Dr Pervushkin · Nizhny Novgorod

Urological concerns

Urinary changes, pain and blood in urine require urological assessment. The clinic does not replace specialist treatment with manual or alternative methods.

Understanding the concern

What to know before booking

Frequency, painful urination, retention and pain in the lower back or pelvis may relate to infection, stones, prostate, kidney or bladder disease and other causes. Diagnosis uses examination, laboratory testing and imaging where indicated.

Osteopathic examination cannot confirm stone passage, clear bacterial infection or replace prescribed medicine. Once the primary condition is stable, associated muscle tension, movement restriction and consequences of prolonged pain may be assessed.

A safe approach includes timely referral to urology, nephrology or urgent care and avoids promises to expel stones or restore organ function manually.

Reasons to consult

Common concerns

This list helps orientation but does not establish a diagnosis or confirm an indication for osteopathic care.

associated lower-back or pelvic stiffness after specialist treatment
muscle tension following a prolonged pain episode
movement restriction after surgery, following surgical clearance
need for a safe return to physical activity
chronic pelvic discomfort after acute causes have been excluded

Initial consultation

How assessment works

Assessment and next steps depend on history, existing investigations and the condition on the day.

01
Review of urological diagnosis, laboratory and ultrasound/CT results and current medication.
02
Check for infection, obstruction and renal colic requiring specialist care.
03
Functional assessment of the lower back, pelvis and breathing after stabilisation.
04
Coordinate activity restrictions with urology or surgical guidance.

Team approach

Practitioners who may help

Roles are kept distinct: medical diagnosis and treatment are not replaced by wellbeing or consultation practices.

Clinic practitioner

Eduard Pervushkin

As a physician, performs initial safety assessment and addresses only associated functional restrictions after specialist diagnosis.

Qualifications and credentials

Clinic practitioner

Evgeny Averin

After medical clearance, supports recovery of movement and lumbopelvic myofascial function.

Qualifications and credentials

Clinic practitioner

Elena Pavlova

May support calm breathing and a gradual return to movement after the acute phase.

Qualifications and credentials

Clinic practitioner

Elena Sharonova

After urological assessment, may support work with stress, embarrassment and persistent bodily responses that amplify subjective discomfort; infection and organic disease require urological treatment.

Qualifications and credentials

Urgent care

Do not wait for a routine visit

Seek urgent medical care or call emergency services for:

!inability to urinate, severe pain or blood in urine
!flank pain with fever, chills or vomiting
!markedly reduced urine, swelling and rapid deterioration

Patient questions

Key questions

Can a stone be moved manually?+

No. Such an attempt is unsafe. A urologist assesses size and location, and care depends on obstruction, infection risk and kidney function.

When may I attend after surgery?+

After follow-up and surgical clearance. Bring the discharge summary and restrictions so the plan remains consistent.

Are tests needed?+

Testing is selected by the treating clinician. Bring existing results and never discontinue antibiotics or other medication independently.

Have a question?

We will help you choose the right practitioner

Call the administrator or open Telegram or MAX. Please do not send medical records through public channels.

+7 (910) 395-29-70