Treatment of urethral stones using endoscopic methods by urologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients present with complaints of pain and discomfort during urination, frequent urges, difficulty passing urine, or periodic appearance of blood in the urine.

The doctor conducts a thorough clinical examination, carefully analyzes the complaints and medical history, and, if necessary, orders additional tests for an accurate assessment of the condition.

As a result, the patient receives a clear action plan — what to do immediately, which tests to undergo, and how to monitor the progress of their condition.

Special attention is given to the differential diagnosis of causes and individualized adjustment of therapy, which helps prevent exacerbations and improve quality of life.

When to See a Doctor

If you experience discomfort related to urination or sensations of unease in the genitourinary area, it is important not to delay visiting a specialist. You should make an appointment with a urologist if, during endoscopic treatment of urethral stones, you notice:

• persistent or increasing pain during urination
• difficulty urinating or changes in the urine stream
• frequent urges to urinate, especially at night
• the presence of blood in the urine or changes in its color
• a feeling of discomfort or heaviness in the perineal area
• recurring symptoms after the treatment
• sleep disturbances due to pain or frequent urination urges
• lack of improvement with self-treatment or previously prescribed therapy
• the need for a second opinion regarding your current condition
• worsening symptoms after stress or a recent infection
• symptoms appearing for the first time and causing concern
• signs interfering with work or daily activities

Even if the symptoms seem minor or occur intermittently, consulting a specialist will help clarify the causes and select the best way to manage your condition. This is important to prevent complications and to plan further steps in your treatment.

Emergency Conditions or When to See a Doctor Immediately

• sudden severe pain in the urethral area
• sudden difficulty or complete inability to urinate
• presence of abundant blood in the urine combined with severe pain
• rapidly rising body temperature with chills
• significant deterioration of overall condition, weakness, and dizziness

If you experience any of these symptoms, do not wait for a scheduled appointment — seek urgent medical care. Our clinic offers a home visit service for prompt assessment of your condition.

Causes and Risk Factors in the Endoscopic Treatment of Urethral Stones

Understanding the possible causes of urethral stones and the factors influencing their development helps to better comprehend the problem and prepare for examination. The doctor will assess the condition and suggest the optimal diagnostic plan to exclude reversible factors and reduce risks.

Main Causes / Mechanisms (Briefly)

• Impaired urine flow creating conditions for stone formation
• Complications after trauma or surgeries involving the genitourinary system
• Chronic inflammatory processes in the urethra
• Chemical composition disorders of urine contributing to stone formation
• Slow urination or residual urine

Risk Factors

• Age over 40, when urinary stone disease is more common
• Comorbidities — for example, chronic urinary tract infections
• Dehydration leading to increased urine concentration
• Unhealthy diet high in salts and protein
• Sedentary lifestyle and excess body weight
• Smoking and alcohol consumption
• Hereditary predisposition to urolithiasis
• Repeated injuries or surgeries in the urinary tract area

Reversible Causes to Be Excluded

• Acute urinary tract infections
• Disorders of the body’s water balance
• Use of certain medications affecting urine composition
• Temporary mechanical obstructions in the urethra (e.g., swelling)

Understanding the possible causes and risk factors of urethral stones helps patients seek timely medical consultation and undergo necessary examinations to choose the appropriate treatment.

Diagnosis

The diagnostic process in the treatment of urethral stones by endoscopic methods aims at accurately identifying the causes and assessing the condition of the genitourinary system. This helps to develop an effective examination and treatment plan, taking into account the individual characteristics of the patient.

Approach to Diagnosis

• Medical history collection: identifying complaints, disease history, and previous interventions
• External examination and palpation of the pelvic area if necessary
• Conducting basic laboratory tests as indicated — urine and blood analysis
• Ordering instrumental examinations if indicated
• Evaluating results and formulating a plan for further steps
• Discussing examination and treatment options with the patient
• Referring to specialized specialists for additional consultation if necessary

Typical Examinations as Indicated

May include:

• Ultrasound examination (US) of the genitourinary organs
• X-ray or computed tomography for visualization of stones
• Endoscopic examination of the urethra and bladder
• Urine analysis with culture to detect infection
• General blood tests and biochemistry

What to Bring to the Appointment

• Previously conducted medical examinations and discharge summaries
• Images and test results, if available
• List of current medications
• Symptom diary or description of changes in condition
• Questions and information about previous injuries or surgeries

Diagnosis of urethral stones requires a comprehensive approach and individual consideration, allowing the physician to select the optimal examination and treatment plan.

Treatment

Endoscopic treatment of urethral stones aims to relieve symptoms and restore normal urine flow. The therapy plan is selected individually, taking into account the specifics of the condition and the results of examinations.

Goals of Therapy

• Reduce pain and discomfort in the urinary tract area
• Address the underlying cause of stone formation
• Restore urinary function and improve quality of life
• Prevent complications related to urethral stones

Main Treatment Approaches

• May include minimally invasive endoscopic procedures to remove or fragment stones
• Medication support as indicated to reduce inflammation and prevent recurrence
• Recommendations for lifestyle and dietary adjustments to lower the risk of stone reformation
• Physiotherapy methods when necessary to restore urinary tract function
• Therapy is individualized and considers any comorbidities

What the Doctor Does

• Selects and adjusts the treatment plan based on examination results and patient response
• Takes into account comorbid conditions and potential therapy risks
• Monitors for possible side effects and adjusts treatment promptly
• Explains to the patient how to assess the effectiveness of therapy
• Coordinates treatment with other specialists when a comprehensive approach is needed

What to Expect: Plan and Monitoring

• The effectiveness of therapy is assessed regularly, with timing depending on the individual case
• If there is no improvement, the doctor will modify the treatment plan or recommend additional examinations
• Follow-up visits are necessary to monitor progress and prevent complications
• The treatment plan may change as the patient’s condition evolves

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

Prevention

Prevention during the treatment of urethral stones with endoscopic methods helps reduce the risk of stone recurrence and complications. The preventive plan is tailored individually, taking into account the patient's condition and the doctor's recommendations.

Main primary prevention measures

• Monitoring fluid balance and adequate fluid intake
• Reducing consumption of salty and protein-rich foods as recommended by a specialist
• Maintaining a normal body weight and an active lifestyle
• Quitting smoking and limiting alcohol consumption
• Timely treatment of urinary tract infections
• Monitoring and treating comorbid conditions affecting the urinary system

Screening and secondary prevention / regular monitoring

• Regular monitoring of the urinary tract condition as indicated
• Ultrasound and other examinations as recommended by the doctor to assess dynamics
• Monitoring symptoms and consulting a doctor if they recur
• Discussing therapy adjustments with your doctor if your condition changes

Practical tips

• Increase physical activity within the limits recommended by your specialist
• Discuss nutritional specifics and possible restrictions with your doctor
• Monitor the regularity and quality of urination
• Keep a symptom diary to facilitate monitoring and assessment of your condition
• Inform your doctor promptly about any changes or new complaints

Preventive measures help maintain the health of the urinary system and reduce risks associated with urethral stones.

Important to Know

Treatment of urethral stones using endoscopic methods requires a careful approach to identifying the underlying cause of the problem and the factors that provoke it. Early assessment of the condition helps select the right strategy and reduce the risk of complications. Sometimes it is necessary to monitor the condition over time and adjust the treatment plan based on changes in symptoms and the body's response. The condition may depend on overall health, stress levels, sleep quality, and concomitant diseases. Self-medication can complicate diagnosis, cause side effects, and delay receiving necessary care. Our clinic emphasizes a comprehensive approach that allows us to control the process and achieve the patient's optimal comfort.

• It is important to identify the primary cause of stone formation, not just reduce symptoms
• Early consultation helps prevent progression and complications
• Ongoing monitoring makes it possible to flexibly adjust treatment if needed
• Stress, physical exertion, and chronic diseases can influence the course of the condition
• Self-treatment can obscure the clinical picture and delay timely diagnosis
• The doctor monitors side effects and selects the most gentle therapy plan
• It is important to undergo examinations on time and follow the specialist’s recommendations

For detailed information about urinary system stone problems, we recommend visiting our main page, where all issues are thoroughly covered from A to Z.

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

Before your visit to Dr. Sergey Nikolaevich Glushchenko, it is important to take safe measures that will not harm you or distort the picture of your illness. If your condition worsens, be sure to seek medical help urgently.

What You Can Do Before the Appointment

• Record the time of onset and nature of symptoms, as well as what worsens or alleviates your condition
• Bring a list of all medications and supplements you are taking to the appointment
• Measure and record your body temperature, blood pressure, and pulse rate, if you know how
• Keep a symptom diary indicating intensity and time of occurrence
• Reduce physical activity and try to rest your body
• Drink enough water to avoid dehydration, unless contraindicated
• Stay calm and avoid stressful situations whenever possible
• Prepare information about any previous surgeries or injuries related to the urinary tract

What You Should Not Do Before the Appointment

• Do not stop taking prescribed medications without consulting your doctor
• Do not start taking new medications or remedies without specialist approval
• Do not try “folk” or dubious treatment methods promising quick relief
• Do not take strong painkillers without a doctor's recommendation, to avoid masking symptoms
• Do not delay visiting the doctor if your condition worsens or new alarming signs appear
• Do not interpret test results or scans yourself without a medical conclusion
• Do not increase your physical load and avoid overexertion
• Do not make sudden changes to your diet without consulting a doctor or dietitian

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

How I Can Help as a Physician with Endoscopic Treatment of Urethral Stones

During a consultation regarding the endoscopic treatment of urethral stones, I can assist you in the following ways:

• Analyze your symptoms and medical history to identify possible causes of stone formation
• Assess the severity of your condition and potential health risks
• Review current prescriptions and medication tolerability if you have already undergone treatment
• Develop a plan for further steps: indicated examinations, therapeutic methods, and monitoring of results
• Take into account any coexisting diseases and medications for safe and effective treatment
• Provide lifestyle and regimen recommendations tailored to your condition and needs
• Discuss criteria and timing for follow-up visits and monitoring the progression of your condition
• Perform initial diagnostics to determine the causes and rule out other possible explanations for your symptoms
• Adjust treatment if there is no improvement or if side effects occur

This comprehensive approach not only addresses symptoms but also targets the root cause of the problem and ensures ongoing health monitoring at every stage. If necessary, I can offer a second opinion or thoroughly review previous examinations to optimize the treatment strategy.

What questions can I ask the doctor regarding endoscopic treatment of urethral stones?

During your appointment about the endoscopic treatment of urethral stones, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Pain and discomfort during urination
• Frequent urges and changes in urination patterns
• Presence of blood in the urine or changes in its color
• Recurring symptoms after treatment
• Lack of effect from prescribed therapy
• Questions about treatment adjustments and related conditions
• Need for a second opinion regarding examinations or diagnosis
• Monitoring condition after surgical intervention

In case of sudden severe pain, abrupt difficulty urinating, or significant bleeding — seek emergency care immediately; do not wait for a scheduled appointment.

Questions you may ask during the consultation:

• What is happening to me and what could it be?
• Why have the symptoms appeared just now?
• How can I tell if this is related to urethral stones or another problem?
• What examinations do I need to confirm the diagnosis?
• Which tests and investigations are mandatory, and which can be skipped?
• How should I prepare for examinations and the doctor’s appointment?
• What treatment options are available and how do they differ?
• Is it possible to completely eliminate the problem, or is this a long-term treatment?
• What should I do if the prescribed treatment does not work?
• Is it possible to avoid surgery or major procedures?
• How long will the treatment last and how often will follow-up checks be needed?
• What signs indicate improvement or worsening of my condition?
• What should I do if symptoms suddenly worsen or flare up?

This doctor provides comprehensive evaluation and treatment tailored to your individual needs. In urgent cases or when specialized expertise is required, you will be referred to other relevant specialists.

How the Consultation Proceeds

A consultation with the doctor is a thorough review of your complaints and an assessment of your current condition to develop a plan for further actions. The scope of necessary examinations is determined individually and depends on symptoms and medical history. Usually, a preliminary evaluation is conducted during one appointment, while the final diagnosis is made after a comprehensive examination.

• Clarifying complaints and the purpose of the visit: finding out what troubles you, how long the symptoms have been present, what worsens or alleviates the condition
• Collecting medical history and risk factors related to the genitourinary system and urethral stones
• Reviewing previous examinations and treatments, analyzing existing medical documents and the list of medications taken
• Conducting a physical examination and possible simple tests as indicated to assess the condition
• Preliminary analysis of the information with identification of likely causes and exclusion of dangerous conditions
• Discussing the need for additional examinations, which may include ultrasound, urine and blood tests, endoscopy (if indicated)
• Developing a treatment or management plan based on the collected data and individual characteristics
• Discussing the timing of follow-up visits, criteria for assessing progress, and situations that require earlier consultation

If this is your first visit, we will thoroughly clarify your symptoms and try to understand the possible causes. If previous treatment did not yield the desired results, we will focus on analyzing the reasons and selecting a more appropriate approach.

The consultation is designed to create a comfortable and transparent atmosphere, and the step-by-step approach helps to accurately determine the next steps without unnecessary anxiety.

Preparation for the Appointment

To ensure an effective consultation with the urologist for the treatment of urethral stones, it is important to prepare properly and bring the necessary documents. This will help to make a diagnosis faster and develop a treatment plan.

• Bring a list of all medications you are taking, including names and dosages, if known
• Take to the appointment the results of previous examinations, images, and tests (ultrasound, urine and blood tests)
• Write down your main complaints: when symptoms started, what worsens or relieves them
• Do not stop taking prescribed medications without consulting the doctor
• Take medications as usual and do not change the regimen without advice
• If instructed, come on an empty stomach: do not eat or drink for 8–12 hours before the appointment (unless otherwise recommended)
• Avoid using cosmetics and creams in the area to be examined, if this is important for the procedure
• Prepare a list of questions and concerns to discuss
• Wear comfortable clothing suitable for a possible examination
• If unsure about preparation, clarify details when making the appointment or by phone

If you have any doubts regarding medication intake or preparation, it is better to discuss them with the receptionist or doctor before your visit to avoid misunderstandings.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, oncologist, and a first-category physician with 20 years of experience. He specializes in treating urethral stones using endoscopic methods and often works with patients who experience recurring symptoms or for whom previous treatments were ineffective.

The doctor pays special attention to differential diagnosis of causes and adjustment of therapy, taking into account concomitant diseases. Patients receive a detailed analysis of their situation and recommendations for further actions, which helps monitor their condition and adapt the treatment plan if necessary.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating urethral stones using endoscopic methods, a competent and consistent approach is especially important. Dr. Sergey Nikolaevich Glushchenko pays attention not only to performing the procedure but also to the complete cycle of patient follow-up, which helps reduce the risks of recurrence and complications. He works with complex cases and takes into account comorbidities to ensure the safety and effectiveness of therapy. Patients value clarity regarding the treatment plan and understanding what steps will follow — this is exactly what the doctor provides during consultations.

• Clear action plan: what we are doing now, how we monitor the condition, when a follow-up visit is needed
• Examinations are prescribed only when indicated, avoiding unnecessary procedures and saving time
• Consideration of comorbidities and drug interactions for safe treatment
• Monitoring progress and timely adjustment of therapy in case of lack of effect or side effects
• Review of previous prescriptions and evaluation of drug tolerance to optimize treatment
• Interpretation of already performed examinations to avoid repeats and speed up treatment
• Explanation of goals and therapy alternatives in simple, clear language without complicated terms
• Emphasis on prevention of complications and exacerbations during patient follow-up

This approach helps not only to relieve symptoms but also to address the root causes of the problem, ensuring comprehensive and holistic treatment. Patients receive support at all stages, which improves the quality of care and confidence in the chosen strategy.

Case Studies

Initial Consultation with Suspected Urethral Stones

A middle-aged patient presented with complaints of painful urination and irregular urges. It was important to rule out acute inflammation and identify the presence of stones in the urethra. A comprehensive clinical evaluation was performed, including physical examination and instrumental studies as indicated. As a result, concretions were identified, allowing the development of a minimally invasive removal plan. Over the course of several weeks, symptoms decreased and the situation stabilized. The patient remains under dynamic observation to prevent recurrence.

Treatment Strategy Adjustment After Ineffective Therapy

A young man was admitted with recurring symptoms following a previous course of therapy that did not lead to significant improvement. The physician needed to assess factors influencing the lack of effect, including comorbidities and drug tolerance. After more detailed examinations and prescription analysis, the treatment strategy was adjusted with additional monitoring of side effects. Following follow-up, the patient's condition improved, and symptoms appeared less frequently. Regular monitoring continues to prevent complications.

Chronic Course with Comorbidities

An elderly patient presented with a long-standing chronic condition combined with other diseases of the genitourinary system. A key aspect was to consider the impact of comorbidities on treatment method selection and procedure safety. The physician conducted a thorough evaluation, adjusted current prescriptions, and focused on preventing possible complications. The patient received support in disease management and recommendations for monitoring progress, which contributed to an improved quality of life.

Exacerbation and Subsequent Follow-Up Plan

A middle-aged patient presented with symptom exacerbation requiring surgical intervention and risk assessment. It was necessary to quickly rule out serious complications and select a conservative method to address the issue. After an endoscopic procedure and stabilization of the condition, a plan for dynamic monitoring and recurrence prevention was developed. At the follow-up visit, there was noted improvement in overall condition and reduced symptom severity; supportive therapy continues.

Need for Second Opinion and Reassessment

A patient with an ambiguous clinical picture sought a second opinion and review of previously conducted examinations. The physician thoroughly analyzed the medical history and test results, paying attention to possible errors or omissions in prior diagnostics. The evaluation was refined, and an updated treatment plan was proposed considering all factors. During follow-up, the condition remained stable with gradual reduction of complaints. Further management includes regular assessment of therapy outcomes.

How long does the consultation last?

The appointment usually lasts 30-60 minutes; please check the details when booking.

How should I prepare for the appointment?

It is recommended to note down your main complaints, prepare a list of medications, and bring previous examination results.

What should I bring to the appointment?

Please bring test results, images, medical records, and a list of medications you are taking.

Do I need to come on an empty stomach or are there any restrictions?

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

How many visits are usually required?

The number of visits depends on your condition and chosen treatment strategy; usually, several appointments are needed for monitoring.

When can I expect to see the first results of the treatment?

Timing depends on the individual case and therapy and is discussed personally.

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

If urgent symptoms occur, seek emergency medical help immediately; do not self-medicate.

Can I combine new treatment with my current medications?

Discuss all medications with your doctor; do not stop or add any drugs on your own.

Is it possible to have an online consultation?

Yes, remote consultations are available, taking into account the specifics of your condition.

Can I come with already completed examinations?

Yes, please bring all existing test results for assessment by the doctor.

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

Follow-up visits depend on the treatment progress and plan; the doctor will determine the schedule individually.

Is it possible to get a second opinion?

Yes, additional consultations can be arranged to clarify diagnosis and treatment strategy.

What if symptoms return after improvement?

It is recommended to see your doctor again for evaluation and possible treatment adjustment.

What examinations are needed for treating urethral stones?

The set of examinations is determined individually based on indications and symptom specifics.

Can I take painkillers during treatment?

The use of painkillers should be discussed during the consultation; do not self-prescribe.

How can I prevent the recurrence of stones?

Prevention recommendations are given individually after examination and treatment.

Can I bring a relative or assistant to the appointment?

Yes, you may come with a companion for support and assistance if needed.

Are there any contraindications for endoscopic treatment?

The doctor assesses the possibility of the procedure individually, considering overall health and contraindications.