Treatment of vesicoureteral reflux by urologist-andrologist Sergey Nikolaevich Glushchenko in the city of Dnipro

Patients come with complaints of pain during urination, frequent nighttime urges, incomplete emptying of the bladder, or discomfort in the lower abdomen. The doctor conducts a thorough clinical evaluation, reviews the complaints and medical history, and, if necessary, orders additional tests to clarify the condition.

The patient receives a clear action plan: what to do immediately, which examinations to undergo, and how to monitor their condition going forward. Special attention is given to the differential diagnosis of causes and dynamic observation, which helps to timely adjust treatment and prevent complications.

When to See a Doctor

Consulting a urologist-andrologist is important when vesicoureteral reflux is suspected, especially if worrying symptoms or changes in your condition appear. Often, patients notice that urinary problems interfere with their daily lives or keep recurring. A doctor can help identify the causes of your complaints, assess your condition, and recommend the necessary examinations.

You should make an appointment with a urologist if you notice:

• Frequent painful urges to urinate
• A feeling of incomplete bladder emptying
• Increased nighttime trips to the bathroom that disrupt sleep
• Painful sensations or discomfort in the lower abdomen
• Occasional urinary leakage or incontinence
• Symptoms that repeat or gradually worsen
• Complaints that interfere with work, rest, or daily activities
• No noticeable improvement after self-care measures
• Previously prescribed treatment does not yield the expected results
• Symptom exacerbation after a recent infection
• The appearance of new unpleasant sensations in the urinary tract area
• Symptoms appearing for the first time and causing concern

Even if the symptoms do not seem serious, it is better to consult a specialist in a timely manner to exclude possible complications. A comprehensive approach will help determine which examinations are necessary and develop a treatment strategy tailored to your situation. Seeing a specialist will allow you to monitor symptom progression and avoid unnecessary risks.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe pain in the abdomen or lower back
• Sharp disturbance in urination or complete urinary retention
• Worsening general condition with weakness and dizziness
• Combination of high fever with severe pain during urination
• Appearance of blood in the urine or a sudden change in its color and odor

If you experience these symptoms, do not wait for a scheduled appointment — urgent medical care is necessary. Our clinic offers home visits by a doctor for quick assessment and assistance.

Causes and Risk Factors in the Treatment of Vesicoureteral Reflux

Understanding the possible causes and risk factors helps to better comprehend the issue and determine what should be checked by a doctor. Vesicoureteral reflux can develop through various mechanisms, and certain factors increase the likelihood of its occurrence or worsen its course.

Main Causes / Mechanisms (Briefly)

• Anatomical abnormalities in the junction between the ureter and the bladder
• Weakening of the muscles and valves responsible for preventing backflow of urine
• Age-related features in children and infants when the mechanism is not yet fully developed
• Consequences of past urinary tract infections
• Inflammatory processes leading to impaired function of the urinary system

Risk Factors

• Hereditary predisposition and family history of urinary system diseases
• Frequent or untreated urinary tract infections
• Chronic diseases affecting muscle tone and mucous membrane tissue
• Injuries and trauma to the lumbar and pelvic areas
• Age under 5 years — the most common period of manifestation
• Obesity and metabolic disorders
• Constant tension or weakness of the pelvic muscles
• Lifestyle factors affecting kidney and bladder function

Reversible Causes to Rule Out

• Acute urinary tract infections requiring treatment
• Inflammatory reactions of the bladder mucosa
• Temporary muscle tone disturbances related to the general condition of the body
• Improper urination habits leading to urine stagnation

Since the causes of vesicoureteral reflux can be diverse, it is important to undergo a comprehensive medical examination to accurately identify the factors involved and choose the appropriate management approach.

Diagnostics

Diagnostics in the treatment of vesicoureteral reflux are aimed at identifying the causes and severity of the disorder, as well as excluding complications. The doctor will conduct a comprehensive assessment of your condition to develop a plan for further action.

Diagnostic Approach

• Taking medical history considering complaints and disease history
• Performing physical examinations and symptom evaluations
• Ordering basic laboratory and instrumental tests as indicated
• Additional studies if necessary to clarify the diagnosis
• Analyzing results and formulating an individualized examination and treatment plan

Common Tests as Indicated

• Ultrasound examination (US) of the kidneys and bladder
• General urine and blood tests to assess inflammation and kidney function
• Video uretrocyctoscopy or cystography to check for urine backflow
• Voiding cystourethrography when urinary disorders are suspected
• Computed tomography (CT) or magnetic resonance imaging (MRI) as indicated

What to Bring to the Appointment

• Results of previous examinations and tests
• List of medications currently taken, if any
• Symptom diary — when and how complaints occur
• Medical records in case of concomitant diseases

Understanding the stages of diagnostics helps you better prepare for your appointment and feel more confident in addressing the problem. Each case requires an individual approach, taking into account the patient's specific condition.

Treatment

The treatment of vesicoureteral reflux is aimed at eliminating symptoms and reducing the risk of complications. The therapy plan is tailored individually, taking into account the specifics of the condition and the results of examinations.

Therapy Goals

• Reduce symptom severity and improve well-being
• Correct the mechanism of urine backflow and address its causes
• Preserve kidney and bladder function
• Prevent the development of complications and recurrent infections

Main Treatment Approaches

• May include medication to control inflammation and symptoms
• Use of non-pharmacological methods aimed at improving the function of the urinary system
• If necessary, application of minimally invasive procedures or surgery based on indications
• Rehabilitation procedures and dynamic monitoring to assess effectiveness

What the Doctor Does

• Selects and adjusts therapy considering the patient’s individual characteristics
• Assesses the impact of comorbidities on treatment
• Monitors possible side effects and changes the treatment plan if necessary
• Explains to the patient the criteria for evaluating treatment effectiveness and the next steps
• Coordinates with other specialists when a comprehensive approach is required

What to Expect: Plan and Monitoring

• Approximate time for evaluating the effectiveness of prescribed therapy depends on the specific situation
• Regular monitoring of the condition for timely adjustment of the treatment plan
• The doctor may order repeat examinations as indicated for ongoing monitoring
• Periodic visits to the specialist help ensure stable results

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

Prevention

Prevention in vesicoureteral reflux is important for reducing the risk of complications and improving overall health. The prevention plan is tailored individually, taking into account the patient’s specific characteristics.

Main primary prevention measures

• Monitoring and timely treatment of urinary tract infections
• Maintaining a healthy lifestyle and normal weight
• Avoiding hypothermia and injuries to the lower back and abdominal area
• Regular medical check-ups if risk factors are present
• Observing personal hygiene rules

Screening and secondary prevention / regular monitoring

• Regular monitoring of examination results as recommended by a physician
• Monitoring kidney function and the condition of the urinary tract
• Promptly discussing any changes in symptoms with your doctor
• Screening for comorbidities as advised by a specialist

Practical advice

• Discuss suitable fitness activities with your doctor to strengthen pelvic muscles
• Maintain a proper drinking and urination schedule, avoiding holding urine
• Avoid factors that may trigger recurrent inflammation
• Take prescribed medications and follow procedures according to recommendations
• Seek timely consultation if new symptoms appear

Following preventive recommendations helps reduce the impact of vesicoureteral reflux on quality of life.

Important to Know

Endoscopic treatment of vesicoureteral reflux requires an accurate assessment of the condition and the selection of the correct approach. The physician not only resolves the problem but also identifies its causes, which helps reduce the risk of recurrent complications. Sometimes prolonged monitoring and adjustment of the treatment plan are necessary depending on the condition's progression. External factors such as physical stress, psychological stress, and comorbidities can affect the course of the disease and the effectiveness of treatment. Self-medication in such cases can complicate diagnosis and lead to undesirable consequences.

• It is important to understand the cause of reflux, not just to relieve symptoms
• Early consultation helps to choose appropriate treatment and avoid complications
• Ongoing monitoring is necessary for timely adjustment of the therapy plan
• Environmental factors and overall health influence treatment effectiveness
• Self-medication can mask symptoms and delay proper treatment

Our clinic focuses on comprehensive evaluation and support of patients at every stage. For detailed information about vesicoureteral reflux and its treatment methods, we recommend visiting our main page, where all key aspects of the condition and therapeutic approaches are explained.

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

Before your appointment with Dr. Sergey Nikolaevich Glushchenko, it is important to follow safe steps to avoid worsening your condition or distorting the clinical picture. If your condition worsens, seek help immediately.

What You Can Do Before the Appointment

• Write down when and how your symptoms started, including the circumstances and what makes your condition better or worse
• Bring a list of all medications you are currently taking, if you know their names and dosages
• Measure and record your temperature, blood pressure, and pulse rate if you are able and have the means to do so
• Keep a symptom diary noting the intensity and possible triggers
• Reduce physical activity and ensure rest to avoid additional stress on your body
• Drink enough water if possible to prevent dehydration
• Maintain hygiene and try not to irritate the urinary tract
• Stay calm and try to minimize stressful factors

What You Should Not Do Before the Appointment

• Do not stop or change any previously prescribed medications without consulting your doctor
• Do not start taking new medications or combine drugs on your own
• Do not use folk remedies or medications without a specialist’s approval
• Do not try to interpret test results or imaging studies by yourself
• Do not delay seeing a doctor if your symptoms increase or your condition worsens
• Do not ignore the appearance of new symptoms or changes in your condition
• Do not increase physical strain or expose yourself to additional risks
• Do not self-medicate in ways that could complicate the diagnosis

If signs of an emergency condition appear, contact Dr. Sergey Nikolaevich Glushchenko immediately.

How I Can Help as a Doctor with Endoscopic Treatment of Vesicoureteral Reflux

During a consultation on the endoscopic treatment of vesicoureteral reflux, I can assist you in the following ways:

• Analyze symptoms and medical history to identify potential causes
• Assess the severity of the condition and associated risks
• Review current prescriptions and treatment tolerance to adjust therapy if needed
• Develop a plan for next steps: examinations, treatment, and monitoring effectiveness
• Consider comorbidities and medications that may influence treatment choices
• Provide lifestyle and regimen recommendations tailored to your individual needs
• Discuss criteria for monitoring progress and schedule follow-up visits to evaluate outcomes
• Perform initial diagnostics and differential analysis of symptom causes
• Modify the treatment plan if there is no improvement or if side effects occur

A comprehensive approach helps not only to alleviate symptoms but also to reduce the risk of complications in the future. The consultation offers a clear understanding of your condition and a practical action plan that can be adapted as necessary.

What questions can I ask the doctor regarding endoscopic treatment of vesicoureteral reflux?

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

• Pain or discomfort during urination
• Frequent urges to urinate, especially at night
• Feeling of incomplete emptying of the bladder
• Recurring symptoms after treatment
• Urinary incontinence or leakage
• Lack of effect from previous treatments
• Questions about the safety and specifics of endoscopic treatment
• Examinations and diagnostic methods relevant to your condition

If you experience sudden severe pain, acute difficulty urinating, or blood in your urine, seek emergency medical help immediately — do not wait for a scheduled appointment.

Frequently Asked Questions

• What is happening to me and what could it be?
• Why have symptoms appeared now?
• How can I be sure these symptoms are related to reflux and not another condition?
• What examinations are needed specifically in my case?
• Which tests and investigations are absolutely necessary?
• How should I prepare for the examinations and appointment?
• What treatment options are available and how do they differ?
• Is it possible to completely get rid of the problem?
• What should I do if the prescribed treatment does not help?
• Can the problem be managed without surgery or other procedures?
• How long does treatment last and how often is follow-up needed?
• What signs indicate improvement or worsening?
• What should I do in case of sudden deterioration or exacerbation?

During the consultation, the doctor will assess your situation, define the scope of their expertise, and if necessary, refer you to related specialists or for additional examinations. Safety and timely medical attention are important for choosing the right treatment strategy and preventing complications.

How the Consultation Proceeds

A consultation with a doctor for the treatment of vesicoureteral reflux includes reviewing complaints, assessing the condition, and planning further actions. The scope of examinations is determined individually, based on indications and your specific situation. A preliminary assessment is made during one visit, while an accurate diagnosis is formed taking into account the results of subsequent tests.

1. Clarifying complaints and the purpose of the visit: the doctor will ask what exactly is bothering you, when the symptoms appeared, and what you expect from the consultation.
2. Collecting medical history and risk factors related to the urinary system condition.
3. Discussing previous treatments and examinations — it is recommended to bring the results of tests, imaging reports, and a list of medications being taken.
4. Conducting a physical examination and, if necessary, safe specialized tests (as indicated).
5. Forming a preliminary conclusion with an analysis of probable causes and important factors that need to be ruled out.
6. Prescribing a diagnostic plan, which may include kidney ultrasound, urine and blood tests, as well as other investigations as indicated.
7. Discussing the overall treatment and management plan, considering the specifics of your condition and examination results.
8. Determining follow-up timing: when it is best to return, how to monitor symptoms, and in which cases to seek care earlier.

If this is your first visit, the consultation will focus on clarifying symptoms and identifying possible causes. If previous treatment has not yielded the expected results, during the appointment we will thoroughly review the reasons for the lack of improvement and make necessary adjustments to the action plan.

Preparation for the Appointment

To ensure an effective consultation with the doctor regarding the treatment of vesicoureteral reflux, it is important to prepare in advance. This will help to quickly assess the condition and develop a plan for further action.

• Bring a list of all current medications with names and dosages, if known
• Bring results of previous examinations: ultrasound of the kidneys and bladder, urine and blood tests, images, and medical reports
• Write down main complaints: when symptoms started, what worsens or relieves the condition
• Do not stop taking prescribed medications without consulting the doctor
• If an examination is planned, clarify when making the appointment whether you need to come on an empty stomach
• If there are specific instructions, avoid cosmetics, creams, or other products before the appointment
• Bring a list of questions you want to discuss during the visit
• If possible, prepare information about previous urinary tract infections and other illnesses
• If you have any doubts about preparation, ask at the reception or clinic administrator

If you have questions about preparing for the appointment, it is best to clarify the details by phone in advance; do not change medication intake without consulting your doctor.

About the Doctor

Sergey Nikolaevich Glushchenko is a surgeon-urologist, andrologist, and oncologist of the first category with 20 years of experience. He specializes in treating complex cases, including the endoscopic treatment of vesicoureteral reflux, and often manages patients with primary diagnoses, chronic conditions, or ineffective previous treatments.

In his practice, Sergey Nikolaevich places special emphasis on differential diagnosis of causes and dynamic patient monitoring. During the consultation, you will receive a clear analysis of the situation and a plan of further steps tailored to your individual needs.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When treating vesicoureteral reflux, Dr. Sergey Nikolaevich Glushchenko focuses on a comprehensive assessment and step-by-step management of patients. He works with a variety of situations—from initial consultations to complex cases with previously ineffective treatments. His approach is based on a thorough analysis of causes and dynamic monitoring of therapy, which allows for adjusting the treatment plan and reducing the risk of complications. Special attention is also given to considering comorbidities and medications to ensure the safest possible treatment.

• A clear step-by-step treatment plan with defined stages and checkpoints
• Examinations performed strictly as indicated, avoiding unnecessary procedures and expenses for the patient
• Consideration of comorbid conditions and drug interactions to ensure therapy safety
• Monitoring of the patient’s condition dynamics with regular treatment adjustments when needed
• Review of previous examinations to optimize the choice of tactics
• Explanation of goals, risks, and alternatives in simple and understandable language
• Experience managing complex and chronic cases with atypical disease courses
• Emphasis on prevention of exacerbations and complications through scheduled follow-up

This approach helps patients better understand their treatment and respond promptly to changes in their condition. Dr. Glushchenko creates an environment for comfortable and safe interaction that enables the development of an effective plan tailored to individual characteristics and needs.

Case Studies

Initial Presentation with Symptoms of Urination Disorders

A middle-aged patient presented with complaints of frequent urges to urinate and a sensation of incomplete bladder emptying. It was important to rule out infectious and structural causes of the symptoms. The physician conducted a comprehensive examination, including laboratory tests and ultrasound imaging, to clarify the condition. During treatment, the patient’s condition was stabilized, and the severity of symptoms was reduced. The patient continues to undergo necessary monitoring and follow-up.

Adjustment of Strategy After Ineffective Treatment

An elderly patient was admitted with recurrent symptoms despite previous treatment. It was important to thoroughly assess the tolerance and appropriateness of the prior therapy. The physician reviewed the patient’s medical history and examination results and made changes to the management plan. Improvement in well-being and a decrease in symptom severity were observed over several weeks. The patient continues regular monitoring and maintenance therapy.

Chronic Course with Comorbidities

A middle-aged patient with a long-standing condition and accompanying chronic diseases sought a comprehensive management approach. Special attention was given to evaluating drug interactions and potential complication risks. The physician developed a tailored treatment plan considering all factors. Partial improvement and stabilization of the condition were noted during follow-up. Regular monitoring and therapy adjustments as needed have been planned.

Exacerbation of Symptoms and Prophylactic Plan

A young patient presented with sudden worsening of condition and intensified symptoms. The physician’s task was to promptly assess the severity of the exacerbation and exclude serious complications. An examination and necessary investigations were performed to clarify the situation. The management plan was adjusted with an emphasis on preventing further exacerbations. Follow-up visits showed stabilization and reduction in symptom severity. Regular monitoring and preventive measures were recommended to maintain the results.

How long does a consultation last?

A consultation usually takes between 30 to 60 minutes; please confirm the exact time when booking.

How should I prepare for the appointment?

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

What should I bring to the appointment?

Please bring test results, scans, discharge summaries, and a list of medications you are taking.

Do I need to come fasting?

Generally, no, unless otherwise specified at the time of booking.

How many visits are usually required?

The number of visits depends on your situation and treatment plan; typically, several visits are needed.

When can I expect the first results of the treatment?

The therapy effect is individual and depends on the nature of the illness and the treatment applied.

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

If your condition worsens, contact your doctor as soon as possible, especially if you experience severe pain or other alarming symptoms.

Can I combine the treatment with my current medications?

This will be discussed during the appointment; do not alter prescribed medications on your own.

Is it possible to have an online consultation?

Yes, an online consultation is possible with prior appointment and if all necessary documents are available.

Can I come with already completed examinations?

Yes, please bring all previous test results and studies to speed up the diagnosis.

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

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

Can I get a second opinion?

Yes, the doctor is willing to discuss previously made diagnoses and recommendations if needed.

How can I tell if the treatment is working?

Effectiveness is assessed by changes in symptoms and the results of follow-up examinations.

What should I do if symptoms return after improvement?

Schedule a follow-up appointment for treatment plan adjustment and further diagnostics.

What examinations might be needed?

The list of tests is determined individually, usually including urine analysis, ultrasound, and others as indicated.

How do I book an appointment?

Appointments can be made by phone or through the clinic's website; please specify a convenient time in advance.

Can I come if I have chronic comorbidities?

Yes, the doctor takes comorbidities into account when selecting treatment.

What should I do if I cannot attend the appointment at the scheduled time?

Inform the clinic in advance to reschedule your visit for a convenient day.