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Putting Patients First

Welcome to Fifth Avenue Urology, the practice of Drs. Michael S. Brodherson and Yaniv M. Larish. We are located in Manhattan, in New York City’s beautiful Upper East Side. We offer the most advanced state of the art diagnosis and treatment for all problems of the male and female urological and reproductive systems.

Dr. Brodherson has been the Interim Chief of Urology at Lenox Hill Hospital and Dr. Larish served as the former chief resident in the same department. They are both focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. Both physicians view the ability to practice medicine as a privilege, not a right. They treat their patients with respect, professionalism and compassion.

Call 212-675-3186 to schedule an appointment today

Michael S. Brodherson, M.D.

dr-michael-brodherson-top-urologist-nycDr. Brodherson has been in the private practice of urology on New York’s Upper East Side since 1979 when he finished his training at Lenox Hill Hospital. He is known throughout the New York metropolitan area as a senior, highly skilled, capable and compassionate general urologist with vast expertise in his field.

Besides a full office practice, he has a special interest in the urologic care and treatment of complex surgical and gynecological operative procedures involving urology secondarily. Since Dr. Brodherson has extensive experience in open urologic procedures he is an ideal expert consultant for these complicated cases of other specialties and is well known to be available on an emergency basis for immediate consultation in such matters.

Read more about Dr. Brodherson >

Yaniv M. Larish, M.D.

top-urologist-nyc-larishDr. Larish is a urologist and surgeon treating women and men with a variety of urological conditions. His expertise is in treating complex kidney stones, enlarged prostates (BPH), incontinence, erectile dysfunction, infertility, and urological oncology (prostate, bladder, kidney, and adrenal cancers). He is an expert in general urology and is often consulted for second opinions.

Dr. Larish’s dedication to patients and their families drives his belief in prompt evaluation and care. He treats all his patients like family. As such, same day appointments are available for urgent issues and house calls can be made in select cases.

Read more about the Dr. Larish >

5 Symptoms That Require a Urologist

Today, urology problems have become quite common among both men and women. In the past, women used to suffer from these issues, but now men also suffer from it more often. The problems people face can be severe at times, and it can affect the confidence, quality of life, and the self-esteem of people. Mentioned below are some of the factors due to which people should see a Urologist:

Erectile DysfunctionSee a Urologist

This is a problem that is faced by many and is quite discouraging. This problem takes place when a person is unable to achieve an erection during intercourse. It can be due to mental stress, but can also be the result of physical issues.

Almost all age groups of men can experience this condition. Mostly, men aging between 20 and 30 are most likely to get affected by it. Visiting the doctor is the best thing, as he would try to rule out any underlying health conditions. This may contribute a lot to curing the issue. An oral medication would be offered, which would boost up a natural chemical. After all this, your doctor is going to recommend regular exercise.

Infected Urinary Tract

Normally, urinary infections are caused when bacteria get into the tract and does not get a place to get flushed out. This happens when the body is not performing normal respiratory processes. Men also suffer from such infections.
An infection in your urinary tract will lead to pain, burning, and itching during urination. Additionally, you may also experience blood, and smell in the urine. It is highly recommended to visit a doctor immediately in cases like these.

Moreover, to treat this disease, there are higher chances that the doctor will prescribe strong antibiotics, which will fight bacteria. Furthermore, to prevent this type of condition, you should increase the consumption of fluids and use the restroom often.


See a UrologistThis refers to a condition when your prostate gland gets inflamed or infected. It reduces the pathway to the urethra. In addition to this, you will experience pain in your lower back, flu, and bloody urine. Doctors say that bacteria mostly cause this. Usually, antibiotics are prescribed for conditions like these.

Prostate Enlargement

Men have to go through two phases in their lives. One is during the puberty age, and the other one is at the age of 25. During this phase, your prostate enlarges. Sometimes it can be dangerous as it puts a lot of pressure on the urethra and makes the bladder weak.
You will experience incontinence, frequent trips to the washroom, and bloody urine, etc. if you have an enlarged prostate. As these symptoms are quite similar to other issues, therefore, it is better that you seek medical advice.

Urinary Incontinence

See a UrologistMen who suffer from urinary continence are also advised to visit a urologist as soon as possible. The symptoms of these are an inability to empty the bladder during urination, accidental urination, and much frequent urination.
Moreover, this condition is mostly caused by damaging the nerves. A doctor should try to rule out any issues that cause incontinence. Most doctors ask to change lifestyle and include exercise in your daily routines.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

Symptoms That You Have UTI

Infectious bacteria contribute to urinary tract infections (UTI). According to experts, these infections can occur in any part of your urinary systems such as the urethra, bladder, kidney, and urethras. Experts also suggest that most infections occur in lower urinary tracts like in your bladder or urethra. And women often get affected by UTI more as compared to men.

Moreover, an infection in the bladder is painful and utterly irritating. Experts further state that if not treated on time, UTI can spread to your kidneys that result in serious health condition. UTI is treatable and prescribing antibiotics is a typical practice in this regard. However, to treat it on time, you need to learn how to identify the symptoms.

Painful and Burning Sensation during Urination

 Urinary Tract Infection

Experiencing pain or a burning sensation during urination indicates that you are developing UTI. The intense pain in this condition is called dysuria. This burning sensation occurs due to the increased acidic levels in your urine. Moreover, experts also emphasized that pain during urination is one of the primary symptoms that indicate risks of UTI, which is why you must immediately rush to a urologist.

Urge to Urinate Frequently

If suddenly your visits to the bathroom have increased, it could be a matter of concern. In most cases, UTI is said to cause urge incontinence that is called hyperactive, overactive or irritable bladder as well. Moreover, going bathroom frequently, for instance, eight times only in 24 hours is alarming. This condition signals UTI.

Foul Odor

One of the primary symptoms of UTI is a foul odor. Many experts have suggested noticing foul odor during urination as it indicates the presence of bacteria in your urinary tract or a risk of infection in the bladder. This way you will have an idea about UTI, and you will opt for a urologist doctor instead of consulting with a primary care doctor. And he will prescribe treatment without further delay.

Constant Back Pain

You can determine where the infection has occurred via a type of pain. Moreover, continuous pain either in the back or the side can indicate a kidney infection that is also called pyelonephritis. Apart from this, the pressure in your lower abdomen or pelvic area is the sign of disease in your bladder that is known as cystitis.

Change in Color

 Urinary Tract Infection In this condition, change in color refers to the presence of blood in your urine. If you notice pinkish tint, you need to visit a urologist urgently as it could be a sign of urinary infection or worse – kidney stones. Moreover, experts also maintained that blood in the urine could be a symptom of daunting health problems such as bladder or kidney cancer. Change in urine color is common during UTI, but the pinkish tint without urinary infection is worrisome. And only the specialist can determine whether it is due to kidney stones or cancer.

Bottom Line

 Urinary Tract Infection

Urinary tract infections (UTI) aren’t only infections, but it could be a symptom of another chronic disease like cancer. Therefore, to prevent health problems like this, schedule an appointment with the best urologist doctor in New York.




Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

Filed Under: UTI

A Guide to Selecting the Right Urologist

Top Urologist

A urologist doctor is a specialist who can determine daunting problems associated with your urinary tract. Apart from this, the specialist doctor can assist men and women regarding their reproductive health. Moreover, once you notice signs such as pain in urination, urge to urinate frequently or even erectile dysfunction you need to visit a urologist. That is where you think about finding a right urologist doctor regarding your health condition. In case of experiencing urinary tract problems for the first time, patients find it difficult to look for an experienced urologist. But not anymore, here’s how you can find a good doctor:

Your Primary Care Doctor Can Help

You can start your journey by asking your primary care doctor. If he identifies your symptoms are indicating a serious problem, he must know a urologist who specializes in treating urinary tract problems associated with kidneys, prostate, bladder, and certain cancers. Therefore, your general physician can provide a list of an experienced urologists. You can also take references from your friends or family.

Look for Certifications

Selecting the right urologist doctor also involves his board certifications. By learning your doctor’s credentials, you will identify whether he has got training, skills, and experience to assist and to provide you with required urologic care or not. This way you will get a chance to learn about the urologist’s history in the respective field.

Prefer an Experienced Urologist

Another leading factor associated with choosing the right urologist doctor is his experience. It is evident that an experienced doctor has plenty of knowledge regarding health problems as he dealt with similar patients numerous times before. He will provide practical solutions that will result in your better health. An experienced urologist doctor can also suggest whether your health condition needs surgery or medication would be enough.

Hospital Quality

Top UrologistConsidering the reputation of the hospital is necessary for you to determine how urologists treat patients there. It includes pre and post-surgical care, professionalism of the staff and other services. A high-quality hospital pays attention to factors like these that result in fewer complications and an increased rate of survival.


You need to communicate with your urologist regarding your condition. Your doctor should provide you enough information in this regard and should be able to understand your complications rather than prescribe a solution. You can evaluate his professionalism by asking a couple of question. If he answers with concern and determines to learn about your family history, you should precede otherwise look for an experienced urologist doctor.


Top UrologistUrologists often specialize in specific urologic conditions such as stress incontinence in women and an enlarged prostate in men. Therefore, ask about his training and experience regarding your health.

Bottom Line

Urinary tract complications are daunting and should be tackled with extra care. Therefore, schedule an appointment immediately with the best urologist doctor in New York.

Call our offices today at 212-675-3186.

Bladder Control Problems: How are They Treated?

Bladder ControlBladder control problems sound trivial, but for those affected, it can cause immense psychological distress. Millions of people suffer from some form of incontinence ranging from needing to pee all the time, needing to pee within seconds of experiencing the urge to go, to stress incontinence; an inability to control bladder function.

Many people are too embarrassed to visit a urologist, but there are treatments available for bladder control problems.


The first thing to try if you suffer from an overactive bladder or urinary urgency is to cut out alcohol, caffeine and anything else that might be triggering your symptoms. For some people, this does the trick.


Bladder ControlFor those patients who suffer from an overactive bladder, medication can be effective. Anticholinergic medications block the signals between the bladder and the brain. In a normal person, the bladder only sends a signal to the brain when it’s full. In a person with an overactive bladder, something goes wrong and the brain thinks the bladder is full, even when it’s not.

Speak to your urologist about medications that might help ease the symptoms of an overactive bladder, but be aware that some medications have side-effects.

Behavioral Therapy

Cognitive behavioral therapy can be effective if medication isn’t working. It involves re-educating the brain and teaching the sufferer to go longer between trips to the toilet. Instead of reacting to the first bladder contraction and rushing to the nearest restroom, the patient has to wait a bit longer. In time, the urge to urinate lessons and the person is able to make fewer bathroom visits.

Pelvic Floor Therapy

Bladder ControlWomen with stress incontinence, i.e. an inability to hold urine when exercising, sneezing, or laughing often find their symptoms improve if they perform pelvic floor exercises. Often, bladder control problems are caused by weakness in the pelvic floor muscles, either because of childbirth or the natural aging process. A new treatment called is proving especially effective in pediatric patients.

If none of these treatments are effective, there are surgical options. Botox injections in the bladder can help to reduce urinary urgency by blocking the receptors between the bladder and brain. It is also possible to insert a surgical sling to support the urethra or bladder so it returns to its normal position.

Are you are suffering from bladder control problems? Don’t suffer in silence. Speak to an experienced NYC urologist today and find the right treatment for you.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

5 Signs You Need to See a Urologist

Have you been to your urologist lately? If not, then you might need to schedule an appointment. Today, we are going to learn five signs that might be telling you that you need to see a urologist.

You Have Blood in Your Urine

top urologist nycIf you go to the restroom and notice blood in your urine, it could be a sign of something serious. Even if the blood has stopped, you still may need to seek medical attention, so set up an appointment with a urologist as soon as possible.

You Are Suffering from Male Infertility

top urologist nycAre you and your partner trying to conceive with no luck? While you may assume that it’s the female partner that is infertile, male infertility is just as common. Low sperm count can be caused by a wide range of reasons. This is why seeing a urologist just might help you find answers.

Erectile Dysfunction

This is a common problem that most men face at least once in their lifetime. While temporary erectile dysfunction can be caused by lifestyle choices like the consumption of alcohol, there are other more serious causes. The only way to treat this issue is by getting professional help. Just like male infertility, there are many different reasons why you may be suffering from ED.

Pain in The Penis and Testicles

top urologist nycIf you are suffering from pain in the penis or testicle, you may have a serious condition that needs to be evaluated by a urologist. While the pain may not be very severe, it is probably a sign that something is not right with your reproductive organ. So instead of shrugging the pain off, go see a professional for proper treatment.

Problems Controlling Your Bladder

Have you been having problems controlling your bladder? Maybe you have noticed some wet spots in your undergarments? Urinary incontinence is a common problem that can often be treated. While many people feel like it’s just a part of aging, that doesn’t have to be the case. Your urologist has many treatment options to offer you including medication, exercises, and lifestyle changes. So, there is no reason to go on suffering from incontinence when you can do something about it.

If you have any of these signs, please give us a call and schedule an appointment with the best urologist doctor in NYC. Here, you will find a team of professionals that are dedicated to your health and well-being.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

Can Microphallus be Treated Successfully?

Microphallus, otherwise known as a micropenis, is a disorder that most people don’t really understand. This is a legitimate medical disorder that can affect sufferers both physically and psychologically. First and foremost, microphallus should not be confused with having a penis that is smaller than average. Most sufferers of microphallus are not able to urinate normally and they are too self-conscious to attempt to engage in romantic relationships. Because most schools do not cover microphallus in human biology, the majority of patients don’t realize that their conditions are reversible.

What Are the Symptoms of Microphallus?

top urologist nycMost of the symptoms of micropenis relate back to penis size and functionality. Any penis that measures less than 1 inch in length while rigid is considered to fall into microphallus category. At that size, most functions would be severely diminished. It is also thought that microphallus sufferers may also have problems with fertility and have a low sperm count. Since the majority of males with microphallus are self-conscious about the size of their penis, they can also have severe sexual dysfunction.

What Treatments Are Available for Micropenis?


top urologist nyc

Many men have learned to live with microphallus, but there are solutions available if you want to attain a better quality of life. Penile implantation can be used to lengthen the penis, as well as aid erections. Technically, no type of physical medical treatment is necessary for microphallus. You may want to work with a counselor to learn how to cope and you can work on speaking to your partner about your physical differences. At the same time, if this condition is really making you suffer then you can go to a urologist and see if penile implantation can help to increase the size of your penis.

What Will Life Be Like After Being Treated for Microphallus

top urologist nycYou should see a very large difference in the size of your penis after having penile implantation. First of all, a micropenis is a condition where the penis is less than one inch in length, so any increase in size will be highly noticeable. Second, you should feel a lot more positive about your life and your decision to undergo penile implantation after you see the results.

Microphallus can be treated most successfully with penile implantation. Speak to your doctor about getting referred to a urologist and learn if you are a good candidate for a penile implant. Call us to today to meet with our expert penile implant specialist in New York City.


Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

The Most Common Urological Problems in Children

http://bestorthodontistnyc.com/Adults aren’t the only ones who need to see a urologist for disorders that can’t be treated effectively by primary care physicians. The difference in treating and diagnosing a child with a urological problem is that they aren’t as adapted to articulating what their physical symptoms are. If you’re a parent who is wondering if your child needs to see a urologist, here are three of the most common urological issues that adolescents have.

1. Nocturnal Enuresis

Also known as bedwetting, nocturnal enuresis is often hard to diagnose at first because it is very common for small children to have accidents at night. It is only when bedwetting becomes persistent and goes beyond the age of pre-school that a parent and doctor can decide that going to the urologist is in order. Bedwetting can also be related to psychological issues, such as stress or fear. With that said, nocturnal enuresis is still one of the most common childhood urological problems that experts see.

http://bestorthodontistnyc.com/2. Urinary Tract Infection

Urinary tract infections are common in adulthood but they’re even more prevalent in kids. Most urologists seeing adolescent urinary tract infection patients will have female children come into their practice as opposed to boys. Female children are also more prone to develop recurrent urinary tract infections that require antibiotics and follow up appointments for positive resolution.

3. Hernia

Hernias can develop before birth but they can also be seen in small children after severe strain or minor injury. Umbilical hernias are rarely reason for concern and generally will heal all the way on their own by the time a child is two years old. Hernias that happen after birth, however, may lead to difficulties urinating and require the assistance of a urologist.

The Most Common Urological Problems in ChildrenChildren can have problems going to the bathroom and need to see a urologist for many different reasons, it’s just that some are more common than others. If your child has been going to elementary school for a few years and is still wetting the bed it might be time to see a urologist. Hernias can be concerning in children especially if they were not pointed out at birth. Lastly, it is natural for children to sometimes have urinary tract infections but they also should clear up within a week on their own and they’re not expected to persist.

Call us today to schedule an appointment to meet with the best NYC urologist 212-675-3186

A Look at the 3 Most Common Prostate Problems

The prostate is one of the male sex organs. It’s shaped like a walnut and is located under the bladder, just ahead of the rectum. It’s a key part of male functionality because it is used both during sexual procreation and urination. Sometimes problems occur with the prostate which are common for men and fairly easy to determine.

Let’s look at what these three problems in detail.

Big Three Prostate Problems

The three issues that come up with the prostate are:

  • Prostatitis
  • Prostate cancer
  • Benign prostatic hyperplasia
  • Prostatitis

Prostatitis is an inflammation around the prostate area or the prostate itself. It is medical condition that causes considerable pain.

There are four distinct types:

    • Acute bacterial prostatitis
    • Chronic bacterial prostatitis
    • Chronic pelvic pain syndrome/chronic prostatitis
    • Asymptomatic inflammatory prostatitis

With asymptomatic inflammatory prostatitis, there are zero observable symptoms, it causes no major health issues and doesn’t need medical treatment.

Prostatitis is most often seen in men under the age of 50. For those over 50, it’s the third most common prostate problem. About two million Americans seek health care services for prostatitis every year.

Prostate Cancer

For U.S. men, prostate cancer is the second most likely cancer to get. It is also unfortunately the second most likely cancer to lead to early death. The condition affects black men somewhat more than it does white men; it’s also more dangerous to the black population.

There are no symptoms to determine the onset of prostate cancer. When reaching a more advanced stage, urination will sometimes become either weaker or more frequent. However, these same symptoms are evident with men who have benign prostate problems too.

The growth rate of prostate cancer is slow. The onset is most often in the above 65 age group and in this age group few men die from it. It is still unclear whether early detection helps resolve the issue or lengthens lifespan. There are screening tests available for prostate cancer.

Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (otherwise known as BPH) is an enlargement of the gland itself. It is not cancerous, but the enlargement causes medical issues. The prostate grows twice; once at the onset of puberty and secondly starting at around 25 years old. Growth is then progressive over a man’s life.

Unfortunately, the larger the prostate gets, the more likely it is to come into contact with the urethra. The contact causes related issues such as the bladder not being able to fully empty which in turns causes other health problems and discomfort.

If you have any doubts about your prostate health, it’s a good idea to schedule an appointment with the best urologist specialist in NYC to get checked out.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

What is Urinary Incontinence?

What is Urinary IncontinenceUrinary incontinence is a condition where a person is unable to hold urine in the bladder.  This is caused by a loss of voluntary control.  Patients lose their ability to control the urinary sphincters, causing unwanted leakage of urine.  This condition can affect both young people and the elderly, but the elderly commonly suffer the most.  Below, we are going to learn more about urinary incontinence and how it can be treated.  So, if you think you or your loved one may be suffering from this life-changing condition, please pay close attention to the information below.


Urinary incontinence can be caused by several different reasons.  Age is a big factor that can contribute to this condition.  Menopause is another leading cause of this condition.  Additional causes of urinary incontinence include prostate cancer, hysterectomy, childbirth, pregnancy, obstructions, and an enlargement of the prostate.  Other causes of urinary incontinence come with lifestyle choices.  Drinking large amounts of caffeine or alcohol may cause temporary incontinence, which can often be easily corrected.


What is Urinary IncontinenceThose that are suffering from urinary incontinence may start to notice they can’t make it to the bathroom in time. They may also have minor leakage that causes wet spot in their undergarments.  Others may notice leakage when they cough or sneeze.  Sudden urges to urinate can also be a sign and can be brought on by a stressful situation.  If you think you are suffering from urinary incontinence, you should tell your doctor if you are having any of these signs.


There are several different ways to treat urinary incontinence.  First, your doctor may suggest that you have a lifestyle change.  You may be advised to avoid coffee and alcohol or other things that can trigger an episode of incontinence.  Also, you may be prescribed a medication to treat the condition. There are a wide variety of drugs that may be helpful. Some doctors will suggest that you do pelvic floor muscle training in order to gain more control and reduce leakage. Surgery is also a treatment option that many people choose and it can be highly effective. On the other hand, many people deal with incontinence by simply wearing an adult diaper.

What is Urinary IncontinenceIf you are suffering from urinary incontinence, we can help.  Call us today and schedule an appointment with the best urologist doctor in NYC. Our team of dedicated professionals is here for you.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

How Often Should You See a Urologist?

How Often Should You See a UrologistHave you ever wondered how often you should see a urologist?  Maybe you are getting older and you have never seen a urologist before and you feel now is the time?  Today, we are going to learn how often you should see a urologist. Below, you will learn valuable information that you can use to answer any questions you may have.

When You Turn 40

At the age of 40, urologists suggest that you pay them a visit.  If you are not having urinary issues, most people can put off going to the urologist until their 40th birthday.  After that, you should see a urologist and have a prostate exam.  This will help promote urinary health and detect prostate cancer so that it can be quickly treated.  While most men dread a prostate exam, the truth is, the exam is not as bad as it seems.  So, if you have turned 40 or are getting close, make sure that you seriously consider going to a urologist.

If You Have Had Urinary Issues

How Often Should You See a UrologistNo matter how old you are, if you are having urinary issues such as urinary tract infections or blood in your urine, you will need to see a urologist.  These can be signs of serious underlying conditions that can only be treated by a medical professional.  There are many different causes of urinary problems and getting to the bottom of what is going on just might save your life! If you have blood in your urine, pain in your penis or testicle, or any other urinary issues, going to a urologist as soon as possible is a wise decision.

After 40

After your first prostate exam has been completed and you are healthy, there won’t be a need to have another exam for at least 10 years. This is very good news! But, depending on the condition of your health, you may need to see a urologist once a year or more often.  If you do have urinary issues, you will need to be checked out by your doctor. This will help prevent the development of serious conditions such as prostate cancer and other conditions that could threaten your way of life.

How Often Should You See a UrologistIf you would like to be seen by one of the best urologist doctors in NYC, please give us a call.  Our team of dedicated professionals will help you with any urinary issues you may be having.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.