Treatment of ureteral stones using endoscopic methods by urologist-andrologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with lower back and flank pain, frequent urges to urinate, discomfort during urination, or recurrent episodes of pain.

The physician conducts a thorough clinical evaluation, reviewing the medical history and current complaints, and, if necessary, orders additional examinations to accurately determine the cause of the symptoms.

The patient receives a clear and understandable plan of action, ranging from immediate measures to necessary tests and regular monitoring to assess treatment effectiveness.

Special attention is given to exploring all possible causes of the symptoms and continuous observation, which helps to timely adjust the treatment and reduce the risk of complications.

When to See a Doctor

If you experience unpleasant sensations and discomfort in the urinary tract area, it is important to timely assess your condition. You should make an appointment with a urologist-andrologist if, during the treatment of ureteral stones by endoscopic methods, you notice:

• constant or intermittent pain in the lower back or side
• burning or stinging sensation during urination
• frequent urges to urinate, especially at night
• feeling of incomplete bladder emptying
• presence of blood in the urine or changes in its color
• recurring episodes of pain syndrome without an obvious cause
• worsening wellbeing that interferes with work or sleep
• intensification of symptoms after physical exertion or prolonged sitting
• no improvement despite attempts at self-relief
• need to revisit due to recurrence of symptoms
• appearance of new unpleasant sensations after prior treatment
• doubts about the correctness of prescribed therapy and desire for a second opinion

If you notice one or more of these signs, do not delay visiting a specialist. The doctor will help identify the causes of the symptoms, conduct necessary examinations, and select an appropriate treatment plan considering your individual circumstances. This approach helps to avoid complications and control the course of the condition.

Emergency Conditions or When to See a Doctor Immediately

• sudden severe pain in the side or lower back that rapidly intensifies
• the appearance of a significant amount of blood in the urine
• sudden difficulty or inability to urinate
• combination of severe pain with fever and weakness

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 of your condition.

Causes and Risk Factors in the Endoscopic Treatment of Ureteral Stones

Understanding the possible causes of ureteral stone formation and the factors contributing to their development helps in preparing for treatment and conducting timely necessary examinations. It is important to note that an accurate determination of the causes and the choice of treatment strategy require consultation with a physician.

Main Causes / Mechanisms (Briefly)

• Metabolic disorders leading to changes in urine composition
• Urine stasis due to anatomical features or ureteral narrowing
• Chronic inflammation of the urinary tract
• Insufficient fluid intake and the resulting concentration of urine
• Hereditary predisposition to urolithiasis

Risk Factors

• Age over 40–45 years, when the risk of stone formation increases
• Unbalanced diet with excess salt and protein
• Sedentary lifestyle
• Chronic kidney and urinary tract diseases
• Frequent urinary tract infections
• Inadequate water intake during the day
• High ambient temperature and frequent sweating
• History of stones in the kidneys or bladder

Reversible Causes That Should Be Excluded

• Dehydration due to diet or living in a hot climate
• Disturbances in the acid-base balance of urine
• Use of certain medications that can affect stone formation
• Temporary conditions causing urine stasis

Understanding the causes and risk factors of ureteral stones helps in timely determining the optimal treatment approach and taking measures to prevent the progression of the problem.

Diagnostics

Diagnostics in the treatment of ureteral stones using endoscopic methods aim to accurately understand the cause of symptoms and select the optimal intervention approach. The physician conducts a step-by-step assessment of the condition to choose a safe and effective treatment.

Diagnostic Approach

• Taking medical history, including complaints, disease history, and risk factors
• Physical examination and assessment of the patient’s overall condition
• Ordering basic tests, including urine and blood analyses if necessary
• Performing additional studies as indicated to clarify the location and size of the stones
• Interpreting results and developing a plan for further actions

Common Investigations as Indicated

• Ultrasound examination of the kidneys and ureters
• Radiographic methods, including plain urography
• Computed tomography for detailed stone assessment
• Urine and blood tests to identify accompanying disorders
• Kidney function tests as indicated

What to Bring to the Appointment

• Previous test results and examinations, if available
• A list of medications and supplements being taken
• Records of symptoms, including timing and nature of pain
• Medical documentation of previously performed procedures

This diagnostic approach helps the physician evaluate the patient’s condition with ureteral stones and develop a treatment plan tailored to individual characteristics.

Treatment

Endoscopic treatment of ureteral stones is aimed at relieving symptoms and addressing the causes of discomfort. The therapy plan is tailored individually, taking into account the patient’s specific characteristics and examination results.

Therapy Goals

• reduction of pain and other symptoms
• removal or fragmentation of stones to restore free urine flow
• preservation of kidney and urinary system function
• prevention of complications and recurrence of stone formation

Main Treatment Approaches

• may include minimally invasive stone removal methods as indicated
• use of modern technologies for gentle fragmentation of calculi
• application of medication therapy to support the condition as needed
• recommendations for lifestyle and dietary changes to reduce the risk of recurrence
• monitoring and therapy adjustment based on coexisting conditions, if necessary

What the Doctor Does

• evaluates the clinical picture and examination results to choose the treatment strategy
• selects and adjusts therapy methods according to effectiveness and tolerability
• considers possible comorbidities and risks
• monitors side effects and adjusts treatment as needed
• explains to the patient the criteria for assessing results and the importance of regular follow-up
• coordinates care with other specialists for a comprehensive approach

What to Expect: Planning and Monitoring

• the doctor will approximately determine the timeframes for evaluating treatment effectiveness based on symptoms and examinations
• condition monitoring is performed regularly, with possible plan adjustments if changes occur
• follow-up visits are necessary to observe progress and promptly respond to potential complications
• an individual approach allows therapy to be adapted to the patient’s changing needs

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

Prevention

Prevention plays an important role in reducing the risk of ureteral stone formation and helps maintain the health of the urinary system. A prevention plan is tailored individually and discussed with a doctor.

Key Primary Prevention Measures

• Maintaining optimal hydration through regular fluid intake
• Minimizing excessive consumption of salt and protein in the diet
• Leading an active lifestyle with moderate physical activity
• Monitoring and timely treatment of inflammatory diseases of the urinary tract
• Avoiding factors that contribute to urinary stasis, as indicated

Screening and Secondary Prevention / Regular Monitoring

• Regular medical check-ups of kidney and urinary tract status as indicated
• Conducting urine and blood tests to assess metabolic processes as recommended by a physician
• Periodic ultrasound examinations to detect changes in the kidneys and ureters
• Managing concomitant diseases that influence the risk of stone formation

Practical Tips

• Discuss dietary and lifestyle adjustments with your doctor, considering your individual characteristics
• Pay attention to signs of possible problems and consult a specialist promptly
• Schedule regular visits to evaluate your condition's progress
• Do not neglect recommended examinations and follow-up as prescribed by your healthcare provider

Prevention of ureteral stones helps reduce the likelihood of complications and recurrence, but requires regular monitoring and an individualized approach.

Important to Know

Treatment of ureteral stones using endoscopic methods is aimed not only at removing the stones but also at identifying the factors that contributed to their formation. Early assessment of the condition helps to choose the right strategy and reduce the risk of possible complications. Dynamic monitoring and adjustment of the treatment plan are necessary to account for changes and the effectiveness of therapy. It is important to consider the impact of the overall state of the body, including stress levels, physical activity, and comorbidities. Self-medication in such conditions can obscure the clinical picture and delay necessary examinations.

• It is important to identify the causes and accompanying factors, not just eliminate the symptoms
• Timely consultation helps to select the optimal treatment plan and prevent complications
• Treatment often requires regular monitoring to adjust therapy based on results
• The course of the condition is influenced by lifestyle, stress, sleep quality, and overall health
• Self-administration of drugs or methods can complicate diagnosis and treatment
• Our clinic uses gentle techniques and a comprehensive approach to each patient

For a complete understanding of the specifics of diagnosis and treatment of ureteral stones, we recommend reviewing our main page, where all stages and aspects are described in detail.

Self-care before the appointment: dos and don'ts

Before your visit to Dr. Sergey Nikolaevich Glushchenko regarding symptoms related to ureteral stones, it is important to follow safe measures and avoid self-actions that could complicate diagnosis. If your condition worsens, seek medical attention immediately.

What you can do before the appointment

• Record when and how the symptoms started, as well as circumstances and factors that worsen or relieve your condition
• Bring a list of all current medications and supplements with their dosages, if known
• If possible, measure and record your body temperature, blood pressure, and pulse rate
• Keep a symptom diary: note pain intensity, time of day, and possible triggers
• Reduce physical exertion and ensure adequate rest to avoid worsening your condition
• Drink enough water to prevent dehydration, unless contraindicated
• Pay attention to any changes in your urine—color, odor, volume
• Keep all medical documents, images, and results of previous examinations

What not to do before the appointment

• Do not stop or change prescribed medications without consulting your doctor
• Do not start taking new medications or combine treatments without approval
• Do not use folk remedies or unproven treatments promising quick relief
• Do not try to self-diagnose the cause of pain or interpret test results
• Do not ignore worsening pain, blood in urine, or difficulty urinating
• Do not take strong painkillers without your doctor’s recommendation
• Do not delay your visit to the doctor if symptoms worsen or new concerning signs appear
• Do not subject yourself to excessive physical activity or stress before consulting the specialist

If you experience any signs of an emergency, seek immediate assistance from Dr. Sergey Nikolaevich Glushchenko.

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

During a consultation on the endoscopic treatment of ureteral stones, I will help you understand the causes of your symptoms, assess your condition, and choose an appropriate treatment strategy. My goal is to provide a comprehensive approach that takes into account all aspects of your health and the progression of the disease. At the appointment, we will discuss the next steps and develop a treatment plan with ongoing monitoring of the results.

In a consultation about endoscopic treatment of ureteral stones, I can assist you with the following:

• Analyze your symptoms and medical history to identify possible causes and triggers
• Assess the severity of your complaints and potential health risks
• Review current prescriptions and treatment tolerance, making adjustments if necessary
• Develop a plan for subsequent steps: examinations, treatment, and regular monitoring of progress
• Consider comorbidities and medications to ensure safe and effective treatment
• Provide lifestyle and regimen recommendations tailored to your individual needs and indications
• Explain how and when to monitor your condition and when to seek further medical advice
• Perform an initial diagnostic assessment and differential diagnosis to identify possible causes
• Adjust therapy if current treatment is ineffective or produces side effects

This comprehensive and systematic approach allows for a more accurate understanding of your condition, helps select effective treatment, and monitors the recovery process. If previous treatments have been unsuccessful or if you have any questions, we will discuss possible changes and additional measures.

What Questions Can You Ask a Doctor When Treating Ureteral Stones with Endoscopic Methods

During a consultation regarding the treatment of ureteral stones with endoscopic methods, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Persistent or recurring pain in the lower back or side
• Frequent urges to urinate and discomfort during urination
• Presence of blood in the urine or changes in its color and odor
• Recurring symptoms after previous treatment or new manifestations
• Lack of effect from previously prescribed treatment or the need for a second opinion
• Presence of comorbidities affecting treatment and overall condition
• Questions regarding diagnostics and selection of examinations as needed
• Recommendations on lifestyle and prevention of exacerbations

In case of sudden severe pain, heavy bleeding, or inability to urinate—urgent medical attention is required; do not wait for a scheduled appointment.

Questions You Can Ask Your Doctor:

1. What is happening to me and what could it be?
2. Why have the symptoms appeared now?
3. How can I be sure the symptoms are related to ureteral stones and not other issues?
4. What examinations do I need specifically to get an accurate diagnosis?
5. Which tests and investigations are mandatory, and which ones can be skipped?
6. How should I prepare properly for examinations and the appointment?
7. What treatment options exist, and how do they differ?
8. Is it possible to completely eliminate the stones without surgery?
9. What should I do if the prescribed treatment does not bring relief?
10. Can the condition be managed without surgery if other methods are available?
11. How long does treatment usually take, and when is a follow-up necessary?
12. What signs indicate improvement or worsening of my condition?
13. What actions should I take if there is a sudden deterioration or new symptoms appear?

Addressing these questions with your doctor will help you receive clarifications and support in managing the challenges associated with ureteral stones. It is important to remember that timely consultation and following recommendations minimize risks and help control the course of the disease. In case of emergency symptoms, seek immediate medical care.

How the Consultation Proceeds

A consultation with a doctor involves a detailed review of your complaints, an assessment of your current condition, and the development of a plan for further action. The extent of necessary examinations is determined individually, depending on your symptoms and specific health characteristics. During a single appointment, the doctor does not make a final diagnosis but forms a preliminary understanding of the situation to select the best treatment approach.

1. Clarifying complaints and the purpose of the visit — what exactly is troubling you, how long symptoms have been present, what affects your condition, and what you expect from the appointment.
2. Collecting medical history and risk factors related to ureteral stones and the condition of the urinary system.
3. Discussing previous treatments and examinations — the doctor will ask you to bring medical documents, test results, and a list of medications you are taking.
4. Physical examination and specialist tests as indicated — the doctor assesses your condition and, if necessary, performs preliminary tests.
5. Preliminary conclusions — discussing possible causes of symptoms and ruling out serious conditions, without making an online diagnosis.
6. Examination plan — may include ultrasound, urine and blood tests, X-rays, or computed tomography, prescribed as needed.
7. Discussing treatment options and management of the condition considering the patient’s individual characteristics.
8. Scheduling follow-up and setting timelines for the next visit, evaluating progress, and providing recommendations for self-monitoring.

If this is your first visit, the appointment will focus on thoroughly identifying what is causing your symptoms to determine the necessary tests and treatment methods. If treatment has been previously conducted without success, the doctor will concentrate on analyzing the reasons and adjusting the plan.

This consultation structure helps calmly and systematically address your concerns, ensuring attention to detail and choosing the most appropriate solutions without unnecessary haste.

Preparation for the Appointment

To make your appointment with the urologist-andrologist effective and help speed up the diagnosis and treatment planning, it is important to prepare in advance. Following these simple recommendations will help the doctor obtain complete information about your condition.

• Bring a list of all current medications with names and dosages, if known
• Bring results of previous examinations: ultrasound of the kidneys and urinary tract, urine and blood tests, X-rays, or CT scans
• Write down your main complaints, when and how symptoms appear, and what alleviates or worsens your condition
• Do not stop taking prescribed medications without consulting your doctor
• Come without cosmetics or skin products on the lower back and abdomen (if an ultrasound examination is required)
• You may take medications and drink water unless otherwise instructed by your doctor
• Avoid heavy physical exertion and overeating the day before the appointment
• If you have questions or doubts about preparation, clarify the details when booking your appointment

If necessary, and if you are asked to come fasting, do not eat or drink for 8–12 hours before the appointment unless otherwise directed. In any case, do not change your medication regimen without consulting your healthcare provider.

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 of ureteral stones using endoscopic methods, including initial cases, recurring symptoms, and complex clinical situations.

In his practice, Sergey Nikolaevich pays special attention to the differential diagnosis of causes and dynamic monitoring of the patient's condition. During the consultation, you will receive a detailed analysis of your situation and a clear plan for the next steps.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating ureteral stones using endoscopic methods, patients appreciate Sergey Nikolaevich’s systematic and transparent approach. The doctor pays close attention to every detail of the clinical picture, including analysis of complex and recurrent cases, and develops a plan that best suits the patient's condition. A distinctive feature is the careful review of previous treatments and consideration of comorbidities, which reduces risks and enhances the safety of therapy.

• Clear treatment plan with logical steps: what is done now, what is monitored, and when the follow-up consultation is
• Examinations strictly based on indications, avoiding unnecessary procedures to save time and resources
• Consideration of comorbidities and current medications to safely combine therapies
• Monitoring of condition dynamics with treatment adjustments in case of insufficient effectiveness or side effects
• Review of previous prescriptions to identify causes of lack of effect or complications
• Emphasis on diagnosing underlying causes and thorough investigation to rule out similar conditions and clarify the diagnosis
• Ongoing management with regular monitoring and prevention of exacerbations to maintain urinary system function
• Possibility to come with completed examinations and receive their interpretation within a comprehensive approach

This approach helps patients better understand the process and participate in treatment decisions. Attention to detail and systematic work help prevent complications and provide a comfortable and safe path toward improving their condition.

Case Studies

Initial Presentation with Lower Back Pain and Frequent Urgency

A middle-aged patient presented with complaints of intermittent lower back pain and frequent urges to urinate. Particular concern arose due to the appearance of discolored urine and discomfort during urination. The physician conducted a detailed medical history and ordered a comprehensive examination, including ultrasound and urine tests. Based on the results, a likely cause of the symptoms was identified, and an optimal treatment plan was developed. Over several weeks, symptoms decreased, and the overall condition improved. The patient was scheduled for regular follow-up to monitor effectiveness and prevent recurrence.

Adjustment of Treatment Strategy Due to Lack of Previous Therapy Effect

An elderly female patient was admitted with recurrent pain and complaints despite prior treatment. During consultation, all previous prescriptions and drug tolerability were thoroughly reviewed. The doctor reconsidered the approach and recommended additional tests to clarify the current condition. Through therapy adjustment, symptom stabilization and reduction of pain severity were achieved. The patient continues regular monitoring to track progress and timely modify treatment as needed.

Chronic Disease Course with Comorbidities

A middle-aged man presented with a longstanding history of urinary outflow obstruction and accompanying kidney diseases. The physician accounted for all chronic conditions to avoid adverse therapy effects. Additional diagnostic procedures were performed to clarify the status of the ureter. As a result, a comprehensive management plan was developed, taking into account all patient-specific factors. Follow-up visits showed stabilization of functions and improvement in quality of life.

Exacerbation with Intensified Pain and Urine Changes

A young patient was admitted with a sudden increase in pain and the presence of blood in the urine. The doctor promptly evaluated the symptoms to rule out serious complications. After clarifying the clinical picture and conducting necessary tests, an appropriate treatment plan was prescribed. Over the course of a month, symptoms gradually subsided, and the condition stabilized. The patient was placed under observation to prevent new exacerbations and monitor the condition.

Follow-up and Prevention Plan After Surgical Intervention

A middle-aged female patient presented after undergoing endoscopic surgery on the ureter. The physician arranged systematic follow-up to monitor recovery and prevent possible complications. Particular attention was given to supportive therapy and lifestyle recommendations. Regular examinations showed positive dynamics with no deterioration. The patient continues to attend the clinic for scheduled consultations and condition monitoring.

How long does the consultation last?

Usually, a consultation takes from 30 to 60 minutes; please confirm the exact time when making an appointment.

How should I prepare for the appointment?

It is recommended to write down your main complaints and symptoms, and bring a list of medications you are currently taking.

What should I bring to the appointment?

Bring results of previous examinations, scans, tests, and a list of current medications.

Do I need to come fasting?

Usually not, unless there are specific instructions from the doctor.

How many visits are typically required?

The number of visits depends on the complexity of the situation and the chosen treatment plan.

When can I expect the first results of treatment?

This varies individually and depends on the specific condition and therapy.

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

If you experience severe pain, bleeding, or other alarming symptoms, contact a doctor immediately.

Can treatment be combined with my current medications?

All treatment changes are discussed during the appointment; do not change medications on your own.

Is it possible to have an online consultation?

Yes, the doctor offers online consultations by appointment.

Can I come with already completed examinations?

Yes, bring all existing results for a comprehensive assessment.

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

Follow-up visits depend on the progress of your condition and doctor's recommendations.

Can I get a second opinion?

Yes, you can seek an additional consultation on any questions.

What should I do if symptoms return after improvement?

Contact the doctor to clarify the causes and adjust the treatment plan.

What examinations might be necessary?

The scope of examinations is determined individually, depending on symptoms and medical history.

Can I come without a referral?

Yes, appointments with the doctor can be made directly without referrals.

Is special preparation required before the appointment?

Usually, no special preparation is needed; please check when booking for specific cases.

How does the consultation for treating ureteral stones proceed?

The doctor takes your medical history, assesses your condition, and proposes a plan for examinations and treatment.

Can I get a consultation based on test results without an in-person visit?

Yes, an online consultation discussing your existing data is possible.