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

Patients present with difficulty urinating, lower abdominal pain, a decline in overall well-being, or the appearance of new symptoms that cause concern.

The doctor 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 and understandable plan for further actions: what to do now, what tests to undergo, and how to monitor the progression of their condition.

Special attention is given to differential diagnosis and the management of patients with comorbidities, which helps to timely adjust therapy and minimize risks.

When to See a Doctor

You should consider consulting urologist-andrologist Sergey Nikolaevich Glushchenko if you experience changes in the condition of your genitourinary system or notice new symptoms. It is important not to ignore recurring signs or worsening health. The doctor will help evaluate your complaints, prescribe necessary examinations, and suggest a plan for further action.

You should make an appointment with a urologist if, during prostate cancer treatment, you notice:

• Persistent difficulty or pain during urination
• Increased frequency of urination urges, especially at night
• Presence of blood in urine or seminal fluid
• Painful sensations in the pelvic area or lower abdomen
• Decreased urine stream force or a feeling of incomplete bladder emptying
• Erectile dysfunction or changes in erectile function
• Symptoms worsen or recur after starting treatment
• Complaints interfere with work, rest, or normal sleep
• No effect from previously attempted self-care measures
• New symptoms arise after examinations or therapy
• Need to clarify reasons for deteriorating condition
• Desire to receive consultation during repeated flare-ups or complicated disease course

Even with mild or unstable symptoms, it is wise to consult a specialist to timely assess the situation and develop an appropriate monitoring or treatment plan. It is important to seek help with any doubts — this helps avoid unnecessary anxiety and obtain professional support.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe pain in the pelvic or lower back area
• Rapid worsening or loss of ability to urinate
• Increasing weakness, dizziness, or prolonged fatigue
• Appearance of heavy blood in urine or discharge
• Combination of high fever with severe discomfort in the genitourinary system

If you experience these symptoms, do not wait for a scheduled appointment. It is recommended to call a doctor for urgent assistance and evaluation of your condition.

Causes and Risk Factors of Prostate Cancer

This section covers possible causes of prostate cancer development and important factors that may influence the risk of the disease. Understanding these aspects helps identify what to discuss with your doctor and which examinations to undergo.

Main Causes / Mechanisms (Briefly)

• Disorders in prostate function related to cellular changes
• Influence of hormonal balance, especially testosterone
• Chronic inflammatory processes in the genitourinary system
• Genetic predisposition and hereditary factors

Risk Factors

• Age over 50 — risk increases with age
• Family history of prostate cancer among close relatives
• Excess weight and metabolic disorders
• Poor diet lacking sufficient fruits and vegetables
• Sedentary lifestyle
• Smoking and excessive alcohol consumption
• Chronic diseases of the genitourinary system
• Exposure to adverse environmental factors

Reversible Causes That Should Be Ruled Out

• Inflammatory diseases of the prostate (prostatitis)
• Benign changes and swelling of the prostate
• Infections of the genitourinary system affecting tissue condition

Prostate cancer is a serious issue, and its causes and risk factors require careful medical attention and comprehensive examination. Only a specialist can determine which specific causes and conditions affect your health.

Diagnosis

Diagnosis of prostate cancer is a comprehensive process aimed at identifying the cause of symptoms and determining the next steps. This stage helps the doctor understand the current condition and develop a plan for examinations and treatment.

Diagnostic Approach

• Collecting a detailed medical history, including complaints and disease history
• Physical examination and assessment of the genitourinary system
• Performing basic tests — urinalysis, blood biochemistry
• Ordering additional tests as indicated and on an individual basis
• Analyzing results and forming a plan for further actions
• Discussing examination and treatment options with the patient
• Referring to specialists for additional consultation if necessary

Typical Examinations as Indicated

• Ultrasound examination (US) of the prostate and pelvic organs
• Analysis of prostate-specific antigen (PSA) levels in the blood
• Magnetic resonance imaging (MRI) if tissue changes are suspected
• Prostate biopsy to clarify the nature of suspicious changes
• Additional laboratory tests if needed

What to Bring to the Appointment

• Previously performed examinations and test results
• A list of medications and supplements being taken
• A symptom diary noting features and changes
• Medical records of comorbid conditions
• Questions to discuss with the doctor

Diagnosis of prostate cancer requires a careful and step-by-step approach — this allows doctors to select the optimal examinations and treatment plan for each patient.

Treatment

Treatment of prostate cancer aims to control the disease, reduce symptoms, and maintain quality of life. The therapy plan is tailored individually, taking into account the specifics of each patient and indications for various methods.

Treatment Goals

• Reduction of symptoms and improvement of the patient’s well-being
• Control or slowing of prostate cancer progression
• Preservation of urinary and reproductive system function
• Prevention of complications related to the disease and its treatment

Main Treatment Approaches

• May include medication to control tumor growth and symptoms
• Key directions involve non-drug methods such as rehabilitation and physiotherapy as indicated
• Surgical interventions are prescribed if necessary, considering the patient’s condition and disease characteristics
• Therapy is always individualized and designed with consideration of comorbidities

What the Doctor Does

• Selects and adjusts therapeutic methods based on examination results and patient response
• Takes into account comorbid conditions and overall health status
• Monitors the appearance and severity of treatment side effects
• Explains to the patient the criteria for therapy effectiveness and the importance of regular monitoring
• Coordinates treatment with other specialists when a multidisciplinary approach is necessary

What to Expect: Plan and Monitoring

• The doctor estimates the timing for assessing therapy effectiveness depending on individual factors
• Regular monitoring helps to timely adjust the treatment plan if needed
• The patient should expect follow-up visits for observation and evaluation of dynamics
• The plan is formed flexibly, considering the development of the situation and test results

For detailed information about prostate cancer treatment options, you can consult with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention plays an important role in reducing the risk of developing prostate cancer and maintaining health. A prevention plan is tailored individually, taking into account the patient's specific characteristics and the doctor's recommendations.

Key Primary Prevention Measures

• Monitoring and normalizing body weight, reducing excess weight
• Healthy and balanced nutrition with an adequate amount of vegetables and fruits
• Regular physical activity adapted to health condition
• Quitting smoking and limiting alcohol consumption
• Maintaining normal hormone levels and timely treatment of chronic diseases
• Avoiding prolonged exposure to harmful environmental factors

Screening and Secondary Prevention / Regular Monitoring

• Regular prostate screening based on indications and doctor's recommendations
• Monitoring prostate-specific antigen (PSA) levels in the blood as prescribed
• Periodic examination by a urologist to assess condition if risk factors are present
• Observation and management of comorbidities as required by a specialist

Practical Tips

• Discuss the optimal schedule for examinations and screenings with your doctor
• Monitor changes in the genitourinary system and promptly inform your specialist
• Increase physical activity to the recommended level considering your individual capabilities
• Manage chronic diseases and adjust treatment per your doctor's advice
• Reduce harmful habits, pay attention to sleep patterns and rest

Prevention of prostate cancer is an important step toward maintaining health, which is best planned together with your doctor.

Important to Know

The treatment of prostate cancer is a responsible and complex process that requires timely consultation with a specialist. Early assessment helps to choose the appropriate strategy and reduce the risk of complications or disease progression. The therapy plan may be adjusted depending on the body’s response and changes in the patient’s condition. It is important to consider that various factors influence the course of the disease—physical activity, stress, sleep quality, and the presence of comorbidities. Self-medication can complicate diagnosis, cause undesirable effects, and delay receiving the necessary care.

• Identifying the cause and triggering factors is the foundation of effective treatment, not just symptom relief
• Early consultation helps determine the optimal plan and reduce the risk of complications
• Ongoing monitoring is important for adjusting therapy and evaluating results
• Physical activity, stress, and sleep can affect overall condition and disease progression
• Comorbidities must be taken into account when choosing treatment methods
• Taking medications independently without a doctor’s supervision can obscure the clinical picture and cause side effects
• Our clinic focuses on a comprehensive assessment and coordination of the treatment plan with the patient

Detailed information about prostate cancer treatment and how to undergo examinations and therapies optimally is available on the main page of our website.

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

Before seeing a doctor for suspected prostate cancer, it is important to follow safe measures to avoid worsening your condition or distorting the clinical picture. If your condition worsens or you experience alarming symptoms, urgently contact Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Note when the first symptoms appeared and what makes them better or worse
• Bring a list of all medications and supplements you are taking
• Keep a symptom diary, recording the intensity and characteristics of your symptoms
• If you have a fever, measure and record the temperature
• Reduce physical activity, rest adequately, and avoid excessive stress
• Drink enough water to prevent dehydration
• Try to maintain your usual sleep and rest schedule
• Write down any questions or changes to discuss with your doctor

What You Should Not Do Before the Appointment

• Do not stop or change the dosage of prescribed medications without consulting your doctor
• Do not try new medicines or remedies without specialist approval
• Do not use folk remedies or unverified treatment methods
• Do not interpret tests and scans on your own
• Do not ignore worsening symptoms or the appearance of new alarming signs
• Do not delay seeing a doctor if your condition suddenly worsens
• Do not take combination drugs without your doctor’s recommendation

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

How I Can Help as a Doctor with Prostate Cancer Treatment

During a consultation on prostate cancer treatment, I will help you understand the causes of your symptoms and assess your current condition. We will discuss potential risks and clarify any previously prescribed therapies to develop an optimal plan for the next steps. I also pay attention to any comorbidities and lifestyle factors, which are important for a comprehensive approach. In the consultation, you will receive a clear plan for examinations, treatment, and monitoring, as well as recommendations for follow-up and timely medical attention if there are any changes.

In a consultation on this issue, I can assist you with the following:

• Analyzing symptoms and medical history to identify possible causes
• Assessing the severity of the condition and risk factors at the current stage
• Reviewing current prescriptions and drug tolerability
• Creating a phased plan for examinations, therapy, and monitoring
• Considering comorbidities and other medications being taken
• Providing recommendations on lifestyle and regimen tailored to individual needs
• Discussing criteria for monitoring progress and reasons for follow-up visits
• Diagnosing causes during the initial consultation and ruling out other possibilities
• Adjusting treatment if there is no improvement or if side effects occur

This comprehensive approach allows not only for an understanding of the current state but also for developing the most effective strategy for monitoring and treatment. The doctor oversees the effectiveness of the therapy and makes timely adjustments based on changes in the patient’s condition.

What Questions Can I Ask the Doctor When Being Treated for Prostate Cancer

During your appointment regarding prostate cancer treatment, you can discuss the following important issues with Sergey Nikolaevich Glushchenko:

• Problems with urination and pain in the pelvic area
• Frequent urges to urinate, especially at night
• Blood in urine or seminal fluid
• Decreased potency and changes in the intimate sphere
• Worsening symptoms or recurrence of problems after treatment
• Lack of effect from previously prescribed therapy
• The need to get a second opinion on the diagnosis or treatment

In case of sudden severe pain, sharp deterioration in urination, or large amounts of blood, urgent medical care is required; do not wait for a scheduled appointment.

Questions You Can Ask During the Consultation

• What is happening to me and what could it be?
• Why have these symptoms appeared now?
• How can prostate problems be distinguished from other diseases?
• What examinations are needed to accurately understand my condition?
• Which tests and procedures are mandatory, and which can be skipped?
• How should I prepare for the examinations and the doctor’s visit?
• What treatment options are available for prostate cancer?
• Is complete remission possible, or will the treatment be supportive?
• What should I do if the prescribed therapy does not work?
• Is it possible to avoid surgery or other interventions?
• How long does treatment usually last, and how often do I need follow-up?
• What signs indicate that my condition is improving or worsening?
• What should I do if there is a sudden deterioration or flare-up of symptoms?

This list of questions will help you prepare for your consultation and receive the most comprehensive information about your condition. In difficult situations, the doctor will determine the need for urgent care and may refer you for additional examinations or to specialized professionals.

How the Consultation Takes Place

A consultation with a doctor for the treatment of prostate cancer includes a review of complaints, an assessment of the condition, and the development of a plan for further actions. The scope of necessary examinations is determined individually and based on indications, depending on symptoms and patient-specific factors. It is important to understand that a final diagnosis may not always be established during a single visit, but the doctor will be able to provide a preliminary assessment and outline the next steps.

1. Clarification of complaints and the purpose of the visit — identifying symptoms, their duration, influencing factors, and patient expectations.
2. Collection of medical history and risk factors — studying the patient’s background and possible causes that may have affected the condition.
3. Analysis of previous treatments and examinations — reviewing existing results, with recommendations to bring documents and a list of medications.
4. Conducting an examination and specialized tests as indicated — assessing the condition of the prostate gland and overall health evaluation.
5. Preliminary conclusion — determining possible causes of symptoms and important points for further clarification, without issuing a final diagnosis.
6. Development of an examination plan — may include ultrasound, blood test for prostate-specific antigen (PSA), magnetic resonance imaging (MRI), and other methods as indicated.
7. Formulation of a treatment and management plan — general directions without details, taking into account the individual characteristics of the patient.
8. Discussion of monitoring and next steps — timing of follow-up visits, criteria for evaluating the condition, and recommendations for seeking help if changes occur.

If this is your first consultation, the visit will focus on a thorough collection of complaints and searching for possible causes of your symptoms. If there is no effect from previously prescribed treatment, special attention is given to analyzing the reasons and adjusting the therapy plan.

This approach helps ensure safety, understand the current situation, and determine the most appropriate steps for your health, based on your individual needs.

Preparation for Your Appointment

This guide will help you prepare for your urologist appointment regarding prostate cancer treatment and will facilitate the development of an accurate plan. Proper preparation ensures the most informative consultation possible.

• Bring a list of all current medications, including names and dosages if known
• Bring results of previous examinations, including ultrasound, blood tests (PSA), MRI, and biopsy
• Write down your main complaints: when symptoms appeared, what makes them worse or better
• Do not stop taking prescribed medications without consulting your doctor
• If possible, come on an empty stomach, avoiding food and drinks for 8–12 hours (unless otherwise instructed)
• Avoid applying creams or other cosmetic products before the examination
• Prepare a list of questions and observations to discuss with your doctor
• Take your usual medications at the regular time, unless advised otherwise
• Bring copies of medical documents or take photos of test results for convenience
• If unsure about preparation, clarify the details when scheduling your appointment by phone

If you have any questions about preparation, it’s best to clarify all details in advance and not change medications without consulting a specialist.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, and oncologist of the first category with 20 years of experience. He works with patients requiring treatment for prostate cancer, including initial consultations, chronic cases, and patients with comorbidities.

In his practice, the doctor pays special attention to differential diagnosis and adjustment of therapy in case of side effects. Thanks to this approach, patients receive a detailed analysis of their situation and a clear plan for the next steps.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

Patients note that treating prostate cancer requires a systematic and consistent approach, which is precisely what Sergey Nikolaevich implements in his practice. He pays close attention to accurate diagnosis of the causes of complaints, thoroughly reviews the medical history and previous prescriptions. The doctor takes into account the specifics of each patient, including comorbidities and medications, which enhances the safety of the therapy. His work is based on clear explanations of the treatment plan and criteria for evaluating results. Continuous monitoring of progress and prompt adjustment of therapy allow timely and effective responses to changes in the patient’s condition.

• A clear treatment plan with defined stages and control timelines makes it easier to understand the next steps
• Examinations are conducted only when indicated, avoiding unnecessary procedures and saving the patient’s time and effort
• Considering comorbidities and drug interactions ensures the safety of the therapy
• Monitoring progress and adjusting treatment allow timely corrections of the prescribed strategy
• Reviewing previous prescriptions and side effects helps improve therapy tolerance
• Focusing on diagnosing the causes of symptoms aids in choosing the optimal management strategy
• Dynamic management with regular status assessments maintains stability of the condition
• Interpretation of existing test results reduces the need for repeated visits and duplicate procedures

This structured approach helps concentrate on the key aspects of treatment and reduces uncertainty for the patient. Thanks to these principles, the doctor builds effective cooperation with patients, paying attention not only to medical factors but also to the convenience of disease management.

Case Studies

Initial Presentation with Suspected Prostate Cancer

A middle-aged patient presented with complaints of frequent urination urges and pelvic discomfort. It was important to exclude other causes of the symptoms and accurately identify a possible neoplasm. A comprehensive examination was conducted, including laboratory tests and imaging studies, which helped to determine the probable cause. Over several weeks, the symptoms stabilized, after which an individualized monitoring and treatment plan was prescribed. The patient was enrolled in a program of regular follow-up with mandatory repeat evaluations.

Adjusting Treatment Strategy Due to Lack of Effect

An elderly patient reported recurring symptoms despite previously prescribed therapy. Special attention was given to reviewing prior prescriptions and assessing treatment tolerance. The therapy was revised with a change in approach and supplemented by necessary investigations to clarify the patient’s condition. Symptom severity gradually decreased, and overall well-being improved. The treatment plan was adjusted with enhanced monitoring of the patient’s response and more frequent visits for assessment.

Chronic Disease Course with Comorbid Diagnoses

A middle-aged patient with a long history of urinary disorders and confirmed neoplasms came for continued follow-up. In addition to the primary condition, concomitant diseases and medications potentially affecting the main condition were considered. The physician performed a comprehensive review of the current status and selected a safe management strategy. During follow-up, symptoms remained stable without progression, facilitating supportive therapy and complication prevention.

Symptom Exacerbation and Control Plan

An elderly patient was admitted with increasing pain and worsening urinary function. Rapid assessment of exacerbation causes and measures to stabilize the condition were required. Additional examinations were organized, and the treatment strategy was modified considering the current condition and the patient’s capabilities. Partial symptom improvement was noted following treatment. The patient is now under regular supervision to prevent recurrent exacerbations and maintain quality of life.

Second Opinion and Review of a Complex Case

A young patient sought a second consultation after unsuccessful treatment at another facility. The physician thoroughly reviewed all available examinations and the medical history, analyzing each stage of therapy. An alternative plan for further management was developed, taking into account specific features and potential risks. During follow-up, the patient received a clearer assessment of the condition and support throughout the treatment process. This approach allowed adaptation of therapy to individual needs based on regular monitoring results.

How long does the consultation last?

On average, a consultation takes between 30 to 60 minutes. Please confirm the exact duration when booking your appointment.

How should I prepare for the appointment?

Bring a list of your symptoms, your medical history, and any results from previous examinations.

What should I bring to the appointment?

It is recommended to bring lab tests, imaging scans, discharge summaries, and a list of medications you are currently taking.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified when booking.

How many visits are usually required for treatment?

The number of visits depends on your situation and the chosen treatment approach. Typically, it involves a series of visits for examination and monitoring.

When can I expect the first results from the treatment?

The appearance of improvements is assessed individually and timelines may vary depending on the treatment plan.

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

If you experience severe symptoms such as intense pain or bleeding, seek medical help immediately or call emergency services.

Can treatment be combined with my current medications?

It is essential to discuss all medications during the appointment. Do not change your medication regimen without consulting your doctor.

Is it possible to receive a consultation online?

Yes, online consultations are available for initial visits and follow-ups. Please check the conditions when booking.

Can I come with previous examination results?

Yes, please bring all existing results to save time and allow for a more comprehensive analysis.

Do I need to come for repeated appointments?

Follow-up visits are generally necessary to monitor progress and adjust treatment. The frequency is determined individually.

Can I get a second opinion on my diagnosis or treatment?

Yes, the doctor is willing to review your data and provide explanations regarding your case.

What should I do if symptoms return after improvement?

It is recommended to contact your doctor as soon as possible for assessment and treatment adjustment.

What examinations might be prescribed?

The list of tests is selected individually based on your symptoms and clinical picture.

What does prostate cancer treatment include?

The approach depends on the stage, causes, and concurrent conditions, and is tailored individually by the doctor.

How can I tell if the treatment is effective?

Effectiveness is assessed based on symptoms and results of follow-up examinations.

Can I submit tests in advance?

Usually yes, but it’s best to clarify which tests are needed when scheduling your consultation.

What if I have other chronic diseases?

It is important to discuss all existing conditions during your appointment to ensure safe and effective treatment.