Treatment of stones in the prostatic urethra by urologist-andrologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with complaints of painful or difficult urination, a sensation of discomfort in the urethral area, as well as persistent symptoms that interfere with daily life.

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

The patient receives a clear action plan that includes recommendations for current management, necessary examinations, and how to monitor symptom changes over time.

Special attention is given to the differential diagnosis of causes and monitoring the progression of the condition to timely adjust treatment and prevent complications.

When to See a Doctor

Sometimes unpleasant sensations in the area of the prostatic urethra can come and go without causing serious concern. However, it is important to pay close attention to symptoms and not delay a visit to a specialist if something causes discomfort or interferes with your usual life.

You should make an appointment with a urologist-andrologist if, during treatment for stones in the prostatic urethra, you notice:

• Constant or intermittent burning sensation during urination
• Difficulty starting urination or weak urine stream
• Feeling of incomplete bladder emptying
• Pain or discomfort in the perineal area or urethra
• Presence of blood or cloudiness in the urine
• Symptoms worsen with physical exertion or after prolonged sitting
• Recurrent episodes of painful urination
• Sleep disturbances due to frequent urges to urinate
• No improvement despite using home remedies or previously prescribed treatment
• Symptoms appear for the first time and cause concern
• Symptoms interfere with work, rest, or everyday activities
• Symptoms recur and are accompanied by increased discomfort

If you notice one or more of these signs, seeing a doctor will help determine the cause and identify which examinations and tests are necessary to choose the appropriate treatment strategy.

Rather than waiting for the condition to worsen, it is better to get a timely consultation to assess the situation and, if necessary, adjust the plan of action.

Emergencies or When You Need to See a Doctor Immediately

• Sudden severe pain in the groin area or along the urethra
• Sharp deterioration in urination, inability to empty the bladder
• Large amounts of blood in the urine or blood accompanied by severe pain
• Rapid increase in body temperature with chills and weakness
• Worsening swelling or redness in the perineum and scrotum area

If you experience these symptoms, do not wait for a scheduled appointment and be sure to consult a specialist immediately. Our clinic offers a home visit service, allowing you to receive qualified care without delay.

Causes and Risk Factors in the Treatment of Stones in the Prostatic Urethra

This section will help you understand the most common underlying causes of the problem and what to pay attention to during examination. You will learn which factors influence the development and progression of stones in the prostatic urethra, as well as what to check and rule out.

Main Causes / Mechanisms (Briefly)

• Impaired urine outflow, leading to stagnation and stone formation
• Chronic inflammatory processes in the urinary system
• Anatomical features of the prostatic urethra
• Metabolic disorders associated with the formation of salt deposits
• Injuries or surgeries on the prostate and urethra

Risk Factors

• Age over 50, when tissues become less elastic
• Presence of comorbidities such as prostate adenoma or urological infections
• Dehydration and unbalanced diet with excess salts and minerals
• Sedentary lifestyle contributing to urine stagnation
• Frequent recurrences of urinary tract infections
• Family history of urolithiasis or urological diseases
• Smoking and alcohol consumption, which worsen the condition of blood vessels and tissues
• Poor control of chronic diseases, such as diabetes mellitus

Reversible Causes to Rule Out

• Acute or chronic urinary tract infections requiring treatment
• Temporary urine outflow obstruction due to prostatitis or tissue swelling
• Side effects of some medications affecting urine production
• Unbalanced diet and inadequate fluid intake

Understanding the possible causes and risk factors for stones in the prostatic urethra will help ensure timely diagnostic evaluation and appropriate measures to improve the condition.

Diagnosis

Diagnosis in the treatment of stones in the prostatic urethra is aimed at thoroughly identifying the causes of symptoms and assessing the patient's condition. This approach helps to develop a plan for examinations and further treatment, taking individual characteristics into account.

Diagnostic Approach

• Taking medical history with clarification of complaints, medical background, and risk factors
• Physical examination with assessment of the genitourinary system
• Ordering basic laboratory tests of urine and blood as indicated
• Conducting instrumental diagnostic methods (e.g., ultrasound or cystoscopy) when necessary
• Evaluating results and determining further treatment tactics or additional investigations
• Discussing the plan of action and symptom management recommendations with the patient

Typical Examinations as Indicated

May include:

• Ultrasound examination of the pelvic organs
• X-ray or CT scan to clarify the location and size of stones
• General and biochemical blood and urine tests
• Uroflowmetry to assess the rate of urination
• Cystoscopy to inspect the inner surfaces of the urethra and bladder

What to Bring to Your Appointment

• Results of previous examinations and tests
• A list of medications currently being taken
• A symptom diary describing changes and complaints
• Medical documentation related to urological issues

Understanding the stages of diagnosis for stones in the prostatic urethra will help you better prepare for your appointment and receive qualified care.

Treatment

Treatment of stones in the prostatic urethra aims to alleviate symptoms and reduce the risk of complications. The therapy plan is individualized, taking into account the patient’s condition and examination results.

Therapy Goals

• Reduce pain and discomfort during urination
• Correct factors contributing to stone formation
• Restore normal urinary function
• Prevent complications and recurrent episodes

Main Treatment Approaches

• Medication to reduce inflammation and relieve symptoms as indicated
• Modern minimally invasive methods for stone removal or fragmentation if necessary
• Non-pharmacological measures to improve overall condition and prevention
• Management of comorbidities affecting disease progression
• Possible inclusion of rehabilitation and physiotherapy to restore function

Physician’s Role

• Selects and adjusts treatment considering individual patient characteristics
• Assesses therapy effectiveness and makes changes if needed
• Accounts for comorbidities and potential side effects
• Explains treatment goals and evaluation criteria to the patient
• Coordinates care with other specialists in comprehensive patient management

What to Expect: Plan and Monitoring

• Monitoring symptom dynamics and overall patient condition
• Treatment outcome assessment at individually determined intervals
• Plan adjustment if effectiveness is insufficient or side effects arise
• Regular follow-up visits for control and maintenance of therapeutic results

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

Prevention

Prevention is important for reducing the risk of recurrent stone formation in the prostatic urethra and maintaining the health of the genitourinary system. The prevention plan is tailored individually and depends on the patient’s specific characteristics.

Primary Prevention Measures

• Maintaining an optimal fluid intake to reduce the concentration of salts in the urine
• Managing chronic diseases that affect the urinary system
• Avoiding prolonged sitting and a sedentary lifestyle
• Balanced nutrition with limitation of foods that contribute to stone formation
• Quitting smoking and avoiding excessive alcohol consumption
• Regular medical check-ups to assess condition when risk factors are present

Screening and Secondary Prevention / Regular Monitoring

• Regular monitoring of the prostate and urinary system as indicated
• Examinations to detect recurrences or complications, prescribed individually by the physician
• Monitoring chronic conditions that may influence stone formation

Practical Tips

• Increase physical activity to the level recommended by your doctor
• Discuss possible changes in diet and fluid intake with your physician
• Adhere to prescribed medications and inform your doctor of any changes
• Schedule regular visits to your specialist for timely condition assessment

Proper prevention helps reduce the risk of recurrent issues with stones in the prostatic urethra and supports overall health.

Important to Know

Treatment of stones in the prostatic urethra requires a careful approach and timely consultation with a specialist. It is important not only to relieve symptoms but also to identify the causes and factors contributing to stone formation. Early assessment of the condition helps to choose the optimal strategy and reduce the risk of complications. Patients often require ongoing monitoring to adjust the plan according to changes. Lifestyle and concomitant diseases can influence the course of the problem, so a comprehensive approach is essential for maintaining health.

• Identifying the causes of stone formation is more important than just alleviating symptoms
• Early consultation helps prevent progression of the condition and complications
• Monitoring allows timely adjustment of treatment and control of results
• The condition may depend on physical activity, stress, sleep, and other factors
• Self-medication often complicates diagnosis and increases the risk of side effects
• Dr. Sergey Nikolaevich Glushchenko conducts a thorough analysis and develops a therapy plan taking into account all the patient’s individual features

At the first signs of discomfort or changes in the urinary system, do not delay visiting a specialist. For detailed information and a comprehensive approach, you can refer to the general page dedicated to urological problems. Consulting a doctor will help you receive competent support and timely assistance.

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

Before your visit to Dr. Sergey Nikolaevich Glushchenko, it is important to take safe measures to ease your condition and prepare for the examination. If symptoms worsen or new alarming signs appear, do not delay seeking medical help.

What You Can Do Before the Appointment

• Write down when and how your symptoms began, noting the circumstances and what alleviates or aggravates your condition
• Keep a symptom diary, including intensity and the timing of complaints
• Bring a list of all current medications with their names and dosages if known
• Measure and record your body temperature, blood pressure, and pulse rate if you know how
• Drink enough water to avoid dehydration, unless contraindicated
• Reduce physical activity and rest to avoid worsening symptoms
• Avoid alcohol and substances that may irritate the urinary system
• Stay calm; stress reduction may help decrease anxiety

What You Should Not Do Before the Appointment

• Do not stop or change prescribed chronic medications without consulting your doctor
• Do not take new medications or combine them on your own without specialist approval
• Do not use folk remedies without the doctor’s approval, as this may distort the clinical picture
• Do not try to diagnose your problem yourself based on symptoms or test results
• Do not delay seeing a doctor if pain worsens, blood appears, or you experience difficulty urinating
• Do not increase the dose of painkillers or other remedies without specialist recommendation
• Do not subject yourself to excessive physical exertion or stress before the consultation

If urgent symptoms appear, seek immediate medical assistance from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with the Treatment of Stones in the Prostatic Urethra

During a consultation for the treatment of stones in the prostatic urethra, I will help you understand the causes and characteristics of the condition, assess the current complexity level, and choose the optimal approach. Together, we will develop a plan for examination, therapy, and monitoring, taking into account all the nuances of your health. At the appointment, I will explain in detail how to manage your condition and when a follow-up visit is necessary.

In a consultation regarding the treatment of stones in the prostatic urethra, I can assist you with the following:

• Reviewing symptoms and medical history to determine possible causes
• Assessing the severity of symptoms and potential health risks
• Analyzing current medications and their tolerability if you have been previously treated
• Developing a plan for further steps: examination, therapy, and monitoring progress
• Considering comorbidities and medications for safe management
• Providing lifestyle and regimen recommendations based on individual indications
• Discussing criteria for evaluating treatment effectiveness and timing for follow-up consultations
• Conducting preliminary diagnostics, including ruling out other causes of symptoms
• Adjusting therapy if it is ineffective or causes side effects

Each case requires careful analysis and a flexible approach, which helps minimize risks and improve the patient’s quality of life. My goal is to provide support at every stage of treatment and help manage your condition, taking all individual factors into account.

What questions can you ask a doctor when treating stones in the prostatic urethra

During a consultation regarding the treatment of stones in the prostatic urethra, you can discuss the following questions with Sergey Nikolaevich Glushchenko:

• Should pain during urination always be a concern, and how can it be alleviated?
• Why does discomfort appear in the urethra, and what causes stones specifically in the prostate?
• Is it possible to determine the size and location of the stones without complex procedures?
• What should be done if symptoms recur or worsen over time?
• How do accompanying conditions, such as urinary tract infections, affect the situation?
• How can I tell if the prescribed treatment is effective and doesn’t require changes?
• What examinations are needed for an accurate understanding of the problem?
• Is surgery avoidable, and are there other treatment methods available?
• In which cases is urgent care necessary due to sudden pain or urination problems?
• How long does the treatment usually last, and how often should I visit the doctor?

If urgent symptoms appear — for example, sudden severe pain, inability to urinate, or blood in the urine — immediate medical help is required and you should not wait for a routine appointment.

Frequently asked questions that can be discussed during the consultation include:

• What is happening to me, and why have the symptoms appeared now?
• How can I understand whether this is related to stones in the prostatic urethra or another cause?
• What specific examinations are necessary in my case?
• Which tests and investigations are mandatory?
• How should I properly prepare for examinations or the initial appointment?
• What treatment options are available, and what are their differences?
• Is complete removal of the stones possible, or is this a long-term management situation?
• What should I do if the prescribed treatment does not improve my condition?
• Are there ways to avoid surgery or major procedures?
• How long does treatment usually take, and when should follow-up examinations be done?
• What signs indicate improvement or worsening of the condition?
• What actions should be taken in case of sudden worsening or symptom exacerbation?

If you experience pronounced symptoms requiring emergency care, it is important to contact a specialized medical facility immediately. In other cases, a consultation will help clarify the causes and select an optimal treatment plan taking into account your individual characteristics.

How the Consultation Takes Place

A consultation with a doctor involves reviewing your complaints, assessing your current condition, and developing a plan for further action. The extent of examinations is determined individually and depends on indications. During the visit, you will not be promised an exact diagnosis in one appointment, but you will gain a clear understanding of the situation and what to do next.

1. Clarifying complaints and the purpose of the visit: the doctor asks what exactly is bothering you, how long the symptoms have been present, what worsens or relieves them, as well as your expectations from the appointment.
2. Collecting medical history and risk factors related to the genitourinary system and possible stone formation.
3. Reviewing previous examinations and treatments, if any, with a recommendation to bring all necessary documents and a list of medications you are taking.
4. Physical examination and performing specialized tests as indicated — this may include a general examination or specific procedures to assess the condition of the urethra and prostate gland.
5. Preliminary analysis of the situation, discussion of possible causes of the symptoms, and what is important to rule out.
6. Developing a plan for examinations: if necessary, an ultrasound, urine and blood tests, X-rays, or other methods may be recommended.
7. Discussing general treatment principles: aimed at relieving symptoms, eliminating causes, and monitoring the condition.
8. Information about next steps: when and why a follow-up visit is needed, how to monitor progress, and in which cases to seek earlier consultation.

If this is your first time consulting about the symptoms, the doctor will pay special attention to a detailed interview and identifying possible causes. If previous treatment has been ineffective, the consultation will help to understand why this is happening and adjust the plan accordingly.

Preparation for the Appointment

To ensure an effective consultation with a urologist-andrologist for the treatment of stones in the prostatic urethra, it is important to prepare in advance. This will help the doctor make a quicker preliminary assessment and develop a plan for further actions.

• Bring a list of all current medications, including names, dosages, and schedules
• Bring results of previous examinations: ultrasound, urine and blood tests, X-rays, or CT scans
• Write down your main complaints: when and how symptoms appear, and what makes the condition better or worse
• Do not stop taking prescribed medications without consulting the doctor
• Arrive 10–15 minutes before the appointment to complete paperwork and get ready
• If instructed, come on an empty stomach, avoiding food and drinks for 8–12 hours (unless otherwise directed)
• Avoid using cosmetics and creams in the area to be examined if a procedure is planned
• If you have any questions or doubts, clarify preparation details when scheduling your appointment by phone

By preparing according to this list, your appointment will be as comfortable and productive as possible, and the doctor will receive all necessary information to assess your condition.

About the Doctor

Sergey Nikolaevich Glushchenko is a urologist-andrologist, a first-category physician with 20 years of experience. He specializes in treating stones in the prostatic urethra and often works with patients who experience recurring symptoms or complications after previous treatments.

The doctor pays close attention to thorough differential diagnosis and dynamic monitoring, which allows timely adjustments to the treatment plan. His approach includes analyzing all risk factors and managing comorbid conditions for comprehensive patient care.

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

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

Choosing a doctor for the treatment of stones in the prostatic urethra requires attention to the specifics of the process and the specialist's approach. Sergey Nikolaevich focuses not only on eliminating symptoms but also on thoroughly diagnosing the underlying causes to develop the most justified treatment plan. He handles complex cases, taking into account comorbidities and potential drug interactions. Patients appreciate his clear explanations and the consistent steps at every stage of therapy.

• A clear treatment plan with precise descriptions of current and subsequent steps
• Examinations recommended only when truly necessary, avoiding unnecessary procedures
• Consideration of all comorbid conditions and medications taken to ensure patient safety
• Monitoring symptom dynamics and timely adjustment of therapy if there is no improvement
• Review and interpretation of existing examination results to select the optimal treatment
• Explanation of goals, risks, and alternative options in an understandable and accessible manner
• Emphasis on preventing complications and avoiding relapses
• Experience managing complex and chronic cases with regard to individual patient characteristics

This approach helps patients receive the most clear and tailored care, which is crucial for complex urological issues. Ongoing management allows timely response to changes and maintains the condition under control.

Case Studies

Initial Consultation for Complicated Urination

A middle-aged patient presented with complaints of discomfort and difficulty urinating, occasional burning sensations, and irregular pain in the perineal area. It was important to rule out inflammatory processes and assess the presence of stones in the prostatic section of the urethra. Following clinical evaluation and instrumental examinations, a diagnostic plan was developed focusing on minimizing invasive procedures. Over time, symptoms partially decreased and urinary function improved. The patient remains under observation with periodic therapy adjustments based on monitoring results.

Treatment Adjustment in the Absence of Effect

An elderly man with recurrent symptoms of prostatic stones sought consultation after a course of therapy that did not yield noticeable improvement. The physician thoroughly reviewed his medical history, evaluated medications and comorbidities, and identified possible reasons for the insufficient treatment response. Changes in the treatment approach and additional diagnostic tests were recommended to clarify the diagnosis. Over several weeks, symptom improvement and stabilization of condition were observed. Further monitoring and therapy adaptation are planned as indicated.

Chronic Course with Comorbidities

A middle-aged man with chronic urinary disturbances due to prostatic adenoma and concomitant diabetes came for comprehensive management. The physician took all comorbidities into account, conducted a thorough assessment, and developed a stepwise treatment plan with symptom control and prevention of exacerbations. Dynamic follow-up showed a reduction in discomfort and improved quality of life. The patient regularly visits the specialist for maintenance therapy and monitoring.

Exacerbation and Prevention Plan

A patient presented with a sudden increase in pain and difficulty urinating, necessitating urgent evaluation and exclusion of serious complications. The physician promptly prioritized, performed necessary investigations, and adjusted the treatment plan focusing on rapid alleviation of unpleasant symptoms. After stabilization, a plan for ongoing monitoring and preventive measures was developed. At follow-up visits, the patient’s condition was assessed as stable with minimal symptoms.

Recurring Symptoms after Rest and Physical Activity

A middle-aged man complained of recurrent pain and discomfort following significant physical exertion and stressful situations. A thorough review of the circumstances surrounding symptom onset was conducted, and examinations were arranged to clarify the condition of the prostatic urethra. The physician recommended lifestyle adjustments, monitored symptom dynamics, and tailored the approach considering the patient's specifics. Symptoms became less pronounced and overall well-being improved when recommendations were followed. Regular observation and approach modification continue as needed.

How long does the consultation last?

The consultation usually takes between 30 to 60 minutes; please confirm the exact duration when booking.

How should I prepare for the appointment?

Write down your symptoms, their specifics, and bring a list of any medications you are currently taking, if applicable.

What should I bring to the consultation?

It is recommended to bring the results of any previous tests, scans, medical records, and a list of medications.

Do I need to come on an empty stomach?

Usually not, unless otherwise specified when booking or by the doctor.

How many visits are typically required for treatment?

This depends on the complexity of the case; on average, several visits are needed for examination and monitoring.

When can I expect the first results of the treatment?

Timeframes vary individually and depend on the chosen treatment approach and the specifics of your body.

What should I do if symptoms worsen before the appointment?

If you experience significant deterioration, severe pain, blood in the urine, or inability to urinate, seek emergency medical assistance immediately.

Can I continue taking my current medications during treatment?

Discuss medication use with your doctor; do not stop or change medications on your own.

Is it possible to have an online consultation?

Yes, online consultations are available—please inquire about the conditions when booking.

Can I come with tests I have already done?

Yes, bring all available test results for evaluation and analysis.

Is it necessary to come back for follow-up visits?

Follow-up visits are necessary to assess effectiveness and adjust the treatment plan as needed.

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

Yes, the doctor is willing to discuss your case and provide a second opinion.

What should I do if symptoms return after improvement?

It is recommended to contact your doctor for reassessment and possible therapy adjustment.

What tests are usually prescribed for prostate stone problems?

The extent of testing is determined individually and may include ultrasound, urine and blood tests, and other methods if necessary.

How do I know if the treatment is effective?

Effectiveness criteria are discussed during the appointment by observing changes in symptoms and overall condition.

Can treatment be combined with management of other chronic diseases?

Yes, doctors take into account comorbidities and concurrent medications to safely manage your care.

How often are tests conducted during therapy?

Frequency depends on your condition; the plan is determined by the doctor following the consultation.

If I am seeing the doctor for the first time, what is important to tell them?

Describe all your symptoms, their onset, any related diseases, and previous treatments, if any.