Treatment of prostate adenoma by urologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with difficulties and increased frequency of urination, a sensation of incomplete bladder emptying, or sleep disturbances due to frequent urges.

The physician conducts a thorough clinical evaluation, analyzes complaints and medical history, and, if necessary, orders additional examinations for a more precise understanding of the condition.

The patient receives a clear action plan—from initial steps to alleviate symptoms to required diagnostic procedures and recommendations for ongoing monitoring of their condition.

Special attention is given to therapy adjustment and monitoring potential side effects, as well as observing patients with comorbidities, which helps ensure a smoother course of treatment.

When to See a Doctor

If you notice changes in urination or discomfort with prostate adenoma, it is important to consult a urologist. The doctor will evaluate your complaints, medical history, and, if necessary, prescribe tests to determine the cause. You should make an appointment with a urologist if, with prostate adenoma, you notice:

• A constant feeling of incomplete bladder emptying
• Frequent urges to urinate, especially at night
• Weak or intermittent urine flow
• Pain or discomfort during urination
• Increased time to start urinating
• Worsening symptoms over time
• Sleep disturbances due to frequent bathroom visits
• Symptoms interfering with daily activities or work
• Ineffectiveness of self-care measures to ease the condition
• Recurring symptoms after a course of treatment
• Symptom exacerbation after stress or infections
• Need to adjust therapy due to concomitant diseases

Consulting a specialist at the first alarming signs will help clarify the causes of your condition in a timely manner and choose the best steps for comfortable well-being. Even if the symptoms seem minor, a consultation will help prevent possible complications and monitor changes over time.

Emergencies or When You Need to See a Doctor Immediately

• Sudden blood leakage in the urine or visible heavy bleeding
• Sharply increasing pain in the lower abdomen or lower back area
• Complete inability to urinate for several hours
• Combination of high fever with pronounced weakness and impaired consciousness

If you experience these symptoms, do not wait for a scheduled appointment — seek emergency medical help. Our clinic offers a home visit service for prompt assessment and support.

Causes and Risk Factors

In this section, we will review the main causes of prostate adenoma development and the factors that may influence its onset and progression. Understanding the possible mechanisms helps determine what to check during a medical consultation.

Main Causes / Mechanisms (Briefly)

• Hormonal changes associated with aging
• Impaired blood circulation in the prostate
• Age-related changes in prostate tissues
• Influence of inflammatory processes in the genitourinary system
• Genetic predisposition

Risk Factors

• Age over 50 years
• Family history of prostate diseases
• Excess weight and sedentary lifestyle
• Chronic inflammatory processes in the genitourinary system
• Unhealthy diet high in fats
• Smoking and alcohol consumption
• Comorbidities such as diabetes or hypertension

Reversible Causes That Should Be Excluded

• Acute and chronic urinary tract infections
• Prostate inflammation (prostatitis)
• Medication side effects affecting urination

The appearance of symptoms related to prostate adenoma requires careful evaluation by a physician and diagnostic tests to identify the exact causes and exclude reversible conditions.

Diagnosis

Diagnosis of prostate adenoma is aimed at accurately understanding the causes of symptoms and choosing an appropriate treatment plan. The doctor will carefully assess your condition to determine which tests are needed specifically for you.

Diagnostic Approach

• Taking a detailed medical history: complaints, medical history, onset of symptoms
• Physical examination, including assessment of the genitourinary system
• Ordering basic blood and urine tests as indicated
• Performing additional investigations as needed to clarify the condition of the prostate and genitourinary organs
• Interpreting the results and developing a plan for further management

Typical Tests as Indicated

May include:

• Ultrasound examination of the prostate and bladder
• Urine flow analysis and post-void residual volume measurement
• Blood tests for prostate-specific antigen (PSA) as prescribed by the doctor
• Urological cystoscopy to examine the urethra and bladder

What to Bring to Your Appointment

• Medical records and results of previous examinations
• List of current medications, including dosages
• Symptom diary or description of complaints
• Recommendations or referrals from other doctors (if available)

Thorough diagnosis helps determine the causes of prostate adenoma and choose the optimal steps for monitoring and treatment.

Treatment

Treatment of prostate adenoma is aimed at alleviating symptoms and improving the patient’s quality of life. The therapy plan is tailored individually, taking into account the specifics of the condition and any comorbidities.

Therapy Goals

• Reduction of symptom severity and discomfort
• Slowing disease progression
• Improvement of urinary system function
• Prevention of complications related to prostate adenoma

Main Treatment Approaches

• May include medication to reduce symptoms and address underlying causes
• Non-pharmacological approaches aimed at improving overall condition and lifestyle
• Surgical intervention when indicated for pronounced dysfunction
• Regular monitoring and evaluation of treatment effectiveness tailored to each patient

What the Doctor Does

• Selects and adjusts therapy depending on treatment response and tolerability
• Considers comorbid conditions to ensure treatment safety
• Monitors possible side effects and makes changes if necessary
• Explains to the patient the criteria for effectiveness and timing of evaluations
• Coordinates work with related specialists in comprehensive management

What to Expect: Plan and Monitoring

• Regular assessment of treatment response and symptoms, with timing depending on the situation
• Therapy plan adjustments if effectiveness is insufficient or complications arise
• Follow-up visits recommended to monitor progression and make timely corrections
• Individual plan may change depending on disease course specifics

For detailed information on treatment options, please consult with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention of prostate adenoma helps reduce the risk of developing symptoms and complications. Prevention plans are tailored individually, taking into account the general condition and specific characteristics of the patient.

Main Primary Prevention Measures

• Maintaining a healthy weight and an active lifestyle
• Managing chronic diseases such as diabetes and hypertension
• Limiting alcohol consumption and quitting smoking
• Balanced nutrition with reduced fats and increased intake of vegetables and fruits
• Avoiding hypothermia and timely treatment of urogenital infections

Screening and Secondary Prevention / Regular Monitoring

• Regular urological examinations as indicated or recommended by a doctor
• Monitoring blood pressure and other chronic conditions
• Undergoing diagnostic tests at the onset of initial symptoms
• Discussing with your doctor the need for repeated tests and ultrasound examinations

Practical Tips

• Increase physical activity to the recommended level, considering your body's capabilities
• Discuss medication adjustments with your doctor if you have comorbidities
• Monitor your fluid intake, avoiding excess or deficiency
• Observe personal hygiene rules to prevent infections
• Seek specialist advice promptly if new or worsening symptoms appear

A responsible approach to preventing prostate adenoma helps maintain comfort and quality of life—discuss prevention measures with your doctor individually.

Important to Know

Prostate adenoma is a common condition in middle-aged and older men that requires careful attention. Treatment is aimed not only at relieving symptoms but also at identifying the causes and factors influencing the disease. Early assessment of the condition helps to select the optimal strategy and reduce the risk of complications. Sometimes dynamic monitoring and timely adjustment of the treatment plan are necessary. General factors such as physical activity, stress, sleep quality, and comorbidities can affect the course of the disease and the effectiveness of treatment.

• It is important to identify triggering factors, not just eliminate symptoms
• Early consultation helps choose an appropriate plan and avoid complications
• Dynamic monitoring is necessary to control the effectiveness and safety of therapy
• Stress, physical exertion, and comorbid conditions influence the overall state of the prostate
• Self-medication can mask symptoms and complicate accurate diagnosis
• The clinic’s physician considers the complexity of the case and selects methods focusing on minimizing side effects

Understanding the key aspects of prostate adenoma helps to take a more informed approach to your health. For detailed information and a comprehensive approach, we recommend consulting the general urology page or scheduling an appointment with a clinic specialist.

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

Before seeing a doctor for symptoms of prostate adenoma, it is important to take safe steps to manage your condition and avoid distorting the clinical picture. If your condition worsens or you develop new concerning symptoms, please seek help from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Note the date and time when the first symptoms or changes in urination appeared
• Keep a symptom diary: record intensity, triggering factors, time of day
• Bring a list of all medications you are currently taking, including dosages (if known)
• Measure and record your body temperature and blood pressure, if you know how
• Reduce physical activity and rest if you experience significant discomfort
• Drink enough water to avoid dehydration, if it is safe to do so
• Avoid cold drinks and chilling the lower part of your body
• Maintain good hygiene to reduce the risk of urinary tract infections

What You Should Not Do Before the Appointment

• Do not stop or change any previously prescribed medications without consulting your doctor
• Do not start taking new medications or combine treatments on your own
• Do not use folk remedies without medical advice, as they may worsen your condition
• Do not try to diagnose yourself based on symptoms or interpret lab results independently
• Do not delay seeing a doctor if symptoms worsen or pain/blood appear
• Do not increase physical strain or ignore deteriorating well-being
• Do not replace a doctor’s visit with home remedies or rely on unverified advice

If urgent symptoms arise, seek immediate help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Prostate Adenoma

During a consultation about prostate adenoma, I will help you understand the specifics of your condition and determine the best steps to improve your well-being. Together, we will assess the current situation and choose a plan that takes into account your individual needs. Here is how I can assist you during a prostate adenoma consultation:

• Analyze your symptoms and medical history to identify possible causes and triggers
• Assess the severity of symptoms and identify risk factors for complications
• Review current treatments and evaluate therapy tolerance, suggesting adjustments if necessary
• Develop a plan for further actions: examination as indicated → treatment or observation → monitoring effectiveness
• Consider comorbidities and the impact of other medications on the genitourinary system
• Provide recommendations on lifestyle and daily routine tailored to your specific circumstances and indications
• Discuss control criteria and timing of follow-up visits for timely plan adjustments
• Conduct an initial differential diagnosis of possible causes of your complaints, referring for additional tests if needed
• Plan preventive measures against complications and exacerbations that could worsen your condition

Thus, the consultation is aimed at a comprehensive assessment and a carefully considered treatment strategy, rather than just quick symptom relief. This approach helps ensure stable improvement and effective long-term management of your condition.

What Questions Can You Ask a Doctor About Prostate Adenoma

During a consultation about prostate adenoma, you can discuss the following situations and symptoms with Sergey Nikolaevich Glushchenko: frequent or difficult urination, a feeling of incomplete bladder emptying, discomfort during urination. The doctor will also help you understand recurring symptoms, insufficient treatment effects, and consider the impact of any comorbidities. If you notice blood in your urine, severe pain, or complete inability to urinate, urgent medical attention is necessary — do not delay your visit.

Since prostate adenoma requires a comprehensive approach, the doctor will assess your condition, refer you for necessary examinations, and carefully adjust treatment if needed. In cases of emergency symptoms and acute conditions, referral to other specialists or specialized care may be recommended.

• What is happening to me, and what could it be?
• Why did the symptoms start just now?
• How can I tell if this is related to prostate adenoma or another condition?
• What examinations are needed in my particular case?
• Which tests or analyses are mandatory, and which can be skipped?
• How should I prepare properly for the examinations and the appointment?
• What treatment or observation options are available?
• Is it possible to avoid surgery or strong medications?
• Why is the prescribed treatment not effective, and what should I do next?
• How long does treatment usually last, and how often do I need check-ups?
• What signs indicate improvement or worsening of my condition?
• What should I do if symptoms suddenly worsen or intensify?

Consulting a doctor about prostate adenoma helps you get answers to important questions and choose an appropriate action plan. It is important to remember that timely consultation reduces the risk of complications and helps maintain quality of life.

How the Consultation Proceeds

A consultation for prostate adenoma includes reviewing complaints, assessing the patient's condition, and developing a plan for further action. The extent of examinations is determined individually, based on indications, to obtain the most accurate information without unnecessary procedures. The goal is to understand the current state and decide on the next steps, rather than making a final diagnosis in a single visit.

1. Clarifying complaints and the purpose of the visit: the doctor asks what concerns you, how long the symptoms have been present, and how they affect your quality of life.
2. Taking medical history: considering risk factors, comorbidities, and lifestyle features.
3. Reviewing previous treatments and examinations, if any, and recommending that you bring all related documents and a list of your current medications.
4. Conducting a physical examination and, if necessary, basic tests—everything is done based on indications and with consideration for your comfort.
5. Preliminary assessment: discussing likely causes of the complaints and excluding dangerous conditions without making an immediate diagnosis.
6. Developing a diagnostic plan, which may include ultrasound of the prostate, blood and urine tests, urine flow assessment, and other tests as indicated.
7. Determining a treatment or monitoring strategy—selecting methods appropriate to your specific situation and taking your preferences into account.
8. Discussing follow-up: scheduling repeat visits, criteria for evaluating effectiveness, and recommendations for seeking help if your condition changes.

If you are consulting for these symptoms for the first time, the focus will be more on identifying the cause and understanding the general picture. If treatment has already been prescribed but did not achieve the desired result, we will thoroughly review your history and determine ways to adjust the plan.

Thus, the appointment takes place in a comfortable and clear format aimed at individualized assessment and safe planning of care.

Preparation for the Appointment

To ensure the appointment with the urologist surgeon for prostate adenoma is as effective as possible, it is important to prepare properly. This will help the doctor make a preliminary diagnosis faster and develop a plan for further actions.

• Bring a list of all current medications with names and dosages, if known
• Take results of previous examinations, ultrasounds, blood and urine tests
• Write down your main complaints: when symptoms started, what worsens or relieves your condition
• Do not stop taking prescribed medications without consulting the doctor
• If available, bring medical records and descriptions of past treatment courses
• Inform the doctor about any concurrent illnesses and medications you are taking
• Come with a completed questionnaire or questions you have about your condition
• If in doubt, clarify preparation details by phone or when scheduling the appointment

If necessary, an individualized preparation regimen may be recommended. If fasting is required, it is usually 8–12 hours (unless otherwise specified, check when scheduling). Do not change your medication regimen without consulting your doctor.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, and oncologist of the first category with over 20 years of experience. He specializes in treating patients with prostate adenoma, including initial consultations, cases with recurring symptoms, and patients with comorbid conditions.

In his practice, the doctor places particular emphasis on differential diagnosis and therapy adjustment considering accompanying factors. This approach helps to more accurately identify the causes of symptoms and select the optimal treatment plan.

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

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating prostate adenoma, a structured approach and careful monitoring of the patient's condition are essential. Dr. Sergey Nikolaevich Glushchenko organizes his work so that the patient understands each stage and feels confident in their therapy choices. His experience allows him to handle complex cases, taking into account all the patient's health specifics and previous treatments. The result is more accurate diagnostics, an individualized treatment plan, and timely therapy adjustments when needed. Patients appreciate clear explanations and attention to accompanying issues.

• Clear treatment plan with defined steps and monitoring timelines for patient convenience
• Examinations prescribed only when necessary, avoiding unnecessary burden and expenses
• Consideration of comorbidities and medications to ensure safety and therapy effectiveness
• Monitoring symptom progression and timely correction of the treatment plan if required
• Analysis of results from previous tests to determine further actions
• Explanation of treatment goals, possible risks, and alternatives in an accessible language without pressure
• Focus on preventing complications and exacerbations to maintain stable health
• Experience in managing complex and chronic cases with attention to detail and individual patient needs

This approach helps patients receive comprehensive care tailored to their unique health circumstances. A consultation with Dr. Sergey Nikolaevich Glushchenko is aimed at informed decision-making and the most comfortable management of prostate adenoma treatment.

Case Studies

Initial Consultation for Difficult Urination

A middle-aged patient presented with complaints of frequent urges to urinate and a feeling of incomplete bladder emptying. It was important to rule out possible inflammatory processes and assess the degree of functional impairment. The physician conducted a clinical examination, took a detailed medical history, and ordered necessary tests as indicated. Based on the results, treatment was selected with a focus on symptom reduction. Over the following weeks, a significant decrease in frequency of urges and an improvement in well-being were noted. The patient continues under observation for condition monitoring and prevention of exacerbations.

Adjustment of Treatment Strategy Due to Poor Response

An elderly patient reported that previously prescribed therapy had not provided noticeable relief of symptoms. The priority was to clarify the reasons for the lack of effect and assess drug tolerability. The physician reviewed the complaints again, analyzed all prior prescriptions and test results. Changes were made to the treatment plan considering comorbidities. At the follow-up visit, the patient’s condition stabilized, symptoms lessened, and further management was discussed. Regular monitoring was appointed for timely adjustment of therapeutic interventions.

Chronic Course with Comorbid Diagnoses

A middle-aged man with a long-standing history of prostate adenoma came for consultation due to worsening symptoms in the context of diabetes mellitus and hypertension. It was necessary to evaluate the impact of comorbidities and therapy safety. The physician performed a comprehensive history analysis, checked treatment compatibility, and ordered additional tests to exclude complications. Therapy adjustments were made considering all factors. Symptom stabilization and overall improvement were observed over time. Multidisciplinary follow-up continues.

Symptom Exacerbation and Development of a Control Plan

An elderly patient presented with severe pain and difficulty urinating, leading to deterioration in well-being. It was essential to promptly exclude complications and assess the acute phase. The physician conducted an urgent examination, ordered necessary emergency tests, and provided symptomatic support. After symptom relief, a detailed plan for ongoing monitoring and prevention of exacerbations was developed. Subsequent visits documented improved quality of life and reduced relapse frequency. The patient remains under regular control to maintain stability.

Recurrent Symptoms and the Need for a Second Opinion

A middle-aged patient with intermittent exacerbations sought clarification on further treatment tactics. The medical history and results of previous examinations were reviewed, with attention to potentially overlooked causes. The physician proposed an alternative management plan and recommended additional tests as indicated for more precise evaluation. As a result, disease dynamics improved, symptoms became less frequent and less severe. The patient continues regular follow-up with the possibility of prompt adjustment if necessary.

How long does the consultation last?

The consultation usually takes 30–60 minutes; please confirm the exact duration when making an appointment.

How to prepare for the appointment?

Write down your main complaints, prepare your questions carefully, and if available, gather the results of previous examinations.

What should I bring to the appointment?

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

Do I need to come on an empty stomach?

Usually no, unless there are special instructions; check when booking your appointment.

How many visits are usually required?

The number of visits depends on the situation and stage of the illness; typically, several appointments are needed for diagnosis and monitoring.

When can I expect the first results from the treatment?

The initial changes depend on the chosen treatment approach; timelines are discussed individually.

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

If symptoms worsen, it is important to contact a doctor immediately; do not delay a visit if you experience severe pain or blood in your urine.

Can treatment be combined with my current medications?

Discuss medication compatibility with your doctor; do not change your treatment regimen on your own.

Is it possible to have an online consultation?

Yes, online consultations are available by appointment if an in-person examination is not necessary.

Can I come with tests already done?

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

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

Follow-up visits are scheduled based on treatment results and the need for monitoring.

Can I get a second opinion on my case?

Yes, this can be discussed with the doctor during your first visit.

What if symptoms return after improvement?

Inform your doctor so that your treatment plan can be adjusted accordingly.

What tests are usually prescribed?

The scope of tests depends on symptoms and condition; they are prescribed only when indicated.

What medications are prescribed for prostate adenoma?

The treatment approach is chosen individually, considering the patient’s characteristics and condition.

How often should monitoring be done for prostate adenoma?

Monitoring frequency depends on disease progression and treatment effectiveness.

Can I come to the appointment without a referral?

Yes, direct appointments with the doctor are possible.

What should I do if I have other existing health conditions?

Be sure to inform your doctor so that these can be taken into account in selecting treatment.