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

Patients most often present with complaints such as painful urination, a burning sensation in the urethra, difficulty urinating, and occasional urges without results.

The doctor conducts a thorough clinical assessment, reviews the medical history and symptoms, and, if necessary, orders additional examinations to accurately determine the cause.

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

Sergey Nikolaevich pays special attention to differential diagnosis and therapy adjustment considering comorbidities, ensuring a comprehensive approach to treatment and follow-up.

When to See a Doctor

The appearance of discomfort or changes in the function of the genitourinary system requires careful attention. Urethral stones can cause various symptoms and situations that are difficult to ignore. Consulting a urologist-andrologist will help determine the causes and select the appropriate methods of examination and treatment.

You should make an appointment with a specialist if you notice the following symptoms related to urethral stones:

• Persistent burning sensation during urination
• Frequent urges to urinate, accompanied by difficulty in passing urine
• Pain in the groin or perineal area that does not subside
• Sensation of a foreign body in the urethra
• Periodic difficulty at the start of urination
• Symptoms that worsen or recur over time
• Disruptions to normal sleep patterns due to the urge to urinate
• No improvement after attempts at self-treatment or previously prescribed therapy
• Symptoms interfere with daily tasks and work
• Initial consultation upon the appearance of new or unclear sensations
• Frequent flare-ups or deterioration of condition after stress or other factors
• Need to reassess current treatment in case of comorbid conditions

If you experience any of the above manifestations, a medical consultation can help identify the causes and develop a further action plan. It is better not to delay the visit in case of recurring or worsening symptoms to avoid complications and maintain quality of life.

Emergency Conditions or When to See a Doctor Urgently

• Sudden and severe pain in the lower abdomen or groin
• Sudden difficulty urinating or complete inability to urinate
• Worsening overall condition with a rising fever
• Combination of severe pain, weakness, and dizziness
• Appearance of blood in the urine or discharge with an unpleasant odor

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

Causes and Risk Factors for Stones in the Urethra

This section covers the possible causes of stones forming in the urethra and the factors that increase the risk of their development or worsen the condition. Understanding these points will help you take better care of your health and seek timely medical examination.

Main Causes / Mechanisms (Briefly)

• Impaired urine drainage leading to stagnation and stone formation
• Passage of stone fragments from the kidneys or bladder into the urethra
• Inflammatory processes in the genitourinary system that promote salt deposition
• Injuries or strictures of the urethra altering normal urine flow
• Mineral metabolism disorders leading to salt accumulation

Risk Factors

• Age over 40, when urinary system issues become more common
• Frequent inflammatory diseases of the urinary tract and reproductive organs
• Chronic urine outflow obstruction, including benign prostatic hyperplasia
• Dehydration and insufficient fluid intake
• Unbalanced diet high in salts and proteins
• Sedentary lifestyle and excess body weight
• Hereditary predisposition to urolithiasis
• Previous surgeries or injuries in the genitourinary area

Reversible Causes That Should Be Excluded

• Acute urinary tract infections affecting urine composition
• Temporary spasms or inflammations of the urethra after catheterization or procedures
• Dehydration due to heat or physical exertion
• Improper nutrition and fluid deficiency, which are easily correctable factors

Each case requires evaluation by a specialist, as urethral stones may have different causes. It is important to exclude reversible factors and to develop an effective management plan with the support of a doctor.

Diagnostics

Diagnostics for urethral stones are aimed at identifying the causes of discomfort and accurately assessing the patient’s condition. The physician carefully evaluates symptoms and examination results to develop a plan for further actions and help manage the condition.

Diagnostic Approach

• Taking a detailed medical history, including complaints and disease history
• Visual inspection and palpation of the groin area and urinary tract
• Ordering basic laboratory tests as indicated (urinalysis, complete blood count)
• Conducting instrumental studies as indicated to assess the condition of the urethra and urinary tract
• Interpreting results and forming a preliminary diagnostic and treatment plan
• Discussing with the patient the next steps and the need for additional examinations
• Monitoring symptom dynamics and evaluating the effectiveness of implemented measures

Typical Studies as Indicated

May include:

• Ultrasound examination of the kidneys and bladder
• X-ray or CT scan of the urinary tract
• Urethroscopy or cystoscopy for inspection of the urethra and bladder
• Urine tests for infections and inflammation
• Biochemical tests to evaluate metabolism

What to Bring to the Appointment

• Results of previous examinations and tests, if available
• List of medications or supplements being taken
• Notes or symptom diary if kept
• Medical records related to previous treatments
• Questions or concerns to discuss with the doctor

Diagnostics of urethral stones requires a comprehensive approach and individualized selection of studies, which helps manage the condition and develop an optimal treatment plan.

Treatment

Treatment of stones in the urethra is aimed at reducing symptoms and restoring normal urine flow. The therapy plan is tailored individually based on the specific situation and the patient's condition, requires assessment by a doctor, and may be adjusted according to follow-up results.

Therapy Goals

• Reduce painful symptoms and improve comfort during urination
• Address underlying causes contributing to stone formation
• Restore normal functioning of the genitourinary tract
• Prevent the development of complications and recurrent exacerbations

Main Treatment Approaches

• May include medication to control symptoms and inflammation as indicated
• Use of minimally invasive procedures when removal or fragmentation of stones is necessary
• Non-pharmacological methods to support urinary system health
• Individualized regimen and recommendations taking into account comorbidities
• Coordination with other specialists if needed for a comprehensive approach

What the Doctor Does

• Selects and adjusts therapy based on current symptoms and examinations
• Considers the presence of comorbidities and risk factors
• Monitors possible side effects of treatment
• Explains to the patient the criteria for evaluating therapy effectiveness
• Coordinates cooperation with specialized specialists in complex cases

What to Expect: Plan and Monitoring

• Regular assessment of condition changes depending on the situation
• Treatment plan may be modified if the desired effect is not achieved
• Follow-up visits are necessary to monitor progress and adapt therapy
• Appointments and examinations are scheduled as indicated for accurate condition evaluation

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

Prevention

Prevention is important for reducing the risk of recurrent urethral stones and maintaining the health of the urinary system. The prevention plan is always tailored individually, taking into account the patient’s condition and the doctor’s recommendations.

Main measures of primary prevention

• Maintaining an optimal level of hydration to prevent urine stagnation
• Controlling body weight and following a balanced diet
• Minimizing prolonged periods of immobility
• Timely treatment of inflammatory diseases of the urinary tract and reproductive organs
• Avoiding factors that contribute to urethral injuries
• Regular monitoring in the presence of chronic diseases as indicated

Screening and secondary prevention / regular monitoring

• Periodic evaluation of the urinary system as recommended by the doctor
• Examination for inflammatory processes when symptoms recur
• Regular monitoring of risk factors and the status of concomitant diseases
• Consultations to assess the effectiveness of preventive measures and adjust the plan

Practical advice

• Maintain a proper fluid intake regimen, discussing its norms with your doctor
• Avoid prolonged holding of urine
• Discuss therapy adjustments with your doctor if you have concomitant conditions
• Seek medical attention promptly if any new symptoms appear
• Schedule regular visits to a urologist-andrologist for condition monitoring

Prevention of urethral stones helps reduce the risk of complications and improves quality of life with medical support.

Important to Know

Stones in the urethra can cause discomfort and urinary disturbances, so timely assessment of the condition is important for choosing the right treatment strategy. Do not delay consulting a doctor when symptoms appear — early detection helps reduce the risk of complications and prevents the disease from worsening. In some cases, dynamic monitoring is required to adjust the treatment plan and avoid recurring problems. The course of the condition can be influenced by overall physical load, stress, sleep quality, and the presence of comorbidities. Self-treatment in such cases can complicate diagnosis, cause undesirable effects, and delay necessary medical care.

• It is important to understand the cause of the stones, not just to reduce the symptoms
• Early consultation helps choose the optimal treatment plan and reduce risks
• Dynamic monitoring allows timely adjustment of therapy as indicated
• Stress, physical exertion, and comorbidities affect the course of the disease
• Self-treatment can mask the clinical picture and delay accurate diagnosis
• In our clinic, the physician pays close attention to reviewing medical history and conducting a comprehensive assessment of the condition

Remember that stones in the urethra require a careful and cautious approach under specialist supervision. For detailed information and answers to questions, we recommend referring to the main page, where all aspects of diagnosis and treatment are covered.

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

Before seeing a doctor for stones in the urethra, it is important to follow simple and safe guidelines to avoid worsening your condition and to ensure accurate diagnosis. If symptoms worsen, urgently contact Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Note when and how unpleasant sensations and other symptoms began
• Bring a list of current medications if you are taking any
• Measure your temperature and other vital signs if you know how
• Keep a symptom diary: record the time, intensity, and possible aggravating factors
• Drink enough fluids to avoid dehydration, unless contraindicated
• Reduce physical activity and rest before the consultation
• Avoid holding your urine or straining your bladder excessively
• Collect and bring any previous test results if you have them

What You Should Not Do Before the Appointment

• Do not stop or change your medications without consulting your doctor
• Do not start several new medications or remedies at the same time
• Do not use folk remedies or questionable methods without discussing them with your doctor
• Do not delay your visit if pain worsens or new symptoms appear
• Do not attempt to treat the stones yourself with home procedures
• Do not ignore symptoms, even if they seem mild or temporary
• Do not engage in intense physical activities that could worsen your condition
• Do not interpret previous tests and analyses on your own

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

How I Can Help as a Doctor with Urethral Stones

During a consultation regarding urethral stones, I can assist you in the following ways: we will review your symptoms and medical history to identify causes, assess your current condition and risks, select the optimal strategy for examination and treatment, and organize monitoring of progress and therapy adjustment.

• Analyze symptoms and history to identify possible causes of stone formation
• Evaluate the severity of symptoms and risk of complications
• Review previously prescribed treatments and medications, considering tolerability
• Develop a plan for further actions: examination, treatment, and follow-up
• Take into account comorbidities and current medications when choosing a treatment approach
• Provide lifestyle recommendations as indicated to support therapy
• Discuss criteria for monitoring progress and timing of follow-up consultations
• Conduct initial diagnostics to determine causes and perform differential diagnosis of possible conditions
• Adjust treatment if effects are insufficient or side effects occur

As a result of the consultation, you will gain a clear understanding of your current situation, an action plan, and health monitoring. This comprehensive approach helps not only to reduce symptoms but also to lower the risk of complications and recurrent issues.

What Questions Can You Ask a Doctor About Urethral Stones

During a consultation about urethral stones, you can discuss the following issues with Sergei Nikolaevich Glushchenko:

• Painful or difficult urination
• Frequent urges to urinate without results
• A feeling of discomfort and burning in the urethra
• Recurring symptoms and worsening condition despite treatment
• Presence of accompanying inflammatory processes in the urinary tract
• Lack of effectiveness of previous treatment
• Need for a second opinion regarding examinations and prescribed therapy

In case of sudden severe pain, sharp deterioration of well-being, or blood in the urine, urgent medical help is required—do not wait for a scheduled appointment.

Frequently Asked Questions During the Consultation

• What is happening to me and what could it be?
• Why have these symptoms appeared right now?
• How can I be sure that this is caused by urethral stones and not another problem?
• What examinations are necessary in my specific case?
• What tests and investigations are mandatory for my condition?
• How should I best prepare for examinations and the doctor's appointment?
• What treatment options are available and how do they differ?
• Is it possible to completely cure urethral stones or is it a long process?
• Why is the prescribed treatment not effective and what should I do next?
• Is it possible to avoid surgery or invasive procedures?
• How long does treatment usually take and how often should follow-ups be done?
• What signs indicate that my condition has improved or worsened?
• What should I do if my condition suddenly worsens or there is an acute episode?

This doctor will help you understand the diagnosis and treatment of urethral stones, develop an examination plan, and support you throughout all stages. In urgent situations, patients are advised to seek emergency care to prevent complications.

How the Consultation Proceeds

A consultation with a urologist when urethral stones are suspected involves reviewing complaints, assessing the condition, and creating a plan for further action. The extent of examinations is determined individually based on indications; not all patients require the same tests. During one visit, the doctor performs a preliminary assessment to understand which steps are important in your case.

1. Clarifying complaints and the purpose of the visit — discussing symptoms, their onset, and impact on the patient’s life.
2. Taking medical history with an emphasis on risk factors, previous illnesses, and lifestyle.
3. Reviewing previous examinations and treatments, analyzing results; it is recommended to bring documents and a list of current medications.
4. Performing a physical examination and ordering specialized tests as indicated, including basic clinical evaluations.
5. Forming a preliminary conclusion highlighting probable causes and key points to rule out.
6. Developing an examination plan, which may include ultrasound, X-rays, urine and blood tests, as well as endoscopic methods if necessary.
7. Discussing general treatment principles or observation without prescribing specific medications during the visit.
8. Scheduling follow-up assessments — timing of repeat visits and criteria for evaluating the effectiveness of therapy or changes in symptoms.

If this is your first visit, special attention is given to clarifying complaints and selecting the appropriate directions for further tests. If previous treatment has been ineffective, the consultation helps to thoroughly investigate the causes and adjust the management strategy.

This approach helps create a clear and safe action plan that adapts to changes in the patient’s condition and ensures comfortable support throughout all stages of treatment.

Preparation for the Appointment

To ensure that your appointment with the urologist regarding urethral stones is effective and helps to make a quicker diagnosis, it is important to prepare properly in advance. This will speed up the diagnostic process and enable the doctor to develop a treatment plan.

• Bring a list of all current medications, including names and dosages if known.
• Take any previous test results, images, and analyses with you, if available.
• Write down your main complaints: when the symptoms started, what helps or worsens the condition.
• Do not stop taking prescribed medications without consulting your doctor.
• Come without makeup or creams in the groin area if an examination is planned.
• If you have any questions or concerns, clarify them in advance when making an appointment at the reception.
• Come prepared to allow time for a full examination and discussion.

If you have been advised to take any medications or follow special instructions, follow them strictly, but coordinate any changes with your doctor in advance.

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 patients dealing with urethral stones, including primary diagnoses, recurring symptoms, and cases where previous treatments did not yield the expected results.

In his practice, Sergey Nikolaevich pays special attention to differential diagnosis and therapy adjustment, taking into account comorbidities. This comprehensive approach helps to select an appropriate treatment plan and ensures careful monitoring of the condition’s progression.

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

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When working with urethral stones, Sergey Nikolaevich pays close attention to analyzing the actual complaints and medical history to identify possible causes and select an effective treatment strategy. He develops a clear and transparent treatment plan that considers not only the symptoms but also any accompanying diseases and medications. An important part of his work is monitoring the patient's condition dynamics, allowing for treatment adjustments if there is no effect or if side effects occur. The doctor reviews patients’ test results and helps interpret them to choose the optimal approach. This method enables not just symptomatic treatment but a comprehensive approach addressing causes and risks.

• A clear treatment plan with defined steps and criteria for evaluating results
• Examinations only as indicated, without unnecessary prescriptions or tests
• Consideration of comorbidities and drug interactions to ensure safety
• Monitoring of condition dynamics with the possibility of timely therapy adjustments
• Analysis of previous test results to develop optimal solutions
• Explanation of goals, risks, and alternatives in simple and accessible language
• Emphasis on preventing complications and exacerbations at various disease stages
• Experience managing complex and recurring cases that require careful attention

This organized approach helps patients gain a clear understanding of their situation and confidence in the course of action. The doctor continuously monitors changes to promptly adapt the treatment plan and maintain a balance between effectiveness and safety.

Case Studies

Initial Consultation for Difficult Urination

A middle-aged patient presented with complaints of painful and difficult urination, as well as a burning sensation in the urethra. It was important to exclude acute inflammatory diseases and identify possible causes of obstruction. During the consultation, a thorough medical history was taken and a physical examination was performed, followed by additional investigations to assess the condition of the urinary tract. Over time, the patient experienced a reduction in discomfort and normalization of the urination process. The patient remained under observation with regular symptom monitoring and adjustment of recommendations during subsequent visits.

Treatment Adjustment for Ineffective Therapy

An elderly patient had previously undergone treatment, but symptoms of urethral stones persisted, interfering with daily life. The physician conducted a detailed review of the previous therapy and diagnostic results, which helped identify factors contributing to the insufficient effect. The adjusted plan included additional assessment methods and adaptation of the treatment approach. Over several weeks, gradual improvement and a decrease in symptom severity were observed. Regular monitoring and evaluation of the effectiveness of the new measures continue.

Chronic Course with Comorbidities

A middle-aged patient with a long history of urinary tract problems and comorbid conditions sought comprehensive evaluation. It was important to consider the influence of other conditions and medications on disease progression. The physician conducted not only diagnostics of the urethra but also assessed comorbid factors, adjusting the management plan accordingly. Follow-up showed stabilization of symptoms and a reduction in the frequency of exacerbations. The patient remains under regular supervision with an emphasis on prevention.

Symptom Exacerbation and Management Plan

A young patient was admitted with marked deterioration of symptoms, including increased pain and urinary difficulties, requiring prompt action. During the appointment, the physician assessed the condition and ruled out dangerous complications. An urgent action plan and ongoing supportive treatment were established. Due to timely interventions, symptom severity decreased within several weeks. The patient continues to be monitored dynamically for prevention of recurrent exacerbations and condition control.

Second Opinion and Review of Previous Examinations

A patient with ambiguous diagnostic results sought a second opinion regarding the treatment strategy for urethral stones. The physician carefully reviewed all documents and conducted an additional evaluation of complaints and medical history. This allowed clarification of the likely causes of symptoms and the proposal of a clearer plan for further actions. Thanks to the comprehensive approach, the patient’s condition stabilized and symptom control was achieved. Regular follow-up helps to adapt treatment as needed.

How long does a consultation last?

A consultation usually lasts from 30 to 60 minutes; please confirm the duration when booking.

How should I prepare for the appointment?

Preparation details will be provided when you book. Usually, it is enough to have a list of symptoms and current medications.

What should I bring to the appointment?

It is recommended to bring test results, imaging, medical reports, and a list of medications you are taking.

Do I need to come on an empty stomach?

Usually not, unless otherwise specified at the time of booking.

How many visits are typically needed for treatment?

The number of visits depends on your condition and treatment plan; often several visits are necessary.

When can I expect the first results of the treatment?

Initial changes are evaluated individually and depend on the chosen treatment approach.

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

If symptoms worsen, contact the doctor immediately, especially in cases of severe pain or bleeding.

Can treatment be combined with my current medications?

Discuss your medications during the appointment; do not stop or add drugs on your own.

Is it possible to have an online consultation?

Yes, online consultations are available for initial assessment and discussion of further steps.

Can I come with diagnostic tests already done?

Yes, bring all diagnostic results for a more accurate evaluation.

Do I need to come frequently for follow-up appointments?

The frequency of visits depends on the progression of your condition and your doctor’s recommendations.

Can I get a second medical opinion?

Yes, the doctor is willing to review your previous tests and treatment.

What should I do if symptoms return after improvement?

It is recommended to see a doctor to adjust the treatment and assess your condition.

What tests will be needed for stones in the urethra?

The required tests are determined individually based on your complaints and examination findings.

Can I take painkillers before seeing the doctor?

If generally safe and no contraindications exist, you may, but it is better to discuss this with your doctor.

What if I can’t get an appointment right away?

If your condition significantly worsens, seek emergency medical assistance.

What measures should I take at home when symptoms first appear?

Record your symptoms and avoid factors that worsen discomfort, but do not self-medicate.

What should I expect during a urologist appointment for urethral stones?

You will undergo information gathering, physical examination, assessment of test results, and discussion of the treatment plan.