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Putting Patients First


Welcome to Fifth Avenue Urology, the practice of Drs. Michael S. Brodherson, Yaniv M. Larish, and Leonard Glickman. 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.


Schedule an appointment today

212-675-3186


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.


Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2Dr. 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.


Leonard Glickman, M.D.

top-urologist-nyc-glickmanDr. Glickman is specialty-trained in robotic and minimally invasive surgery for treatment of a variety of kidney and prostate conditions including kidney and prostate cancer. He also sees patients for a variety of other urologic conditions including general urology consultations, kidney stones, urinary tract infections, anti-aging treatments, vasectomy, and male infertility.

Dr. Glickman is committed to providing his patients with the best care possible while maintaining a warm and comforting bedside manner. He is up to date on the latest treatments and technologies.

Urological Treatments for Kidney Stones

NYC Urologist for Kidney StonesDo you have kidney stones? Your urine contains a large number of minerals and salts that it carries out of your body. But if your urine has too many of these minerals and salts, you can develop stones inside the body. Now, usually these stones are very small and don’t lead to very serious problems. However, in some cases, these stones can grow much larger and lead to more complications.

If you happen to have trouble urinating or if you are experiencing immense pain in your kidneys or near your bladder, it is most likely due to the kidney stones.  If the diagnosis shows that the pain that you are experiencing is because of the stones, you should seek proper treatment immediately. But what type of treatment should you get? How many types of treatments are available for this condition?

Treatment Options for Kidney Stones

There are a lot of treatment options that you can opt for when looking for a how to treat your kidney stones. Some of these treatment options can be very simple procedures, but some can even require you to go through a surgery. So, depending on the severity of the issue (and professional advice) here are some of the treatment options you can go for.

Ureteroscopy (URS)

This simple procedure helps remove the stone from the ureter or kidney. A urologist will pass a small telescope into the bladder that goes through the urine track to check for the stones in the kidney, ureter, or even the bladder. Once they spot the stone they will start to take out the stone using specific stone removing tools.

This is a procedure that completely undergoes incisions, and doesn’t require you to be completely asleep. With the help of light anesthetic and their tools they will remove the stone and then a stent that will help you urinate easily.

Shock Wave Lithotripsy (SWL)

SWL is also a procedure that completely removes the need for a surgery and instead uses shockwaves on the stone to break it into small pieces that will pass into the urine. Urologists will first locate the stone using an X-ray, and then proceed to hit that area with shockwaves. This process requires a lot more patience and can feel a little uncomfortable due to the shockwaves. There are some side affects to this treatment like blood in the urine, and pain in the affected area after the treatment.

Percutaneous Nephrolithotomy (PCNL)

Percutaneous nephrolithotomy (PCNL) is a surgical procedure that is arguably the best procedure for larger rocks in the body. In this procedure a urologist will make an incision big enough to pass a telescope into the kidney. After locating the rock they will break it using surgical instruments and suck it out of the kidney. The suction tube often stays in place to take urine and blood out of the kidney and into a bag, all of which can happen overnight or may take a few nights.

Conclusion

Of course, these are only some of the most famous ways of getting stones out of your kidney. However, the most important part of the procedure is the urologist who will be performing it. For only the most professional and experienced urologist to handle your case, contact us today.

FIFTH AVENUE UROLOGY
212-675-3186

Testicular Cancer

Urologist for Testicular Cancer NYCWhat is testicular cancer? The testicles are some of the most important parts of the body, as they house most of the male hormones. They also produce testosterone, which is responsible for the development of all male reproductive organs and other physical characteristics. This makes the threat of testicular cancer all the more worrying, as this condition can have a serious impact on your life.

Testicular cancer occurs within the testicles located inside the scrotum, the scrotum being the loose bag of skin beneath the penis. Now, compared to other types of cancer, testicular cancer is actually very rare. However, it is the most common form of cancer in American men between the ages of 15 and 35. But it is a highly treatable form of cancer, even if it has spread a little further than the testicles.

Causes of Testicular Cancer

Testicular cancer is a very tricky subject when it comes to its causes. It is not exactly clear what causes the condition, but doctors do know that cancer within the testicles only occurs when its healthy cells alter in some way. In most normal cases, the cells in your body develop and divide in an orderly way, which keeps your body functioning properly. But some cells can develop abnormalities leading to them dividing at an unprecedented rate. So, when the cells keep dividing even when there is no need for new cells, they accumulate into a mass inside the testicles.

Although most testicular cancers begin in the germ cells, medical professionals have yet to know what causes it to be so. It is possible that testicular cancer is the cause of your prior ailments.

Symptoms of Testicular Cancer

Testicular Cancer Urologist - Treatment InfoEven if you don’t know exactly how you would get testicular cancer in the first place, the threat of testicular cancer for children and men between the ages of 15 and 35 is very real. So, instead of focusing on how you got it, you should focus more on finding out if you have it. Lucky for you, testicular cancer has a few very recognizable symptoms that can help you find out if something is wrong. These symptoms include:

  1. Heaviness in the scrotum
  2. Back pain
  3. Pain in the testicles, scrotum, or abdomen
  4. A lump in either one of the testicles
  5. Fluid suddenly entering the scrotum

While you may see back pain as a rather generic symptom, a lump on your testicles can never be a good sign.

Risks of Testicular Cancer

Even though testicular cancer doesn’t discriminate and can happen to any man at any age, people with certain factors are a lot more susceptible to getting this condition. Age is a major factor, as males between the age of 15 and 35 are a lot more susceptible to contracting testicular cancer. Other factors that increase the risk of getting testicular cancer include your family history and abnormal testicular development. However, the most pressing factor is an undescended testicle. Men, whose testicles did not descend normally or descended at a very young age, are at a much higher risk of having testicular cancer.

Conclusion

Testicular cancer is a very serious disease that, regardless of its ease of treatment and straightforward symptoms, can be very dangerous for you. And even if you can’t seem to spot the symptoms yourself, there is nothing that a quick visit to a urologist won’t show you.

If you are looking for a urologist, visit our website to learn more about the condition and its treatments.

FIFTH AVENUE UROLOGY
212-675-3186

Signs of a Good Urologist

Good Top Best Urologist NYCWhat are the signs of a good urologist? Urologists are some of the most important medical professionals in health care today. Their expertise in urinary healthcare makes them crucial to both men and women alike. However, not all urologists are the same. It is imperative for you to know how to tell the difference between a good one and a bad one. Here is a list of the signs of a good urologist to help you pick the professional you can trust.

What Makes a Good Urologist?

It can be quite a challenge to find the right urologist because people usually do not have much information about this profession and its specifics. These professionals are responsible for checking up your urological system. You can recognize the best of their profession with the following signs:

1.    Should Be Able To Empathize With Patients

You should always look for a urologist that can really empathize with you and the condition that you are facing. Urologists also become a primary care doctor for most people, so being able to build a professional yet sympathetic relationship with patients is a skill that is essential to urologists. You should not feel as though you are just a customer for the doctor who has decided to treat you.

2.    Should Adapt To Newer Forms of Technology

You have to understand that doctors, surgeons, specialists, etc. are always learning. Ongoing training and learning are not new concepts for them. They attend seminars, webinars, conferences, etc. to know about new urology technology that can help them deliver better services. The right urologist will always be up-to-date with the latest technological trends of the industry. They will make sure their patients receive the best treatments in the best way possible.

If you notice that the urologist you have gone to is still sticking to the outdated tech and methods, you might want to steer clear from them. They cannot use budget and financial problems as an excuse. You have the right, as a patient, to receive only quality treatments. If you feel even the slightest compromise on the quality of treatment, you should say a clear no to it.

3.    Should Have Proper Credentials

Good Urologist Services NYC- Highly educated trained expertsOf course, this is the most important part of finding the right urologist. You want to make sure that the professional you are about to visit has proper qualification to be a urologist. First, you will look at their basic qualification, and then any additional certificates they might have obtained for their services to the industry. It should not surprise you to see the qualification information about the doctor right on the website. The doctors who have proper education and eligibility to be urologists have their information on the website.

They usually have detailed biographies in which you can read about their education and any accolades they may have obtained during their career. The education information tells you how seriously they have taken urology.

Conclusion

A urologist is one of the many specialists that can help you identify any issues with your reproductive organs or urological system. And since they are so important, it is always to look for these signs in a urologist. Visit our website and contact us today to schedule a consultation.

FIFTH AVENUE UROLOGY

Dr. Michael Brodherson

Dr. Yaniv Larish
Dr. Leonard Glickman
——–
4 East 76th Street
New York, NY 10021
——–
212-675-3186

Prostatitis Information

Prostatitis Prostate Info-Top Urologists NYCDo you need Prostatitis information? The prostate is a small walnut sized gland that is responsible for the secretion of seminal fluid. It nourishes the sperm as well as transports them out of the penis. On the other hand, prostatitis is a disease that swells the prostate gland and causes inflammation, leading to a slew of different symptoms and problems.

This condition is quite serious, and unfortunately quite common among men of ages 50 or younger.  It causes excruciating pain and makes it very hard for you to urinate; it is possible for you to experience flu like symptoms as well. And although the cause of prostatitis is usually never discovered, if the condition is because of a bacterial infection then it is very easily cured by antibiotics.

Symptoms of Prostatitis

Prostatitis - Prostate Urologist NYCSymptoms of prostatitis are plenty, so it is possible to experience this condition due to some other disease that you may have. With that said, here are some of the symptoms for prostatitis.

  1. Cloudy Urine
  2. Blood in the Urine
  3. Difficulty urinating or frequent urination
  4. Pain in the testicles, penis, groin, or abdomen
  5. Painful ejaculation

These are some of the symptoms of prostatitis that patients have often experienced as a result of their condition. But as the symptoms are quite straight forward, if not a little misleading, the causes for a prostatitis are very hard to pin down. That said, there are two very common causes for men getting this prostatitis, nerve damage and bacteria inside the prostate.

Risks of Prostatitis

Even if you don’t carry any of the symptoms of prostatitis, you are still at risk of contracting this condition due to a multitude of reasons. Here are a few reasons why you may be at risk of getting a prostatitis.

  1. Previous experience with prostatitis
  2. Having an infection in the bladder or sustaining trauma around the pelvic region
  3. Using a urinary catheter (inserting tubes in the urethra to drain the bladder)
  4. Previously had a Prostate Biopsy
  5. If you currently have HIV/AIDS

Of course this condition can happen regardless of any of the aforementioned risks. Men and boys of age 50 and under can be prone to getting this condition even if they have never had any experience with prostatitis.

Causes of Prostatitis

Bacteria cause of ProstatitisBacteria reach the prostate through the urine and can lead to a bacterial infection of the pancreas. This is very rare, but it is possible that the bacteria in your urine leaks into the prostate, causing prostatitis. Your urologist may use antibiotics to cure this bacterial infection. But if left unchecked the infection can recur or become chronic.

Another common cause for prostatitis is nerve damage in the lower urinary tract. This nerve damage is almost always a result of another illness or outside factors i.e. trauma to the area or some sort of surgery often leads to prostatitis.

Conclusion

Prostatitis is a very common disease that can turn out to be very serious if left unchecked for a long time. If left as it is, prostatitis can lead to a pus filled cavity in the prostate or even infertility.

So if you are experiencing most of the same symptoms as that of prostatitis, there is nothing a quick visit to urologist can’t fix. Visit our website to find out more about our incredibly talented urologists who can surely help you get better.

Read more about prostatitis on our main website.

Prostate Cancer: Symptoms & Treatments

Prostate Cancer: Symptoms & Treatments

The prostate is one of the smallest organs in the body located just before the groin. Urine in your body passes through your prostate as it controls the flow of urine outside of the body. The prostate is also responsible for nourishing and protecting the sperm with the help of a fluid. However, regardless of its use and importance in the body, the prostate is very susceptible to different diseases. The most common of which, is prostate cancer. Prostate cancer is the most common cancer among men in the United States even surpassing skin cancer.

Causes for Prostate Cancer

Although prostate cancer is the most common cancer among men, researchers have yet to find a definitive cause for its occurrence. They have seen that there are certain age related factors that contribute to cancer in the prostate. So, if you have the following risk factors then it is very possible that you may have to face prostate cancer in the future:

  • Age
  • Family history
  • Race
  • Geography
  • Certain birth ailments

Although it is very possible to not have any of these risks and still get prostate cancer, these risks can prepare for the worst case scenario.

Symptoms

The symptoms are intense and can be very painful to experience, leaving not a doubt in your mind that something is wrong. And while there are not a lot of symptoms during the early stages of prostate cancer, the ones that do occur go as follows.

  • Blood in the urine
  • Having difficulty maintaining or achieving an erection
  • Painful ejaculation or urination
  • Difficulty maintaining or starting urination
  • Frequent urges to urinate especially at night.

Now there are just some of the symptoms of the early stages of prostate cancer. As the cancer slowly starts to develop and enter the later stages, symptoms can also increase greatly. Along with the increase in pain near the prostate, you may also experience these symptoms:

As the cancer further develops, symptoms become severer and more common. So, if you are experiencing these symptoms, you should contact your urologist immediately.

Treatment

As for the treatment of prostate cancer, it varies depending on the severity of the cancer. Early stage treatment is not often invasive or obtrusive, whereas late stage treatment can get very serious.

Early Stage Treatment

Early stage treatment can sometimes be as simple as just waiting and monitoring the growth of the cancer instead of rushing into treatment. These treatments include:

Late Stage Treatment

Unfortunately, there are not a lot of treatment options when it comes to late stage treatment. Late stage treatments include chemotherapy and Androgen deprivation therapy (ADT). Chemotherapy is especially a very late stage treatment option as it tends to kill cancer cells across the body.

Conclusion

Prostate cancer is a very serious disease and is very likely among men that cross the age of 50. Along with other issues that your prostate may experience as you age, cancer is possibly the worst one.

Call today for a discreet consultation:

212-675-3186

Peyronie’s Disease Causes & Symptoms

What are the causes and symptoms of peyronie’s disease? Diseases or conditions near or on the genitals can be incredibly troublesome. Not only can they take a long time to heal, but also cause a lot of pain and discomfort, making it much harder for people to move around. One of these conditions is called the Peyronie’s Disease.

This disease affects the penis, and due to scar tissues or plaque forming inside the penis, you can experience serious pain. This disease is incredibly dangerous for the simple reason that the scar tissue can result in a bent erect penis, rather than usual straight erection. And although you can still have sex with Peyronie’s Disease, it can cause a lot of pain or lead to erectile dysfunction.

Causes

Not much is known about the causes for Peyronie’s Disease and how most men get it in the first place. There are a few known reasons for why men suffer from this disease, one of them is injury to the penis. An injury to the penis can be due to a multitude of reasons, from sporting injuries to experiencing damage to the penis during sex. But there is no specific cause for Peyronie’s Disease and it can be any number of possible outcomes.

Originally, when you get an erection, small sponge like tubes inside the penis receive an increase in the blood flow that makes the penis erect. On the other hand during this disease some of the blood vessels inside the sponge tubes block blood flow giving the penis a disfigured shape or even causing pain.

Symptoms

Symptoms for Peyronie’s Disease are quite easy to notice. Even if you are suffering from this condition for the first time, you can easily spot that something is wrong as most of the symptoms are very external. One of these symptoms is obviously a bent penis. If you see that your penis has a strange bend to it then it is very likely that you may be suffering from Peyronie’s Disease.

Another symptom is that you may be experiencing problems getting an erection or you feeling a scar tissue in your penis. Finding a scar tissue in your penis is very easy, as you can effectively feel out a strange lump or hard skin in your flaccid penis. You may also possibly witness your penis becoming shorter. Also, you may feel incredible pain while getting an erection.

Risks

Even if you do not have any of the symptoms of Peyronie’s Disease, it is very possible for you to experience this condition throughout your life. There are certain factors that determine just how likely you are to get this disease. One of the factors is of age. As you grow older, it is a lot more likely for you to experience this disease, especially if you are older than the age of 55 years.

Other factors include your heritage. If your father or a family member has Peyronie’s Disease then it is very likely that you will also have it.

Conclusion

Peyronie’s Disease is a very serious condition that can not only lead to a lot of pain, but can eventually cause erectile dysfunction. So, if you are experiencing a particular bend in your erect penis, then it is probably best for you to visit a urologist.

Visit our website and learn more about our urologists who dedicate themselves to serving you in the best way possible.

Erectile Dysfunction: Causes and Treatments

What are the causes and treatments of erectile dysfunction? Erectile dysfunction is an ailment that can occur in men of all ages. While it is not very common among young boys, it becomes a lot more common among men over the age of 30. And while it is common for men to experience difficulty in getting an erection, Erectile Dysfunction is completely different. Erectile Dysfunction refers to not getting satisfactory sexual performance on a multitude of occasions over a long time, leaving you in a very awkward and embarrassing predicament.

However, Erectile Dysfunction is a much more recognized ailment, which has a cure as well. There is a wide range of treatment options from surgery to medication. Even if you can’t come to talking to your doctor about it, just know that they are well aware of this particular ailment and how common it is. You may be wondering how you got Erectile Dysfunction (ED) in the first place, well there are a number of reasons for why you have ED.

Causes of Erectile Dysfunction

Causes for Erectile Dysfunction can be very different for each person. There is no single cause for Erectile Dysfunction; rather there are multiple reasons why someone may be suffering from this predicament. So, let’s take a look at all of the different causes for ED, to know more about their treatments.

Physical Causes

The physical causes imply that you may be having Erectile Dysfunction due to another disease, or another medical condition. They also include any physical trauma that you may endure on your genitals, or any other real world problem that is affecting your ability to sustain an erection. This includes:

  • Obesity
  • High blood pressure
  • High cholesterol
  • Smoking, substance abuse, or alcoholism
  • Parkinson’s disease
  • Diabetes
  • Heart disease
  • Hormonal disorders or imbalances

It is also possible that the ED may be a result of medication that you are taking in order to relieve other diseases or problems. These include:

  • Cancer medication
  • Opioid painkillers
  • Anxiety medication
  • Hormone drugs
  • Drugs for high blood pressure
  • Sleeping medication and other drugs that affect the central nervous system
  • Prostate treatment drugs

The physical causes are about 90% more likely to cause ED than psychological causes ever could. But that is not to say that they are not responsible.

Psychological Causes

Psychological causes are not as rampant, or as worry some as physical causes. Most people that suffer from ED often do so because of a physical cause, instead of a psychological one. That said, some of the psychological reasons for ED are:

  • Guilt
  • Anxiety
  • Depression
  • Fear of Intimacy

While these may seem like very menial limitations, these can be very frightening for the person suffering from this. So if you are having ED, maybe you need more psychological help than physical.

Treatments for Erectile Dysfunction

Treatments for Erectile Dysfunction come in a variety of forms. From temporary medication and solutions to permanent surgery and other medication, there is a lot for you to choose from.

Temporary treatments

When it comes to temporary medication, medicines like Viagra nitroglycerin work wonders for you. However, if you do not want to take these medications for any reason, temporary methods include using a vacuum-like device that pulls the blood to the penis and keeps it there with a band. That said, this can cause a lot of discomfort, so be sure to discuss with a physician before using this machine.

Permanent treatments

Permanent solution also makes use of medication, but also gives you the option to opt for surgery to help with the condition. There are two types of surgery that can rid you of erectile dysfunction: penile implants and vascular surgery.

Vascular surgery tries to correct some of the blood vessels that are causing the ED. On the other hand, penile implants are a last resort for people who have not had any success with any other form of treatment.

Conclusion

This guide obviously does not cover everything about erectile dysfunction, and it can’t. But, if you are looking for a good urologist that can help you get back on track, visit our website to find out more.

FIFTH AVENUE UROLOGY
212-675-3186

What is Urinary Incontinence?

Urinary incontinence is a serious bladder problem that can put you in an embarrassing position. Incontinence, or loss of bladder control, can range in severity and types but all of them are quite troublesome. While on the lowest level, men experience small leaks of urine when coughing or sneezing, the extreme condition is when men feel a very sudden urge to use the bathroom and cannot make it in time.

Although most people believe that this is a consequence of getting older, younger men can also have this serious problem. In other words, men of any age can have urinary incontinence, making it all the more troublesome. However, you don’t have to stay this way, as there are cures for this condition that are sure to get you back on track.

Symptoms

Urinary Incontinence is a very serious disease that affects thousands of people across the United States alone. With that said, it is also one of the easiest genital diseases to diagnose because of for the clear unambiguous symptoms.  Overflow Incontinence is one of the symptoms of this condition, and it leads to your penis leaking continuously because your bladder is never properly empty. Stress incontinence is possibly the most common, as this causes urine to leak when person experiences stress on the bladder for any reason. This means laughing, sneezing, coughing, or even exercise can lead to urine leaking.

Other symptoms include urge Incontinence and functional Incontinence, which cause leaks due to a sudden urge to urinate.

Risks

Even if you are not experiencing some of these symptoms, it does not mean that you are completely safe from Urinary Incontinence. There are several factors which show that you can possibly be susceptible to this particular condition. Factors like age and gender are especially relevant in this case. Women are much more susceptible to stress Incontinence than men, and over the age of 50, it is prevalent in both genders.

Smoking is also a factor that puts you under the risk of incontinence, as well as being overweight because that puts more pressure on your bladder. But there are also certain items (consumables) that make your bladder a lot weaker and more susceptible to temporary Urinary Incontinence. The items include caffeine, chocolate, chili peppers, alcohol, and sparkling water, among other things.

Causes

While some Urinary Incontinence is temporary, most of it can last much longer than it needs to. Persistent Urinary Incontinence is often due to multiple factors, including urinary tract infections and constipation both very easily curable diseases. On the other hand, Urinary Incontinence can stay if the woman is pregnant or in menopause. It can also be because of an enlarged prostate or even prostate cancer. But there are of course more natural reasons for this including aging.

Conclusion

Urinary Incontinence can be a very embarrassing yet serious condition if left unchecked. If you are noticing some of these symptoms, then you shoud seek a urologist to get a checkup.

FIFTH AVENUE UROLOGY
4 East 76th Street
New York, NY 10021
——–
212-675-3186
https://www.fifthavenueurology.com/

Benign Prostate Hyperplasia (BPH)

What is Benign Prostate Hyperplasia (BPH)? The prostate is one of the most essential parts of the body. It is responsible for the transfer of urine out of the body as well as nourishing the sperm in semen fluid. However, regardless of the importance of the prostate, it is still incredibly susceptible to various diseases and conditions. One of these conditions is Benign Prostate Hyperplasia (BPH), which gets a lot more common as men get older.

During this condition, the prostate enlarges to a dangerous level, leading to a blockage in the flow of urine. The enlarged prostate can also be responsible for a slew of other problems like kidney, urinary tract, and even bladder complications. This is quite a simple complication to reverse, as there are many treatments available for this condition such as medication, therapy, and surgery.

Causes

There are a few different conditions that can lead to your prostate enlarging and causing a (BPH). Here are some of the conditions that can lead to your prostate enlarging.

  1. Scarring in the bladder due previous trauma or surgery
  2. Prostate cancer or kidney cancer
  3. Suffering from bladder or kidney stones
  4. Narrowing of the urethra or a urinary tract infection
  5. Inflammation of the prostate

Since the urethra passes through the prostate, the enlargement of prostate is very troublesome. To make matters worse, the prostate grows larger with age making this condition a lot more serious than it should be.

Symptoms

Benign Prostate Hyperplasia (BPH) is a very serious condition that can lead to very acute and excruciating pain in the body. But there are many more symptoms than just pain near your genitals, which can possibly show that you have BPH

  1. Difficulty urinating
  2. Frequent need to urinate, especially at night
  3. Bladder is never completely empty after urination
  4. Dripping after urination
  5. Interrupted urine streams or weak urine streams
  6. UIT (urinary tract infection) or blood in the urine

These symptoms are very common in people that have an inflamed or enlarged prostate. That said, the size of your prostate does not always mean that you will have more symptoms.  Some men who have a very enlarged prostate will show very little symptoms whereas people who only have a slightly inflamed prostate can experience all of the aforementioned symptoms.

Risk Factors

Other than the original causes for your BPH, there are other reasons why you may be suffering from this condition or may suffer from this condition in the future. Age is possibly the biggest reason why men contract BPH in the first place, as this condition become especially common among people that are over the age of 60. Other reasons why you are at a risk of BPH is your family history, your diabetes, or even your lifestyle. Although these factors do not in any way confirm that you will have these problems or symptoms, there is a possibility that these factors put you at a higher risk of BPH.

Conclusion

BPH is a very serious disease and is unfortunately very common. So if you are experiencing the same symptoms, then there is nothing that a quick trip to a urologist can’t solve. Visit our main website at https://www.fifthavenueurology.com to read more about our talented and skilled urologists who can help you with your BPH symptoms or any other issues that you may have with your genitals.

What is a Urethral Stricture?

Urethral stricture: An Overview

The narrowing down of urethra, the tube via which urine passes from the kidneys to the bladder, is known as urethral stricture. Formation of scar tissue inside a specific segment of the urethra causes the stricture.

An individual with urethral stricture will experience difficulty urinating, and the urine will fill up the urinary tract.  Consistent deposition of urine in the urinary tract could eventually cause kidney malfunction and damage. The condition predominates in males as they have a longer urethra than females, rendering the former more vulnerable to stricture compared to latter.

Urethral Stricture Symptoms

We always advise individuals with urethral stricture to opt for treatment as early as possible to prevent kidney infection and formation of kidney stones. The urinary bladder could expand and stop functioning in due course if and when urinary retention becomes chronic. We tell patients to watch out for the following symptoms of urethral stricture:-

  • Urgent urination (a strong urge to urinate frequently)
  • The feeling of bladder fullness
  • Taking a long time to urinate
  • Recurrent urinary tract infections
  • Experiencing pain during urination
  • Straining to urinate
  • Urine emerging in a thin stream
  • Distension of the adjacent organs including the penis

Causes of Urethral Stricture

More often than not, the condition tends to be idiopathic, i.e. the exact cause behind urethral stricture remains unknown. However, a few risk factors are alleged to be linked to the stricture. An individual could be at risk of developing urethral stricture if he has/had:-

  • STD (sexually transmitted disease)
  • Undergone radiotherapy for BPH (benign prostatic hyperplasia)
  • Been operated upon for a prostate or bladder problem
  • Used catheter
  • Prostatectomy
  • Prostrate brachytherapy (radiation therapy for prostate cancer)
  • Suffered a trauma due to injury in the area surrounding the scrotum

Diagnosis

To confirm whether someone has a urethral stricture, we perform a physical test, enquire about medical history, and symptoms. Furthermore, we suggest patients opt for one or more of the following tests for ascertaining the exact location, extent, and cause          of the stricture:-

  • Urinary flow assay
  • Urinalysis
  • Pelvic ultrasound
  • Urethral ultrasound

Conducting a Cystoscopy enables us to confirm a diagnosis. We insert a cystoscope inside (a tubular device carrying a small camera) into the urethra to scan its entire span. The camera lens helps us to locate the stricture as well as the level of constriction or narrowness.

After that we study X-rays (Retrograde urethrogram) to identify the length of the stricture.

Treatment

We place a urethral stent or perform urethroplasty following confirmation of the presence of urethral stricture. We conduct urethroplasty for the sake of restoring the urethra to its original shape or form. The procedure entails eliminating the stricture, and grafting tissue from the patient’s body and positioning it in the urethra for widening it.

In some cases, we place a stent within the narrowed section of the urethra to keep it wide enough for urine to pass through smoothly.

Conclusion

We always recommend individuals diagnosed with urethral stricture to seek medical intervention. We counsel patients on different surgical procedures.

Our Urologists advise patients who’ve undergone surgery for urethral stricture to remain in touch. The stricture could recur even after successful surgery, and hence, it is important to regularly consult our urologists in NYC for monitoring symptoms.

Our exceptionally qualified urologists at Fifth Avenue Urology have been and continue to deliver superlative urological services. Dr. Michael Brodherson, M.D. is a veteran, specializing in gynecological operative procedures and complicated surgeries. He has amassed many years of experience performing open urological operations.

Dr. Larish is a surgeon and urologist with wide-ranging experience in the treatment of adrenal, kidney, bladder, and prostate cancers, and infertility. Dr. Glickman is adept in carrying out minimally invasive surgeries for various urological issues. In this blog, we shed light on urethral strictures.

For a confidential consultation, contact us today:

FIFTH AVENUE UROLOGY
212-675-3186

 


References

  1. https://www.gaurology.com/urethral-stricture-males/
  2. https://www.medicalnewstoday.com/articles/324983.php 
  3. https://www.mayoclinic.org/diseases-conditions/urethral-stricture/care-at-mayo-clinic/mac-20362386