Treatment of ureteral stones by urologist Sergey Nikolaevich Glushchenko in Dnipro.

Patients present with flank pain, urinary disturbances, or recurrent episodes of discomfort, as well as a sensation of heaviness in the kidney area.

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

As a result, the patient receives a clear and consistent action plan—what to do now, which tests to undergo, and how to monitor the condition's progression.

Special attention is given to precise differential diagnosis and dynamic observation, which helps timely adjustment of the treatment strategy and reduces the risk of complications.

When to See a Doctor

If you experience discomfort in the kidney and urinary tract area, it is important not to ignore the symptoms. You should make an appointment with a urologist if, when dealing with stones in the ureter, you notice:

• Intermittent or persistent pain in the side, radiating to the groin or abdomen
• Difficulty or pain during urination
• Presence of blood in the urine or changes in its color
• A feeling of heaviness or discomfort in the lower back
• Frequent urges to urinate without significant urine output
• Tingling or burning sensation during urination
• Increased pain when changing body position or during physical activity
• Symptoms that recur or become more intense over time
• Discomfort interfering with normal sleep or work
• No improvement after using previously prescribed measures or medications
• Newly appeared symptoms that have been troubling you for several days
• The need for a specialist’s opinion regarding chronic or recurring issues

Even if the pain subsides but symptoms persist or recur periodically, consultation will help identify the causes and select the best approach. Avoid self-treatment – it is better to entrust the evaluation of your condition to an experienced doctor to prevent complications and develop a suitable action plan.

Emergency Conditions or When You Need to See a Doctor Immediately

• Sudden and very severe pain in the side or abdomen that is increasing
• Sudden deterioration of general condition with fever and chills
• Presence of a large amount of blood in the urine or a noticeable change in urine color
• Inability to urinate accompanied by pain
• Combination of severe pain with nausea, vomiting, or dizziness

If you experience any of these symptoms, do not wait for a scheduled appointment – seek medical help immediately. At our clinic, it is possible to call a doctor to your home for a quick assessment and necessary treatment.

Causes and Risk Factors of Ureteral Stones

Understanding the possible causes and risk factors helps to clarify why the problem of ureteral stones arises. A doctor will evaluate these aspects and prescribe the necessary examinations for an accurate diagnosis.

Main Causes / Mechanisms (Briefly)

• metabolic disorders leading to salt crystallization
• impaired urine flow through the ureter
• urinary tract infections triggering stone formation
• increased excretion of calcium and other substances in the urine
• dehydration and insufficient fluid intake

Risk Factors

• age over 40 years
• hereditary predisposition to stone formation
• excessive consumption of salty or protein-rich foods
• chronic kidney or urinary tract diseases
• sedentary lifestyle
• frequent inflammatory processes in the urinary tract
• inadequate fluid intake
• obesity and metabolic disorders

Reversible Causes Important to Exclude

• dehydration related to hot weather or physical exertion
• dietary imbalance with excess salts and protein
• medications that promote stone formation
• treatable urinary tract infections

Ureteral stones can develop due to various reasons, and their identification requires a comprehensive specialist evaluation. Controlling risk factors and timely examination help reduce the likelihood of complications.

Diagnostics

The diagnosis of stones in the ureter aims to identify the cause of symptoms and assess the condition of the urinary tract. The doctor will conduct a comprehensive examination to outline the next steps and choose the optimal course of action.

Diagnostic Approach

• Taking medical history, including review of complaints and past illnesses
• Physical examination and palpation of the kidney and abdominal areas
• Basic urine and blood tests to assess inflammation and kidney function
• Instrumental investigations as indicated, if necessary
• Interpretation of results and discussion of a preliminary treatment plan or further examinations

Typical Investigations as Indicated

May include:

• Ultrasound examination of the kidneys and urinary tract
• X-ray or computed tomography to clarify the size and location of stones
• Urine tests to determine stone composition and detect infection
• Urodynamic tests if needed

What to Bring to the Appointment

• Results of previous tests and analyses
• List of current medications and supplements
• Records of symptoms, if a diary was kept
• Information about past illnesses and surgeries

The diagnosis of ureteral stones requires a comprehensive approach and individualized selection of investigations, enabling the doctor to develop an optimal treatment plan.

Treatment

Treatment of stones in the ureter aims to reduce symptoms and improve the function of the urinary system. The therapy plan is tailored individually, taking into account the patient's condition and examination results.

Goals of Therapy

• reduce pain and discomfort
• eliminate obstructions in the ureter and restore urine flow
• prevent complications and kidney damage
• improve overall condition and quality of life

Main Treatment Approaches

• may include medication therapy to relieve symptoms and reduce inflammation
• primary focus on the use of modern minimally invasive procedures when indicated
• non-medication methods to support kidney function and prevent recurrent stone formation
• lifestyle and dietary adjustments based on the doctor's recommendations
• therapy is individualized and adjusted considering comorbidities

What the Doctor Does

• selects and adjusts the treatment plan depending on the patient’s response
• considers comorbid conditions and health specifics
• monitors possible side effects of the therapy
• explains to the patient the goals and criteria for evaluating effectiveness
• coordinates treatment with other specialists if necessary

What to Expect: Plan and Monitoring

• an initial assessment of the condition’s progress is usually performed within several weeks
• therapy effectiveness is evaluated based on symptom reduction and functional improvement
• if no improvement is observed, the doctor adjusts the plan and may prescribe additional examinations
• follow-up visits are necessary for monitoring and timely adjustment of treatment

More detailed information about treatment options for ureteral stones can be obtained during a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention is important for stones in the ureter to reduce the risk of recurrence and complications. The prevention plan is tailored individually, taking into account the patient’s health characteristics.

Key Primary Prevention Measures

• ensuring adequate fluid intake to normalize kidney function
• reducing consumption of salty and protein-rich foods as recommended by a doctor
• maintaining an active lifestyle within personal capabilities
• timely diagnosis and treatment of urinary tract infections
• controlling weight and metabolism in the presence of comorbidities

Screening and Secondary Prevention / Regular Monitoring

• regular monitoring of kidney function and urinary tract condition as indicated
• examinations to assess the risk of stone recurrence as recommended by a specialist
• monitoring of chronic diseases that may affect stone formation

Practical Advice

• discuss dietary specifics and possible adjustments with your doctor
• maintain an optimal fluid intake regimen throughout the day
• avoid prolonged dehydration, especially during physical activity
• watch for symptoms and consult a specialist if changes occur
• promptly inform your doctor about new complaints or changes in your condition

Preventive measures for ureteral stones help reduce the risk of recurrence and support overall health.

Important to Know

The treatment of ureteral stones requires a comprehensive approach that begins with identifying the causes and factors provoking their formation. Early assessment of the condition helps to choose the optimal strategy and reduce the risk of complications. If necessary, the doctor may recommend dynamic monitoring with adjustments to the treatment plan based on changes in the patient’s condition. Various factors influence the course of the disease — physical activity level, stress, sleep quality, and comorbidities. Self-medication can complicate diagnosis and cause undesirable effects, so it is important to consult a specialist. In our clinic, emphasis is placed on differential diagnosis and patient condition monitoring to ensure more accurate and safe treatment.

• it is important to identify the causes and provoking factors, not just to reduce symptoms
• early medical evaluation helps to select the strategy and reduce the risk of complications
• dynamic monitoring allows treatment adjustments when the disease progresses differently
• physical activity, stress, sleep quality, and concomitant diseases affect the condition
• self-medicating can obscure the clinical picture and delay diagnosis
• a comprehensive approach by the doctor includes not only treatment but also prevention of recurrence

For detailed information about the causes, symptoms, and treatment of ureteral stones, we recommend visiting the dedicated page on our website.

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

Before seeing a doctor about ureteral stones, you can take several safe steps to ease your condition and gather information. If your symptoms worsen, be sure to urgently contact Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Note the time and circumstances when symptoms appear, and what worsens or relieves the pain
• Bring a list of all medications and supplements you are currently taking
• Measure your temperature, blood pressure, and pulse rate if you know how
• Keep a symptom diary, recording intensity and possible triggers
• Drink enough water to avoid dehydration
• Rest and reduce physical activity, especially if you have pain
• Take available pain relief medications if they are generally safe for you and there are no contraindications
• Monitor any changes in your urine and overall well-being

What You Should Not Do Before the Appointment

• Do not stop prescribed medications without consulting your doctor
• Do not start self-medicating with new drugs or treatment methods on your own
• Do not use unverified folk remedies or recipes
• Do not ignore increasing pain or the appearance of new symptoms
• Do not delay seeking medical help if symptoms worsen
• Do not try to self-diagnose or interpret test results by yourself
• Do not change medication dosages without a specialist’s recommendation
• Do not overexert yourself or engage in heavy physical activity without advice

If your condition worsens or alarming signs appear, immediately seek medical help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Ureteral Stones

During the consultation regarding ureteral stones, I can assist you in the following ways: understanding the causes of your symptoms, assessing your current condition and risks, and developing a clear and effective plan for treatment and follow-up.

• Review your symptoms and medical history to identify possible causes
• Evaluate the severity of symptoms and assess the risk of complications
• Analyze current medications and assess their tolerability and effectiveness
• Develop a plan for the next steps: examinations, treatment, management, and monitoring
• Consider any comorbidities and medications to choose a safe approach
• Provide recommendations on lifestyle and daily routine based on your condition
• Discuss criteria for monitoring progress and timing for follow-up visits
• Conduct an initial assessment and differential diagnosis of symptom causes
• Adjust the treatment plan if there is no effect or if side effects occur

Each patient receives an individualized approach considering all aspects of their health. If necessary, we can perform repeat examinations and make adjustments to the treatment to minimize risks and improve quality of life. The consultation helps not only to understand the current condition but also to prevent future complications.

What questions can you ask a doctor about ureteral stones?

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

• Constant or intermittent pain in the side or abdomen
• Difficulty or pain during urination
• Presence of blood in the urine and changes in its color
• Recurring symptoms and need for a second opinion
• Lack of effectiveness from previous treatments

If you experience sudden severe pain, a sharp worsening of your condition, or notice a large amount of blood in your urine, seek emergency care immediately—do not wait for a scheduled appointment.

Questions you can discuss with the doctor

• What is happening to me, and why might this have started now?
• How can I understand if this is related to ureteral stones or another problem?
• What examinations are necessary in my specific case?
• Which tests or investigations are truly mandatory, and which can be skipped?
• How should I prepare for tests and the doctor's appointment?
• What treatment and management options are available, and what are their differences?
• Is it possible to avoid surgery or other procedures?
• Why is the prescribed treatment not working, and what should I do next?
• How long does treatment usually last, and how often do I need follow-up checks?
• What signs indicate that my condition is improving or worsening?
• What should I do if my condition suddenly deteriorates or complications appear?
• Can this treatment be combined with other medications or in case of chronic illnesses?

Consulting a specialist helps clarify all your questions, select the appropriate approach, and monitor the treatment process. In urgent situations, it is important to seek immediate help, while during a planned visit, the doctor will assess your condition and provide recommendations for further steps.

How the Consultation Proceeds

A consultation with a doctor for stones in the ureter includes discussing complaints, assessing the current condition, and forming a plan for further actions. The extent of examinations is determined individually, based on indications, and not all procedures are always prescribed at once. A preliminary assessment is made during one appointment, without promises of an exact diagnosis.

• Clarifying complaints and the purpose of the visit: when and what symptoms appeared, what worsens or alleviates the condition, what the patient’s expectations are
• Collecting medical history and risk factors: paying attention to prior illnesses, lifestyle, and accompanying issues
• Reviewing previous treatment and examinations: discussing previously prescribed medications, procedures, tests, and asking the patient to bring documents and a list of medications
• Conducting an examination and, if necessary, additional tests based on indications to clarify the state
• Formulating preliminary conclusions: what causes concern and which causes should be excluded at the initial stage
• Developing a plan for examinations if necessary, which may include ultrasound, X-ray or computed tomography, blood and urine tests
• Determining the main directions of treatment and management, considering the patient’s specifics and recommendations
• Discussing the schedule for monitoring and timing of follow-up visits, as well as signs that require earlier consultation

If the consultation is initial, the focus is on detailed information gathering and clarifying possible causes of symptoms. If previous treatment has not been effective, attention is given to analyzing reasons for the lack of effect and adjusting tactics.

This approach helps to build a safe and transparent process from the initial appointment to further condition monitoring, taking into account the individual characteristics of each patient.

Preparation for the Appointment

To ensure that your consultation with the urologist regarding ureteral stones is as effective as possible, it is important to prepare properly. This will help to make a quicker preliminary assessment and to plan the necessary examinations and treatment.

• Bring a list of all current medications with names and dosages, if known
• Bring results of previous examinations, images, and tests, if available
• Write down your main complaints: when and how symptoms begin, what worsens or alleviates them
• Do not stop taking prescribed medications without consulting your doctor
• Avoid heavy meals a few hours before the visit unless otherwise advised
• If necessary, ask when making the appointment whether fasting is required
• If there are no special instructions, come in your normal condition
• Avoid applying cosmetics or creams on the abdomen and lower back before the examination
• Bring a list of questions you want to discuss with the doctor
• If in doubt, clarify preparation details when scheduling the appointment

If you have any uncertainties about preparation or appointment specifics, it is better to clarify the information in advance, and do not change medications on your own without consulting a specialist.

About the Doctor

Sergey Nikolaevich Glushchenko is a urologist, andrologic surgeon, and a first-category physician with over 20 years of experience.

In his practice treating ureteral stones, he mainly works with patients who need to clarify their diagnosis, undergo treatment for recurring symptoms, or adjust therapy when there is no effect.

The doctor pays close attention to thorough differential diagnosis and dynamic monitoring, which allows for timely detection of changes and adaptation of the treatment plan.

Patients receive a detailed analysis of their condition and recommendations for further actions to control and improve their well-being.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating stones in the ureter, Dr. Sergey Nikolaevich Glushchenko offers a clear and consistent approach that takes into account the individual characteristics of each patient. He works with the results of already conducted examinations, which helps to avoid unnecessary procedures. The doctor pays special attention to analyzing complex cases and adjusting therapy if the effect is insufficient. His approach includes monitoring the progression of the condition and timely adjustments to the treatment plan, which reduces the risk of complications. Compared to other specialists at the clinic, Sergey Nikolaevich focuses more deeply on detailed diagnostics of causes and comprehensive management of patients with chronic and recurrent symptoms.

• A clear treatment plan with sequential steps and criteria for evaluating results
• Examinations are prescribed only when indicated, avoiding unnecessary procedures and costs
• Consideration of comorbidities and drug interactions for safe therapy
• Monitoring of condition dynamics and timely adjustment of the plan if there is no effect
• Review of previously prescribed medications and analysis of treatment tolerance
• Emphasis on diagnosing causes and thorough differential assessment of symptoms
• Management of patients with chronic and complex cases, including recurrent symptoms

This approach helps to shorten the time to find an effective solution and minimize risks. Patients receive systematic support that takes into account individual health characteristics along with recommendations that are easy to understand without excessive medical jargon.

Case Studies

Initial Consultation for Flank Pain and Urination Disorders

A middle-aged patient presented with complaints of intermittent pain in the lumbar region and difficulty urinating. It was important to exclude the risk of complications and determine the exact cause of the symptoms. The physician conducted a comprehensive assessment of the medical history and ordered necessary diagnostic tests as indicated, including laboratory analyses and renal ultrasound.

Based on the results, a probable cause of the discomfort was identified and a step-by-step treatment plan was developed. Over the following weeks, a reduction in symptom intensity and stabilization of the condition were observed. The patient continues regular follow-up with the physician, focusing on monitoring progress and preventing complications.

Treatment Adjustment Due to Lack of Improvement After Previous Therapy

An elderly female patient presented with recurrent pain and urination disorders despite previously prescribed treatment. The physician needed to understand the reasons for the lack of efficacy and evaluate the tolerability of the medications.

Previous prescriptions were thoroughly reviewed, and a re-examination was performed with adjustments made to the management strategy. Additional diagnostic procedures were ordered to clarify the patient’s condition. After several weeks, partial improvement was noted, with a decrease in symptoms and improvement in quality of life. The patient remains under observation with periodic treatment adjustments.

Chronic Course of Ureteral Stones with Comorbidities

A middle-aged male patient with chronic symptoms sought comprehensive management for ureteral stones and comorbid conditions such as hypertension. The physician had to consider drug interactions and the overall burden on the patient’s health.

Additional examinations were conducted, and an individualized therapy plan was developed taking into account accompanying diagnoses. During follow-up, the patient’s condition stabilized and the frequency of exacerbations decreased. Regular monitoring is ongoing, aimed at reducing the risk of complications.

Acute Exacerbation with Severe Pain and Urinary Obstruction

A young patient was admitted with sharp, intense flank pain, urination difficulties, and general weakness. It was crucial to promptly exclude complications requiring emergency intervention.

The physician performed an urgent examination and, as indicated, referred the patient for additional studies to assess kidney and ureteral status. After stabilization, a further management plan was established with emphasis on preventing recurrent exacerbations.

Significant symptom regression was observed at the follow-up visit, and the condition remains under observation. The patient has been advised to undergo regular monitoring and maintenance therapy.

Recurrent Episodes of Pain and Discomfort due to Ureteral Stones

A middle-aged female patient complained of frequent bouts of pain and a feeling of heaviness in the lumbar area. The physician paid close attention to a thorough review of previous consultations and treatments.

A diagnostic plan was developed to assess disease activity and complication risks, followed by adjustment of management accordingly. Over several months of observation, the frequency of painful episodes decreased and quality of life improved.

Ongoing monitoring continues with an individualized prevention strategy and timely treatment modifications.

How long does a consultation last?

A consultation usually takes 30–60 minutes; please confirm the duration when booking.

How should I prepare for the appointment?

It is recommended to write down your complaints, a list of current medications, and bring the results of previous examinations.

What should I bring to the consultation?

Bring your test results, images, discharge summaries, and a list of medications you are taking for a thorough evaluation.

Do I need to come on an empty stomach?

Usually no, unless otherwise specified when booking or by the doctor.

How many visits are usually required?

The number of visits depends on the complexity of the situation and the treatment plan, typically from several to regular appointments.

When can I expect the first results of the treatment?

The assessment of effects is individual; timing depends on the chosen therapy and patient specifics.

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

If symptoms worsen or alarming signs appear, seek urgent medical attention or call for help immediately.

Can treatment be combined with my current medications?

Discuss compatibility during the appointment; do not change or stop medications on your own.

Is an online consultation available?

Yes, online consultations are available; please check conditions when booking.

Can I come with tests I have already undergone?

Yes, examination results are welcomed and help in diagnosis.

Do I need to come for follow-up appointments?

Yes, repeat visits are important for monitoring progress and adjusting the treatment plan.

How often should I undergo check-ups?

The frequency of check-ups depends on the course of the disease and the doctor's recommendations.

Can I get a second opinion?

Yes, you can request a consultation to obtain an additional opinion on your condition.

What if symptoms return after improvement?

Contact your doctor to evaluate the cause and adjust the therapy.

How quickly will the doctor make an accurate diagnosis?

Diagnosis depends on examination results and comprehensive assessment; usually, several visits are required.

What if I have comorbidities?

The doctor will take all concurrent conditions into account when choosing the treatment strategy.

What should I do if side effects appear during treatment?

Inform your doctor so the treatment can be adjusted to avoid complications.

How is the examination conducted for stones in the ureter?

Examinations are selected individually, usually including ultrasound, tests, and additional methods as indicated.

Can I change therapy without consulting the doctor?

No, self-adjustments may worsen the condition; all changes should be made only with the doctor.