Treatment of urolithiasis by urologist Sergey Nikolayevich Glushchenko in the city of Dnipro

Patients present with complaints of lower back and abdominal pain, frequent urges to urinate, difficulty or pain during urination, as well as recurring episodes of discomfort or presence of blood in the urine.

The physician conducts a thorough clinical evaluation, carefully reviews the history of complaints, and orders the necessary examinations to identify the causes of the symptoms and rule out any associated conditions.

The patient receives a clear and understandable action plan—what to do immediately, which tests to undergo, and how to monitor the progression of the condition.

Special attention is given by the physician to differential diagnosis and prevention of exacerbations, as well as ongoing management of patients, which helps to timely adjust treatment and avoid complications.

When to See a Doctor

If you notice changes in your well-being, the appearance of unpleasant sensations, or disruption of your usual daily routine, it is important not to delay consulting a specialist. You should make an appointment with a urologist if, during the treatment of urolithiasis (kidney stones), you observe:

• Constant or intermittent pain in the lower back or abdomen
• Frequent urges to urinate, especially if accompanied by discomfort
• Difficulty or pain during urination
• Presence of blood in the urine or changes in its color
• Feeling of incomplete emptying of the bladder
• Symptoms that recur or worsen over time
• Complaints that interfere with concentration at work or disrupt sleep
• No effect from self-care measures or prescribed treatment
• Symptoms appearing for the first time and causing concern
• Exacerbation of a chronic condition or deterioration of well-being

Consulting a specialist when such symptoms appear allows determination of the causes of the problems and selection of appropriate steps to resolve them. It is important to remember that timely consultation helps prevent complications and maintains quality of life. If you are unsure or worried, a urologist’s consultation will provide answers and clarifications regarding your condition.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe pain in the lower back or abdomen that rapidly intensifies
• Abrupt inability to urinate despite feeling a full bladder
• Combination of severe pain with fever and chills
• Appearance of a large amount of blood in the urine within a short time
• Significant overall deterioration of health alongside symptoms

If you experience any of these symptoms, do not wait for a scheduled appointment — seek emergency medical care. Our clinic offers home visits by a doctor to assess your condition and provide support.

Causes and Risk Factors of Urolithiasis

Understanding the possible causes and risk factors helps to better grasp where urolithiasis may originate and what should be checked by a doctor. This is important for determining the next steps and minimizing complications.

Main Causes / Mechanisms (Brief)

• Metabolic disorders leading to the formation of crystals in the urine
• Impaired urine flow promoting the accumulation of salts
• Chronic inflammatory processes in the urinary tract
• Increased concentration of salts and minerals in the urine due to dehydration
• Changes in the urine’s acid-base balance affecting the solubility of substances

Risk Factors

• Insufficient fluid intake during the day
• Excessive consumption of salty, spicy, and protein-rich foods
• Obesity and a sedentary lifestyle
• Hereditary predisposition to stone formation
• Frequent urinary tract infections
• Kidney diseases and metabolic disorders
• Age over 40 and male gender
• Chronic diseases affecting urine composition

Reversible Causes That Should Be Ruled Out

• Dehydration caused by inadequate water intake or hot climate
• Use of certain medications that affect urine composition
• Nutritional imbalances leading to excess salt intake
• Inflammatory conditions of the urinary tract

Urolithiasis often develops due to a combination of causes and factors; therefore, accurate understanding requires evaluation by a physician and necessary examinations.

Diagnostics

Diagnostics in the treatment of urolithiasis (kidney stone disease) is aimed at identifying the cause of symptoms and clarifying the current condition. The doctor sequentially collects information to develop a plan for further care and examinations.

Approach to Diagnostics

• Taking a detailed medical history, including complaints and symptom history
• Physical examination to assess the patient's condition
• Ordering basic urine and blood tests as indicated
• Ultrasound of the kidneys and urinary tract to detect stones and abnormalities
• Additional instrumental studies if indicated, such as X-ray or CT scan
• Interpretation of data and discussion of the plan for further actions with the patient

Typical Examinations as Indicated

The diagnostic process may include:

• Complete urine and blood tests
• Ultrasound examination of the kidneys and bladder
• Radiography of the urinary system
• Computed tomography when clarification of stone location and size is needed
• Tests to determine the composition of stones and metabolic studies

What to Bring to the Appointment

• Previous medical records and examination results
• Images and reports from prior studies
• List of current medications
• Symptom diary or description of complaints if monitoring was done at home

Diagnosis of urolithiasis requires a comprehensive approach and individualized selection of examinations for accurate assessment.

Treatment

Treatment of urolithiasis is aimed at reducing symptoms and preventing complications. The therapy plan is tailored individually, taking into account the characteristics of each patient and diagnostic data.

Therapy Goals

• Reduce painful symptoms and discomfort
• Minimize the impact on the kidneys and urinary system
• Improve the patient’s overall quality of life
• Prevent possible complications and recurrence of stone formation

Main Treatment Approaches

• May include medication to alleviate the condition
• Primary directions include reducing inflammation and normalizing urine flow as indicated
• Use of non-pharmacological methods when necessary to support organ function
• Surgical or minimally invasive interventions may be performed if indicated
• Therapy is individualized and may combine various methods depending on the specifics of the case

What the Doctor Does

• Selects and adjusts the treatment plan based on the patient’s response
• Considers comorbidities and their impact on therapy
• Monitors possible side effects and changes the approach if needed
• Explains criteria for effectiveness and risks associated with the treatment
• Coordinates interaction with other specialists for a comprehensive approach

What to Expect: Plan and Monitoring

• Effectiveness of therapy is regularly assessed, considering individual characteristics
• Treatment plan adjustment if the desired result is not achieved or complications arise
• Scheduled follow-up visits are necessary for monitoring progress and timely corrections
• Improvement timelines vary depending on the specific situation and chosen strategy

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

Prevention

Prevention in urolithiasis (kidney stone disease) is important to reduce the risk of recurrent stone formation and complications. The prevention plan is tailored individually, taking into account the patient's characteristics and the doctor's recommendations.

Main Primary Prevention Measures

• Increase water intake to maintain normal fluid balance
• Reduce consumption of salty and protein-rich foods as indicated
• Maintain a healthy weight and active lifestyle
• Control chronic diseases that may affect urine composition
• Avoid prolonged periods of dehydration

Screening and Secondary Prevention / Regular Monitoring

• Regular monitoring of kidney and urinary tract condition according to doctor’s recommendations
• Conduct urine and blood tests to assess changes as indicated
• Monitor the presence and size of stones if necessary
• Discuss lifestyle and therapy adjustments with your doctor to prevent complications

Practical Advice

• Keep to a regular drinking routine and eat a balanced diet, discussing details with your doctor
• Avoid prolonged urine retention; use the restroom as needed
• Consult your doctor about possible medication adjustments if you have comorbid conditions
• Maintain physical activity at a level recommended by your healthcare professional

Preventive measures in urolithiasis help reduce the risk of recurrence and improve overall health, requiring regular attention and consultations with a doctor.

Important to Know

When treating urolithiasis (kidney stone disease), it is important not only to alleviate symptoms but also to identify the causes and factors that contribute to stone formation. Early assessment of the condition helps to choose an appropriate approach and reduce the risk of complications. Often, dynamic monitoring and adjustment of the treatment plan are required as the situation evolves. The course of the disease can be affected by the level of physical activity, stress, sleep quality, and the presence of other illnesses. Self-medication can complicate an accurate diagnosis and cause unwanted effects, so it is important to consult a specialist. Our clinic focuses on comprehensive evaluation and treatment monitoring, taking into account all patient-specific factors.

• Identifying causes and provoking factors is even more important than merely relieving symptoms
• Early consultation reduces the likelihood of progression and complications
• Monitoring and adjusting treatment as needed help preserve kidney function
• Lifestyle factors and comorbidities influence the course of the disease
• Self-administering medications can mask symptoms and hinder diagnosis
• The physician conducts a comprehensive evaluation, considering all nuances of each patient

For detailed information on diagnosis, treatment, and prevention of urolithiasis, we recommend visiting our main page on the topic.

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

Before seeing the doctor, it is helpful to follow simple and safe recommendations to avoid worsening your condition or distorting the picture of the illness. If your condition worsens, seek immediate help from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Write down when and how the symptoms appeared, and what worsens or relieves them
• Bring a list of all medications you are currently taking to the appointment
• Measure and record your temperature, blood pressure, and pulse (if you know how)
• Keep a symptom diary noting the intensity and time of occurrence
• Drink enough water to avoid dehydration
• Reduce physical activity and avoid excessive exertion
• Ensure rest and a comfortable environment for yourself
• Try not to change your usual eating and drinking habits without consulting your doctor
• Prepare previous test results or medical reports, if available

What You Should Not Do Before the Appointment

• Do not stop taking prescribed medications for chronic conditions on your own
• Do not start taking new medications without your doctor’s approval
• Do not use unproven folk remedies for quick relief
• Do not ignore increasing or severe pain; report it to your doctor promptly
• Do not try to change your treatment plan or dosages by yourself
• Do not delay visiting the doctor if new worrying symptoms appear
• Do not interpret tests or imaging results without professional advice
• Do not combine several new treatments at once without your doctor’s consent

If signs of an emergency appear, seek immediate assistance from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Urolithiasis (Kidney Stones)

During a consultation for urolithiasis, I can assist you in the following ways:
I will thoroughly review your symptoms and medical history, assess the severity of your condition and potential risks, and develop a plan for further management. Below are the key tasks I perform to effectively care for patients.

• Analyze symptoms and review disease history to identify possible causes
• Evaluate the severity of the condition and potential health risks
• Review current medications and consider drug tolerance, making adjustments if needed
• Develop a step-by-step plan for examinations, treatment, and follow-up
• Take into account comorbidities and concurrent medications for a comprehensive approach
• Provide lifestyle and regimen recommendations tailored to your individual needs
• Explain criteria for monitoring progress and when to seek follow-up care
• Conduct initial diagnostics with differential diagnosis to clarify the situation
• Monitor treatment effectiveness and adjust the plan if there is insufficient response or side effects

Each case is considered individually, taking into account all aspects of your health and medical history. This approach helps to choose the most appropriate treatment strategy and reduce the risk of complications. Ongoing observation and regular monitoring allow timely adaptation of the plan and improve your quality of life.

What questions can I ask the doctor about urolithiasis (kidney stone disease)?

During a consultation about kidney stone disease, you can discuss the following issues with Sergey Nikolaevich Glushchenko:

• Persistent pain in the lower back or abdomen
• Frequent and painful urges to urinate
• Presence of blood in the urine or changes in its color
• Disruptions in normal urination patterns and feeling of incomplete bladder emptying
• Recurring symptoms that do not go away or worsen
• Lack of effect from previously prescribed treatment
• Presence of concomitant diseases that may complicate the condition
• Emergency situations involving severe pain, high fever, or urination difficulties require urgent care

If you experience sudden severe pain, abrupt inability to urinate, or significant deterioration, do not wait for a scheduled appointment — urgent medical assistance is needed.

You can ask questions such as:

• What is happening to me and what could this be?
• Why did symptoms start right now?
• How can I distinguish kidney stone disease symptoms from other problems?
• What examinations are necessary in my specific case?
• Which tests and investigations are considered essential?
• How should I properly prepare for examinations and the appointment?
• What treatment options are available and how do they differ?
• Is it possible to completely get rid of the problem or is it a chronic condition?
• What should I do if the prescribed treatment doesn’t bring improvement?
• Is it possible to avoid surgery or invasive procedures?
• How long does the treatment last and how often do I need follow-up checks?
• How can I tell if my condition is improving or worsening?
• What should I do in case of sudden worsening or symptom flare-up?

At the appointment, the doctor will thoroughly review your complaints, order the necessary examinations, and help choose the best treatment plan. Timely consultation is important to minimize risks and keep your condition under control.

How the Consultation Proceeds

A consultation with a doctor for urolithiasis (kidney stone disease) includes discussing complaints, assessing the condition, and developing a plan for further action. The scope of examinations is determined individually based on indications and depends on the specifics of your case. A final diagnosis is not made during the appointment; instead, a preliminary assessment and strategy are developed.

1. Clarifying complaints and the purpose of the visit: what is bothering you, since when, what worsens or relieves symptoms, and what the patient’s expectations are.
2. Collecting medical history and risk factors, including lifestyle, presence of comorbidities, and previous surgeries.
3. Reviewing previous examinations and treatments — it is recommended to bring all available results and a list of current medications.
4. Physical examination and basic tests as indicated, aimed at assessing the condition of the kidneys and urinary tract.
5. Preliminary conclusions and discussion of possible causes of symptoms without making a final diagnosis online.
6. Planning further examinations if necessary, which may include general urine and blood tests, ultrasound, X-ray, or CT scan.
7. Developing an individualized treatment and management plan, taking into account the patient’s specific condition.
8. Discussing monitoring of progress: when a follow-up visit is needed, how to evaluate improvements or worsening symptoms, and when to seek care earlier.

If this is your first visit, special attention is given to clarifying symptoms and identifying possible causes. If previous treatment did not yield the expected results, reasons for the lack of effect and possible adjustments to the approach are discussed.

The consultation takes place in a calm environment with explanations at every stage. This helps you understand the situation and prepare for effective treatment without unnecessary anxiety.

Preparation for the Appointment

To ensure an effective consultation with the urologist regarding urolithiasis (kidney stones), it is important to prepare in advance and bring the necessary documents and records. This will help the doctor make a diagnosis more quickly and develop a treatment plan.

• Bring a list of all current medications, including names and dosages, if known
• Take the results of previous tests, images, and analyses — ultrasound, X-rays, general urine and blood tests
• Write down your main complaints: when and how symptoms start, what relieves or worsens them
• Do not stop taking prescribed medications without consulting your doctor
• Come to the appointment in a calm state and, if possible, avoid heavy physical activity beforehand
• If instructed, come fasting: do not eat or drink for 8–12 hours (unless otherwise recommended, check when making your appointment)
• Avoid applying cosmetics or creams on the area that will be examined (if applicable)
• Bring a list of questions you want to ask the doctor so you don’t forget anything important
• If you have doubts about any recommendations, clarify the details when booking or by phone

If you have any questions about preparation, it’s best to contact the clinic reception in advance. Do not change your medication regimen on your own without consulting your doctor.

About the Doctor

Sergey Nikolaevich Glushchenko is a urologist, andrologist, oncologist, and a first-category physician with 20 years of experience. He specializes in the treatment of urolithiasis and often works with patients during their initial consultation, in cases of recurring symptoms, and when previous treatments have not provided relief.

The doctor places emphasis on differential diagnosis and continuous patient management, which helps to timely adjust therapy. During the consultation, you will receive a clear explanation of your situation and a plan for the next steps tailored to your individual needs.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

In the treatment of urolithiasis, comprehensive assessment and attentive follow-up are crucial — this is exactly what Dr. Sergey Nikolaevich Glushchenko focuses on. He works with patients who require analysis of complex and recurring symptoms, adjustment of therapy in case of ineffective treatment, or management of comorbidities. The doctor strives to make the process clear and convenient for the patient by explaining the goals and sequence of prescribed interventions. This approach allows timely identification of the causes of exacerbations and adaptation of treatment as necessary.

• Clear treatment plan with explanations of stages and timelines, helping to monitor the process
• Examinations prescribed only when indicated, avoiding unnecessary procedures
• Consideration of comorbidities and drug interactions for safe treatment
• Monitoring of condition dynamics and timely adjustment of therapy if ineffective
• Review of previously conducted tests and analyses to optimize further actions
• Explanation of the approach in simple terms, including risks and alternatives, without unnecessary medical jargon
• Emphasis on prevention of complications and minimizing exacerbations during treatment

Such a systematic and attentive approach to treating urolithiasis helps patients better understand their condition and confidently progress towards improved quality of life.

Case Studies

Initial Consultation for Pain and Urination Disorders

A middle-aged patient presented with complaints of periodic lower back pain and frequent urges to urinate. It was important to rule out infectious causes and assess for the presence of stones in the kidneys or urinary tract. A thorough medical history was taken, physical examination performed, and comprehensive testing recommended. Results revealed the presence of small stones. At the follow-up visit, a partial reduction in symptoms and stabilization of the condition were noted. Long-term monitoring and adherence to preventive measures were advised.

Adjustment of Treatment Strategy Due to Lack of Effect from Previous Therapy

An elderly patient with a long-standing history of urolithiasis complained of persistent discomfort despite previous treatment. A key step involved reviewing prior prescriptions and possible side effects. Additional testing was conducted to clarify the condition and treatment effects. As a result, the treatment strategy was modified, which led to improved well-being and reduced frequency of exacerbations. Regular monitoring and evaluation of treatment efficacy continue.

Chronic Course with Comorbidities

A young woman sought care for chronic pain and periodic exacerbations of urolithiasis against a background of concomitant metabolic disorders. The goal was to comprehensively consider the impact of comorbid factors on the course of the primary disease. A detailed review of the medical history was performed, and an individualized management plan was prescribed. Subsequent visits showed stable condition and decreased symptom severity. The physician monitors progression and adjusts treatment as needed.

Exacerbation with Severe Pain and Urination Difficulty

A middle-aged patient was admitted with acute intensification of pain syndrome and difficulty urinating. It was crucial to exclude complications requiring urgent intervention. Emergency assessment of the condition was carried out, necessary tests ordered, and appropriate therapy initiated. Over several weeks, improvement in well-being and normalization of bladder function were observed. A plan for regular follow-up and prevention of recurrent exacerbations was subsequently established.

Recurrent Symptoms Following Lifestyle Changes

A patient complained of periodic pain that worsened after changes in diet and physical activity levels. The task was to identify triggers and optimize lifestyle considering the disease. Analysis of contributing factors was conducted, and corrective recommendations given. The condition stabilized over time, with less pronounced symptoms. Ongoing monitoring is maintained to prevent relapses and support health.

How long does the consultation last?

The consultation usually takes between 30 and 60 minutes. Please confirm the exact duration when booking.

How to prepare for the appointment?

It is recommended to write down your complaints, medical history, and any questions you want to discuss with the doctor.

What should I bring to the appointment?

Bring the results of previous examinations, images, medical reports, and a list of medications you are currently taking.

Do I need to come on an empty stomach?

Usually, it is not necessary to come fasting unless the doctor has instructed otherwise.

How many visits are typically required?

The number of visits depends on the complexity of the case; usually, several appointments are needed for examination and monitoring.

When can I expect the first results of the treatment?

The timing depends on the chosen therapy and individual factors; please clarify during your appointment.

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

If symptoms worsen, contact your doctor as soon as possible. In case of emergencies, call for immediate help.

Is it possible to combine treatment with my current medications?

Discuss medication combinations with your doctor; do not change or stop medications on your own.

Can I have an online consultation?

Yes, online consultations are available, subject to prior booking and providing necessary information.

Can I come with already performed examinations?

Yes, bring all existing results to speed up diagnosis and assessment of your condition.

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

Follow-up visits are scheduled individually based on the dynamics of your condition and treatment plan.

Can I get a second opinion?

Yes, you may seek a second opinion to confirm diagnosis or adjust treatment.

What should I do if symptoms return after improvement?

Notify your doctor about the recurrence of symptoms for adjustment of the observation and treatment plan.

What examinations are usually required during treatment?

The examination approach depends on the specific case; the doctor will determine the necessary tests and procedures.

Can I use folk remedies before consultation?

It is recommended to avoid self-administering folk remedies without consulting a doctor.

How does the initial appointment for urolithiasis proceed?

The doctor will collect information about your symptoms, conduct an examination, review existing tests, and develop a treatment plan.

What should I do if the previously prescribed treatment is ineffective?

Discuss the situation with your doctor to analyze the prescription and possibly adjust therapy.

Can I book an appointment if I have acute symptoms?

Yes, if you have acute symptoms, inform us when booking so we can schedule the most appropriate time for your visit.