and physiotherapy procedures if necessary
• Therapy is always individualized based on the specific patient’s characteristics

What the doctor does

• Assesses the patient’s condition and selects the most appropriate treatment methods
• Adjusts therapy depending on effectiveness and side effects
• Takes into account comorbidities and individual patient features
• Explains the treatment plan and criteria for evaluating results to the patient
• Coordinates treatment with other specialists as needed

What to expect: plan and monitoring

• Approximate evaluation of symptom and functional changes over time
• The doctor monitors therapy effectiveness and adjusts the plan if necessary
• Regular follow-up visits help track progress and respond promptly
• The treatment plan is developed and modified individually based on the body’s response

To get an individualized treatment plan, schedule a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention is important for reducing the risk of development and progression of prostate adenoma. The prevention plan is tailored individually, taking into account the patient’s health characteristics and lifestyle.

Main Primary Prevention Measures

• Weight control and maintaining physical activity at a comfortable level
• Limiting alcohol consumption and quitting smoking
• Proper nutrition with an adequate amount of vegetables and fiber
• Timely treatment and prevention of genitourinary infections
• Management of chronic diseases such as diabetes and hypertension

Screening and Secondary Prevention / Regular Monitoring

• Regular monitoring of the prostate condition as indicated
• Examinations and tests as recommended by a doctor upon the appearance of new symptoms
• Monitoring hormone levels and other indicators when necessary
• Monitoring comorbidities to minimize their impact on prostate health

Practical Advice

• Discuss lifestyle adjustment options with your doctor in the presence of chronic diseases
• Ensure adequate hydration while avoiding hypothermia
• Pay attention to the regularity and comfort of urination
• Consult a specialist promptly if any concerning symptoms appear
• Avoid prolonged sitting and excessive nervous tension whenever possible

Prevention of prostate adenoma requires a comprehensive approach and regular monitoring, which should be individually discussed with a healthcare professional.

Important to Know

Endoscopic treatment of prostate adenoma is one of the therapy options, chosen individually after a thorough assessment of the condition. It is important to understand that the doctor's task is not just to eliminate symptoms, but to identify the causes and select the optimal plan. Early consultation helps reduce the risk of complications and choose the most suitable treatment strategy. Often, dynamic monitoring is required to timely adjust therapy and take into account changes in the patient's health.

• Identifying the cause and contributing factors helps to select effective treatment, not just relieve symptoms
• Early evaluation of the condition reduces the likelihood of progression and complications
• Adjusting the treatment plan is relevant when symptoms or comorbidities change
• Factors such as stress, sleep, and workload can affect the overall condition and disease course
• Self-medication can obscure the clinical picture and delay timely diagnosis
• Our clinic uses a comprehensive approach and modern methods for patient comfort

If you are concerned about symptoms, do not delay visiting a urologist; detailed information about all possible methods and approaches can be found on our general page dedicated to prostate adenoma treatment.

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

Before your appointment with the doctor and in preparation for treatment of prostate adenoma using endoscopic methods, it is important to follow safe practices and avoid self-decisions that may complicate diagnosis. If your condition worsens, do not delay contacting Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Record when the symptoms began and under what circumstances they occur
• Keep a symptom diary: note the intensity, time of day, and triggers
• Bring a list of all medications you are currently taking with known dosages
• Measure your temperature and blood pressure if you know how, and write down the results
• Reduce physical activity and ensure rest before the consultation
• Drink water in moderation, avoiding dehydration
• Gather information about any previous examinations and treatments

What You Should Not Do Before the Appointment

• Do not cancel or change medications without prior consultation with your doctor
• Do not start taking new medications or supplements without specialist recommendations
• Do not use folk remedies that promise quick improvement without scientific evidence
• Do not ignore worsening symptoms or the appearance of new symptoms
• Do not try to interpret test results and examinations on your own
• Do not postpone visiting the doctor if discomfort increases or urination becomes difficult
• Do not take painkillers or other medications without approval if there are contraindications

If signs of an emergency condition appear, immediately seek help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Endoscopic Treatment of Prostate Adenoma

During a consultation on endoscopic treatment of prostate adenoma, I will help you thoroughly analyze your complaints and medical history. Together, we will assess the severity of your symptoms and possible risks, review your current medications, and consider any accompanying health conditions. I will develop a clear, step-by-step plan for examination, treatment, and ongoing monitoring of your condition. We will also discuss how to manage your daily routine properly and what to keep in mind to support the effectiveness of the therapy.

During the consultation on endoscopic treatment of prostate adenoma, I can assist you with the following:

• Analyze your symptoms and medical history to identify possible causes
• Evaluate the severity of symptoms and potential health risks
• Review current prescriptions and their tolerance, making adjustments if necessary
• Develop a tailored plan for examinations based on indications and determine the optimal treatment strategy
• Take into account concomitant diseases and medications when choosing the therapy approach
• Provide recommendations on lifestyle and daily routines considering your condition
• Discuss monitoring criteria and timelines for follow-up visits
• Assess risk factors and help prevent possible complications or exacerbations
• Organize observation and control of treatment effectiveness with potential plan adjustments

This approach allows for an accurate assessment of your condition and the creation of sequential steps to improve your health. It involves not only treating symptoms but also providing comprehensive care that takes all aspects of your well-being into account.

What questions can I ask the doctor regarding endoscopic treatment of prostate adenoma?

During your consultation about endoscopic treatment of prostate adenoma, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Difficulty urinating and weak urine flow
• Frequent urges to urinate, especially at night
• Feeling of incomplete bladder emptying
• Pain or discomfort during urination
• Recurring symptoms or worsening condition
• Lack of effect from previously prescribed treatments
• Possibility of a second opinion and review of previously conducted examinations

If you suddenly cannot urinate, experience severe pain in the groin, or notice blood in your urine — urgent medical attention is needed; do not wait for a routine appointment.

Questions you can ask during the appointment

• What is happening to me and what could it be?
• Why have these symptoms appeared now?
• How can prostate adenoma be distinguished from other problems?
• What examinations are necessary to accurately understand my condition?
• What tests and investigations must I undergo before treatment?
• How should I best prepare for the examinations and the doctor's appointment?
• What treatment options are available and which ones are suitable for me?
• Is it possible to avoid surgery and manage without interventions?
• Why does treatment sometimes fail to provide the desired effect?
• How long does treatment usually take and how often do I need follow-up visits?
• How can I tell if my condition has improved or worsened?
• What should I do in case of sudden worsening or exacerbation of symptoms?

This list of questions will help you prepare for your consultation and thoroughly discuss your concerns and condition. Dr. Sergey Nikolaevich Glushchenko is ready to consider all aspects of your health and, if necessary, refer you to other specialists for further examinations or treatment.

How the Consultation Proceeds

The consultation for treating prostate adenoma using endoscopic methods includes reviewing complaints, assessing the overall condition, and developing a plan for further actions. The scope of necessary examinations is determined individually, based on indications and patient-specific factors. During one visit, a preliminary assessment can be conducted and a plan for diagnostic and therapeutic measures can be formed.

1. Clarifying complaints and goals of the visit: the patient is asked about troubling symptoms, their duration, and impact on daily life. Expectations regarding treatment are discussed.
2. Collecting medical history and risk factors related to urological issues and overall health status.
3. Reviewing previous examinations and treatments, if any; the patient is advised to bring test results, discharge summaries, and a list of medications.
4. Conducting a general examination and, if necessary, specialized tests to help assess the condition of the prostate and urinary tract.
5. Preliminary discussion of the collected data: identifying the most probable conditions and which should be ruled out, without making a definitive diagnosis yet.
6. Developing a plan for further examinations, which may include urological tests, ultrasound, uroflowmetry, and other procedures as indicated.
7. Discussing treatment and management options tailored to individual characteristics, without detailed prescriptions at this stage.
8. Scheduling follow-up visits and control assessments to monitor progress and timely adjustments to the plan.

If this is your first time seeking a consultation, special attention is given to clarifying symptoms and possible causes. If previous treatments have been ineffective, the consultation will help thoroughly analyze the reasons and select new therapeutic approaches.

Preparation for the Appointment

To ensure your urologist consultation for benign prostatic hyperplasia treatment is as effective as possible, it is important to prepare in advance and gather the necessary information. This will help the doctor understand your condition more quickly and develop an accurate examination and treatment plan.

• Bring a list of all current medications with their names and known dosages
• Take previous test results, images, and analyses to the appointment, if available
• Write down your main complaints: when symptoms appeared, what relieves or worsens your condition
• Do not stop taking prescribed medications without consulting your doctor
• Wear comfortable clothing to allow for an examination without unnecessary inconvenience
• Try to recall details about any previous illnesses or surgeries, if applicable
• If you have questions or concerns, write them down in advance to discuss during the appointment
• If unsure about preparation, clarify details by phone when scheduling your appointment

If you have been advised to come on an empty stomach, refrain from eating or drinking for 8–12 hours before your visit unless otherwise instructed when making the appointment.

About the Doctor

Sergey Nikolaevich Glushchenko is a first-category surgeon-urologist with 20 years of experience. He works with patients requiring endoscopic treatment for prostatic adenoma, including initial consultations, chronic cases, and situations where previous treatments have been ineffective.

In his practice, the doctor pays special attention to differential diagnosis and therapy adjustment considering comorbidities. Patients receive a thorough explanation of their situation and a clear plan of further actions to monitor their condition and improve their quality of life.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating prostate adenoma using endoscopic methods, accurate diagnosis and step-by-step monitoring are crucial. Dr. Glushchenko combines these with consideration of each patient's individual characteristics. He works not only with primary cases but also with complex, chronic, and comorbid conditions, which require thorough analysis and adjustment of treatment plans. Patients appreciate his approach, based on reviewing previous prescriptions and continuous control of therapy effectiveness.

• Clear treatment plan with defined stages and criteria for assessing changes
• Examinations prescribed only when indicated to minimize burden and ensure accuracy
• Review of previous tests and documentation for maximum clarity of the situation
• Consideration of all comorbidities and medications to ensure safety during treatment
• Monitoring of progression and timely adjustment of therapy if no effect is observed
• Emphasis on differential diagnosis to exclude other causes of symptoms
• Long-term patient management with regular monitoring and prevention of exacerbations

This systematic approach helps address complex cases and tailor treatment to changes in the patient’s condition. It ensures more precise work at every stage—from diagnosis to stabilization and complication prevention.

Case Studies

Initial Consultation for Difficult Urination

A middle-aged patient presented with complaints of worsening urination, frequent urges, and a sensation of incomplete bladder emptying. It was important to rule out inflammatory processes and other urological conditions that could cause similar symptoms. Comprehensive diagnostics were performed, including evaluation of medical history, physical examination, and basic tests. Over several weeks, symptom improvement was observed and the condition stabilized. Further monitoring and regular follow-up visits with the physician were recommended.

Therapy Adjustment in the Absence of Treatment Effect

An elderly patient had been receiving standard treatment for several months; however, complaints of difficult urination and discomfort persisted. A detailed review of previous prescriptions and assessment of therapy tolerance became necessary. After clarifying risk factors and possible comorbidities, the treatment plan was adjusted. Partial improvement in bladder function was observed. At the follow-up visit, the strategy for ongoing management and prevention of complications was discussed.

Chronic Course with Comorbidities

A middle-aged man with a long history of urination problems and concurrent diabetes mellitus sought consultation. It was important to consider all comorbid diagnoses and medications, as they affected the condition of the prostate gland. The physician assessed the condition, clarified symptoms, and developed a comprehensive management plan. Over time, the patient showed periodic improvement; symptoms were controlled through combined therapy and lifestyle adjustments. A schedule for regular check-ups and additional examinations was discussed.

Symptom Exacerbation and Prevention Plan

An elderly patient was admitted with marked worsening of urination and pain. It was necessary to promptly exclude complications and assess the condition for timely intervention. Emergency measures were taken and a monitoring plan using gentle methods was prescribed. Subsequent visits monitored progress and treatment plans were adjusted accordingly. Special attention was given to preventing recurrent exacerbations and implementing supportive measures.

Recurring Symptoms and Request for a Second Opinion

A middle-aged man came with recurring concerns about symptoms and dissatisfaction with the current treatment. The physician conducted a thorough review of the medical history, reevaluated symptoms, and ordered necessary additional examinations. Recommendations were made to change the treatment approach, taking into account the patient’s individual characteristics. Improvement in overall condition was noted during follow-up visits, and a plan for further monitoring and control was discussed.

How long does the consultation last?

Usually, a consultation takes from 30 to 60 minutes; please check the exact time when scheduling.

How to prepare for the appointment?

Write down your main complaints and gather information about previous examinations and medications.

What should I bring to the appointment?

Bring test results, images, medical reports, and a list of medications you are taking.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified when you make the appointment.

How many visits are usually required for treatment?

The number of visits depends on the complexity of the case and response to treatment; multiple meetings are often necessary.

When can I expect the first results of the treatment?

The timing of expected improvements is individual and depends on your condition.

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

If symptoms intensify or you experience urgent signs, seek medical help immediately.

Can treatment be combined with my current medications?

Discuss all medications with your doctor; do not change your therapy without consultation.

Is it possible to have an online consultation?

Yes, online consultations are available if necessary and agreed upon with the doctor.

Can I come with previously conducted examinations?

Yes, you can bring the results of any prior tests and procedures.

Is it necessary to come for follow-up visits, and how often?

The frequency of follow-ups is determined by the doctor based on your progress and chosen treatment strategy.

Can I get a second opinion during the consultation?

Yes, the doctor is ready to review your case and discuss alternative treatment options.

What should I do if symptoms return after improvement?

Contact your doctor to adjust the treatment plan and assess the causes of recurrence.

What examinations are usually prescribed?

The list of tests is determined individually depending on symptoms and condition.

Can I change dosages or medications on my own?

Do not change medications without your doctor's approval, as this may affect treatment and diagnosis.

How important is monitoring after starting treatment?

Regular monitoring helps to adjust therapy timely and prevent complications.

Who can consult regarding this problem?

Patients with initial symptoms, chronic complaints, or those needing diagnosis clarification or treatment adjustment seek consultation.

What does the treatment plan for prostate adenoma include?

The approach depends on the cause, stage, and patient’s condition and involves a comprehensive strategy prescribed by the doctor.