Treatment of ureter injury by urologist-andrologist Sergey Nikolaevich Glushchenko in Dnipro.

Patients present with lower abdominal pain, difficulty urinating, a sensation of pressure in the groin, or following abdominal trauma.

The doctor conducts a thorough clinical evaluation, reviews complaints and medical history, and, if necessary, orders additional tests to clarify the condition of the ureter.

The patient receives a clear and understandable action plan: what to do in the near future, which diagnostic steps are required, and how to monitor changes.

Sergey Nikolaevich pays special attention to differential diagnosis and the management of patients with comorbidities, which helps achieve the most precise and well-considered treatment.

When to See a Doctor

If you suspect a ureter injury or are experiencing unpleasant symptoms after an injury or other situations, it is important to consult a doctor promptly. This is especially important if changes in your condition interfere with daily life or do not resolve on their own. You should make an appointment with a urologist-andrologist if, following a ureter injury, you notice:

• Constant or increasing pain in the lower back or abdomen
• Difficulty urinating, burning sensation, or pain
• Involuntary urine leakage or incomplete emptying of the bladder
• A feeling of heaviness or discomfort in the groin area
• Occasional presence of blood in the urine or changed urine color
• Recurring or worsening symptoms after an injury to the abdomen or pelvis
• Symptoms disrupt sleep, work, or other daily activities
• No improvement after self-care measures or previous treatment
• Symptoms appeared for the first time following a blow, fall, or other injury
• Unsuccessful prior treatment or need to reassess previously prescribed therapy

Even with minor symptoms after a ureter injury, a consultation can help determine their cause and select appropriate examinations. Early assessment of your condition will help prevent possible complications and develop a plan for further action, taking into account all aspects of your health.

Emergencies or When to See a Doctor Immediately

• Sudden worsening of pain in the lower abdomen or lower back
• Severe difficulty urinating or complete inability to urinate
• Appearance of significant swelling or deformity in the groin area after an injury
• Combination of pain with fever and general deterioration of well-being
• Bleeding from the urethra or a significant amount of blood in the urine

If you experience any of these symptoms, do not delay seeking medical attention. You can call a specialist to your home for urgent assessment and assistance.

Causes and Risk Factors

This section describes possible causes of ureteral injury and factors that may increase the likelihood of its occurrence or complications. This will help understand what is important to check when consulting a doctor.

Main Causes / Mechanisms (Briefly)

• Mechanical damage from abdominal or pelvic trauma
• Complications after surgical interventions in the genitourinary system
• Injuries from falls, traffic accidents, and blows
• Inflammatory processes that weaken the ureteral structure
• Progression of scar tissue changes or ureteral strictures (narrowing)

Risk Factors

• Age over 50, associated with changes in the tissues of the urinary tract
• Chronic genitourinary diseases (e.g., infections, stones)
• History of previous surgeries or procedures on urinary organs
• Increased strain or trauma at home and work
• Smoking and harmful habits affecting overall vascular and tissue health
• Comorbidities that reduce tissue regeneration
• Insufficient medical attention after initial injury

Reversible Causes That Should Be Ruled Out

• Acute inflammatory processes that can be treated medically
• Late complications after improperly performed procedures or surgeries
• Temporary mechanical compressions that can be resolved without surgery

Causes of ureteral injury can vary and often require comprehensive evaluation. It is important to undergo examination and consultation with a doctor to clarify the condition and develop an appropriate treatment plan.

Diagnostics

The diagnosis of ureteral injury is aimed at accurately understanding the cause and extent of the damage. The physician conducts a sequential assessment to develop a clear plan for examinations and further actions.

Diagnostic Approach

• Taking medical history with analysis of complaints and circumstances of the injury
• External examination and palpation of the abdomen and groin areas
• Ordering basic laboratory tests as indicated
• Conducting instrumental investigations if necessary
• Interpreting the obtained data and forming an examination plan
• Discussing subsequent steps and treatment options with the patient

Typical Examinations as Indicated

May include:

• Ultrasound examination of the pelvic organs and kidneys
• Radiological methods with contrast imaging of the urinary tract
• Computed tomography to assess the extent of the injury
• Laboratory tests of urine and blood to monitor inflammation and damage

What to Bring to the Appointment

• Results of previous examinations and tests, if available
• Extracts from medical records or discharge summaries
• Lists of currently taken medications
• Records or a symptom diary, if maintained

Accurate diagnosis of ureteral injury requires a comprehensive approach and individualized selection of examinations. The physician will help to choose the necessary methods and develop a safe treatment plan.

Treatment

The treatment of ureteral injury aims to restore normal function and reduce symptoms. The therapy plan is selected individually, taking into account the nature of the injury and the patient's overall condition.

Therapy Goals

• Reduce the intensity of pain and discomfort
• Address the cause of the injury and prevent complications
• Restore patency and function of the ureter
• Improve quality of life and prevent recurrent injuries

Main Treatment Approaches

• May include medications to reduce inflammation and pain as indicated
• In some cases, minimally invasive endoscopic procedures are applied
• Therapy options may combine rehabilitation methods and physiotherapy to promote tissue recovery
• If necessary, the doctor prescribes surgical treatment considering the patient's individual characteristics
• Therapy is always individualized and requires medical assessment at each stage

What the Doctor Does

• Evaluates the specifics of the injury and selects an appropriate treatment plan
• Adjusts therapy based on the condition's progress and examination results
• Takes into account comorbidities and possible risks for the patient
• Monitors potential side effects and changes the approach if needed
• Explains to the patient the criteria for effectiveness and timelines for monitoring
• Coordinates treatment with other specialists if necessary

What to Expect: Plan and Monitoring

• Preliminary assessment of results is conducted at the initial follow-up visits
• Treatment effectiveness is evaluated by symptom reduction and overall improvement
• The therapy plan is adjusted if the response is insufficient or complications arise
• Follow-up visits are scheduled individually to monitor and maintain results

To arrange an individualized plan, book a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention in case of ureteral injury is important to reduce the risk of repeated damage and complications. The prevention plan is tailored individually, taking into account the specific health conditions.

Main Measures of Primary Prevention

• Avoid situations with a high risk of injury at home and at work
• Manage chronic urogenital diseases as indicated
• Give up harmful habits that affect the overall condition of tissues
• Ensure timely treatment of infections and inflammations
• Use protective equipment during sports and physical activities

Screening and Secondary Prevention / Regular Monitoring

• Regular medical check-ups and monitoring of the urogenital system as recommended by the doctor
• Timely re-examination if new symptoms or complications arise
• Control of factors that may impair tissue regeneration, as indicated
• Monitoring of comorbidities and adjustment of therapy if necessary

Practical Advice

• Discuss optimal measures for protecting the urinary tract with your doctor
• Maintain moderate physical activity recommended by a specialist
• Maintain hygiene and avoid hypothermia
• Seek medical consultation promptly if unpleasant symptoms appear

Prevention of ureteral injury requires regular monitoring and an individual approach, which your doctor will help you determine.

Important to Know

Endoscopic treatment of ureteral injury requires an accurate understanding of the cause of the damage and an individualized approach. Early assessment helps the specialist choose the optimal strategy and reduce the risk of complications. Sometimes it is important not only to start treatment but also to monitor the condition dynamically, adjusting the plan as needed. The patient’s overall condition, stress levels, physical exertion, and concomitant diseases can affect the course of the process and recovery.

• It is important to identify the cause of the injury, not just eliminate symptoms, for effective treatment
• Early consultation helps prevent progression and complications
• Dynamic observation allows timely adjustment of the therapy plan based on results
• Factors such as stress, physical activity, and sleep quality can influence the condition of the ureter
• Self-medication can mask symptoms and complicate diagnosis, increasing risks
• Clinic physicians pay attention to a comprehensive patient evaluation and selection of appropriate methods
• Minimally invasive endoscopic methods help minimize the burden on the body

If there is any suspicion of ureteral injury, it is important to consult a specialist for thorough examination and treatment selection. Accurate diagnosis and adequate therapy will reduce risks and help preserve the function of the urinary tract. More information about approaches and treatment features can be found on our main page.

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

Before your appointment for a ureter injury, it is important to follow safe actions to avoid worsening your condition and to ensure accurate examination results. If your symptoms worsen, urgently seek help from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Note when and under what circumstances your symptoms appeared and how they have changed
• Bring a list of all medications and dosages you are taking, if known
• Measure your body temperature and pulse rate, if you know how, and record the results
• Keep a symptom diary: pain intensity, changes in urination, possible triggers
• Reduce physical activity and rest as much as possible until you consult the doctor
• Drink enough water to avoid dehydration, unless contraindicated
• Stay calm, avoid stressful situations and overexertion
• Gather your medical documents, including results of previous examinations and doctors’ notes

What Not to Do Before the Appointment

• Do not stop taking chronic medications without consulting your doctor
• Do not start new medications or combine drugs without a specialist’s prescription
• Do not use folk remedies or treatments without proven effectiveness
• Do not attempt self-diagnosis or draw conclusions based on internet information
• Do not ignore worsening symptoms or the appearance of new alarming signs
• Do not delay visiting the doctor if your overall condition deteriorates
• Do not try to perform manipulations or massage on the injured area by yourself
• Do not take strong painkillers or other medications without approval

If signs of worsening appear, immediately seek help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Endoscopic Treatment of Ureteral Injury

During a consultation regarding endoscopic treatment of a ureteral injury, I can assist you in the following ways: identifying the causes and nature of your symptoms, assessing your condition and potential risks, and proposing the optimal treatment strategy tailored to your individual needs.

• Reviewing your symptoms and medical history to identify possible causes and factors affecting your condition
• Evaluating the severity of the injury and the risks of complications in clear, understandable terms
• Conducting an initial diagnosis and differential analysis to rule out other causes
• Analyzing current prescriptions and treatment tolerance if therapy has already been initiated
• Developing a step-by-step plan for examinations and subsequent treatment based on symptoms and indications
• Considering comorbidities and medications that may influence therapy choices and safety
• Providing lifestyle and regimen recommendations adapted to your condition and individual characteristics
• Discussing options for monitoring progress and criteria for when to seek follow-up care
• Assisting in adjusting the treatment plan if there is insufficient effect or if side effects occur

Interaction with a doctor is a comprehensive process that involves not only prescribing treatment but also continuous monitoring, adapting the plan, and preventing complications. My approach encompasses work at every stage to ensure the most comfortable and informed path to recovery.

What questions can be addressed to the doctor regarding endoscopic treatment of ureteral injury

During the consultation on endoscopic treatment of ureteral injury, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Pain and discomfort in the abdominal or lumbar area following the injury
• Difficulty and pain during urination
• Presence of blood in the urine or changes in its color
• Recurring or worsening symptoms after the injury
• Lack of improvement from previously prescribed treatment
• Questions about monitoring and follow-up care after the procedure
• Associated complications affecting the urinary tract
• The need for a second opinion or review of previously performed examinations

In case of sudden severe pain, difficulty urinating, or bleeding — urgent medical attention is required; do not delay seeing a doctor.

Questions you can ask during the consultation

• What is happening to me and what could it be?
• Why did the symptoms appear specifically after the injury?
• How can I tell if the problem is with the ureter and not other organs?
• What examinations will be necessary in my case?
• What tests and investigations are essential?
• How should I prepare for the examinations and consultation?
• What treatment options are available and how do they differ?
• Is it possible to avoid surgery or invasive procedures?
• Why is the prescribed treatment not working and what should be done next?
• How long does the treatment last and how often is follow-up needed?
• What signs indicate improvement or deterioration?
• What should I do in case of rapid worsening or flare-up?

Discussing these questions will help to choose the right approach and ensure safe treatment. The doctor may refer you for additional tests or to other specialists if necessary.

How the Consultation Proceeds

A consultation with a doctor begins with a detailed review of your complaints and an assessment of your current condition. This helps to understand what exactly is troubling you and what the optimal course of action would be. The scope of examinations is determined individually and depends on specific indications, so it is not always necessary to carry out all possible tests immediately. A definitive diagnosis is not usually made during the first visit — the consultation serves as a foundation for further work.

1. Identification of complaints and the purpose of the visit: the doctor clarifies what is bothering you, when the symptoms appeared, and what makes them worse or better.
2. Collection of medical history and risk factors related to ureteral injury and the condition of the urinary tract.
3. Review of previous treatments and examinations — it is advisable to bring results of tests, imaging studies, and a list of medications you are taking.
4. Physical examination and possible basic tests as indicated, aimed at assessing functional status and localizing the problem.
5. Preliminary discussion of the situation with emphasis on probable causes and necessary additional evaluations.
6. Planning of necessary examinations, which may include ultrasound, contrast X-ray, computed tomography, as well as laboratory tests — selected individually.
7. Discussion of general treatment or management principles, without specific prescriptions, taking into account the peculiarities of your condition.
8. Agreement on the timing of a follow-up visit and observation recommendations, as well as criteria for when to seek care earlier.

If this is your first visit, the main focus is on thorough information gathering and determining the diagnostic direction. If treatment has already been carried out, the emphasis will be on analyzing reasons for lack of improvement and adjusting the management strategy.

This approach allows for determining sequential steps and ensures safe and effective support at all stages of treatment.

Preparation for the Appointment

To ensure that your consultation with a urologist regarding ureter injury treatment is effective and efficient, it is important to prepare properly. This will help the doctor make a quicker diagnosis and develop an appropriate treatment plan.

• Bring a list of all current medications with names and dosages, if known
• Take any medical reports, images, and test results to the appointment, especially ultrasound, X-rays, and urine tests
• Write down your main complaints: when symptoms started, what makes them better or worse
• If you were referred for tests elsewhere, bring those results with you
• Do not stop taking prescribed medications without consulting your doctor
• If you need to come on an empty stomach, do not eat or drink for 8–12 hours before the visit (unless instructed otherwise, confirm when making the appointment)
• Avoid applying creams or cosmetics on the abdominal area on the day of the appointment
• If you have any doubts about preparation, clarify details when booking by phone
• Bring any questions you want to ask the doctor so you don’t forget anything important

If you have any concerns, do not change your treatment and be sure to contact the clinic for clarification. This approach will help make the consultation as useful and comfortable as possible.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, and oncologist of the first category, with 20 years of experience. He specializes in the endoscopic treatment of ureteral injuries and frequently works with patients who are visiting for the first time, experiencing recurring symptoms, or require adjustments after ineffective treatments.

In his practice, Sergey Nikolaevich pays special attention to differential diagnosis and the management of patients with comorbid conditions. His approach is based on a thorough assessment of the patient’s condition and the selection of an 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 ureteral injuries using endoscopic methods, patients appreciate Sergey Nikolaevich’s approach for his systematic attention to detail and personalized care. The doctor develops a treatment plan with clear stages, adapting it according to changes in the patient’s condition. Thanks to his experience with complex cases, he addresses even difficult situations considering all comorbidities and adjusts therapy if the desired effect is not achieved. His approach includes explaining goals, risks, and treatment options in simple terms, helping patients understand the process and make informed decisions.

• A clear treatment plan outlining sequential steps and follow-up timelines
• Examinations prescribed only when indicated, avoiding unnecessary procedures
• Consideration of comorbidities and drug interactions to ensure patient safety
• Monitoring of condition dynamics and adjustment of tactics if no improvement occurs
• Review of results from previous tests and prescriptions for a comprehensive approach
• Explanation of risks and alternative options without promises or complicated terminology
• Management of patients with recurring or chronic symptoms, focusing on analyzing underlying causes

This approach allows patients to gain a clear understanding of their condition and confidence at every stage of treatment. Dr. Sergey Nikolaevich Glushchenko’s work is aimed at safe and consistent recovery, taking all individual characteristics into account.

Case Studies

Initial Presentation with Abdominal Trauma

A middle-aged patient presented with complaints of lower abdominal pain and difficulty urinating following an injury. It was crucial to rule out serious ureteral damage and assess the degree of obstruction. The physician performed a thorough examination, ordered the necessary investigations, and developed a plan for further assessment. Over the course of several weeks, the patient’s condition stabilized and symptoms decreased. Further management included monitoring progress and providing recommendations to prevent possible complications.

Therapy Adjustment Due to Lack of Response to Initial Treatment

An elderly patient was admitted with persistent pain and urinary disturbances despite previous treatment. The physician carefully reviewed the medical history, analyzed potential reasons for the insufficient therapeutic effect, and reassessed the diagnostic plan. Following adjustments to the approach and additional investigations, gradual symptom improvement was noted. The patient continues to be monitored with an emphasis on regular follow-up and timely therapy modifications.

Chronic Course with Comorbid Conditions

A middle-aged man presented with prolonged symptoms complicated by chronic diseases of the urinary system. The physician evaluated the relationship between the primary condition and accompanying factors, choosing a comprehensive treatment strategy. Special attention was paid to preventing complications and preserving ureteral function. Follow-up visits showed symptom stabilization; ongoing routine observation and supportive management are maintained.

Exacerbation Following Trauma Requiring Urgent Intervention

A middle-aged female patient was admitted with severe pain and difficulty urinating that necessitated immediate evaluation. The physician conducted prompt diagnostics, excluded critical conditions, and implemented appropriate measures. Subsequent care included close monitoring of progress and prevention of recurrent exacerbations. Symptoms gradually diminished, and the patient transitioned to scheduled management.

Recurring Symptoms After Endoscopic Treatment

A patient presented with complaints of intermittent pain and discomfort some time after endoscopic intervention. The physician thoroughly reviewed the medical history and previous treatment, performing additional investigations to identify causes of symptom recurrence. As a result, the monitoring and treatment plan was adapted based on new findings. At the current stage, there is a decrease in the frequency and intensity of symptoms, with ongoing monitoring and supportive care.

How long does the consultation last?

The consultation usually takes 30-60 minutes; please confirm the exact time when booking.

How should I prepare for the appointment?

It is recommended to write down your main complaints and symptoms, and bring a list of current medications and test results.

What should I bring to the appointment?

Bring test results and imaging scans, a list of medications you are taking, and notes on your symptoms.

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 condition and chosen treatment strategy and is discussed individually.

When can I expect the first results of treatment?

The timing depends on the cause and treatment methods and will be discussed during the consultation.

What if my condition worsens before the appointment?

If your condition worsens or you experience alarming symptoms, contact your doctor immediately.

Can I combine treatment with my current medications?

Compatibility and any medication adjustments are discussed during the appointment; do not change your therapy on your own.

Is it possible to get an online consultation?

Yes, online consultations are available by prior appointment.

Can I come with tests I have already done?

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

Do I need to come back for follow-up visits?

Follow-up and visit frequency depend on your condition’s progress and the treatment plan.

Can I get a second opinion on my case?

Yes, you can discuss your results and treatment with a doctor for an additional assessment.

What should I do if symptoms return after improvement?

Contact your doctor for re-evaluation and possible treatment adjustment.

What tests are usually prescribed for my problem?

The list of tests is determined individually and depends on your symptoms and indications.

Can I combine treatment with herbal or folk remedies?

It is best to discuss any additional methods with your doctor to avoid unwanted effects.

Is an appointment possible without a referral?

In most cases yes, but please verify the conditions when booking.

How do I know if the treatment is effective?

Effectiveness is assessed based on symptom reduction and patient’s improvement.

Can I seek help if I have other diseases?

Yes, your doctor will consider any comorbidities when planning treatment and monitoring.