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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.

What Makes The Best Urologists?

There are many diseases that a person can develop or contract today. You should know who to look for when it comes to a specific disease. For instance, if you are going through a severe heart condition, you would need to consult a heart specialist. But who would you consult if you face any problem associated with the urinary tract system? The answer is a urologist.

What Makes The Best Urologists?
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Today, we will discuss what urology is and why it is important to find the right urologist. Urology is mostly known as genitourinary surgery and is the field of medicine that concentrates on surgical and medical diseases of both male and female urinary tract system and the reproductive system of males.

Urologists are among the most important healthcare professionals. But how do you know if you are consulting the best urologist?

Who is a Urologist?

They are medical professionals who specialize in specific diseases associated with urinary healthcare in both males and females. They are specialists who diagnose and treat these specific problems through different procedures such as surgeries.

What Makes a Urologist Successful

First, urologists must have the required qualification, training, and expertise. However, they must also have command over soft skills. In order to become a successful urologist, they must be very attentive, be able to process strong details, and have the ability to solve problems.

These particular set of skills help a urologist to understand what the patient is saying and can underline the type of diseases the patient might be going through. Having proper analyzing skills can help urologists determine what type of examination or diagnosis, a patient must consider.

Alertness

A urologist must be present not only physically but also even mentally and emotionally around the patients. This is the only way they can fully understand the patient’s situation. Time management is another aspect a urologist must have as the relationship between patient and urologist can vary. Some might go through a long process, while some might have a shorter one. In each case, a urologist should be able to give each patient time relatively.

Strong Personality/ adaptability

A good urologist is one who is willing and determined to learn and become a urologist. This is because urologists never stop learning. The process of learning keeps on continuing as the years go by. Not only do they have to go through medical school and other training programs, but they must stay up to date with the trends and technological advancements that may change treatment procedures.

What Makes The Best Urologists in NYC?
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Other than being keen to learn, a urologist needs to have the ability to offer compassion and allow patients to feel relaxed, especially when they are talking about issues that they might deem as embarrassing.

Hard Working

Urologists must be not only compassionate but also hardworking, as the job of a urologist requires them to work irregular and long hours, sometimes two to four days per week. On average, urologists cater to the needs of 50 to 100 patients per week.

Besides, in cases where they need to be in the operating room can result in longer hours of work. Most urologists spend half of their days in the operating room treating all sorts of conditions. Sometimes they are only able to treat one patient or perform one surgery if the patient’s condition is complex or severe.

They must be hardworking and willing to spend a lot of time working to become a good urologist.

What Should You Seek In Your Urologist

The conditions related to your urological system and reproductive organs tend to stay around for a longer period. Thus, this means a patient may have to seek advice and regular checkups from their chosen urologist quite often, building a long relationship between the patient and urologist.

Therefore, the question arises what makes a urologist good for you. Well, the answer is simple. If you find a urologist who is always asking questions about how you feel and shows signs of sympathy, they are the best for you. You do not want someone who just looks at your results and gives you the relevant news.

Urologists become your primary care doctor. Thus, they must understand your condition and give you personal attention.

Conclusion: What Makes the Best Urologists?

Urinary tract infection, enlarged prostate gland, kidney stones, overactive bladder, etc. are painful conditions that can lead to other complications. Urologists have become important medical professionals for both men and women dealing with urological issues. If you are looking for the best urologist, Fifth Avenue Urology has you covered.

Our urologists have the qualification, expertise, and skills to treat all your problems. Plus, they offer compassion and utmost care to each patient individually. You can visit our website and contact us today to schedule an appointment.

What Do Urologists Treat In Women?

There are certain conditions that women go through, which require them to consult a specific specialist to get treatment. Just like men have conditions such as erectile dysfunction or impotence, women also experience conditions related to the urinary tract system.

However, in both cases where the women or man faces a concern regarding the urinary tract or reproduction system, a urologist will be the one they need to seek advice.

What Do Urologists Treat In Women?
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While urologists treat both men and women, this post focuses on when a woman should see a urologist and what conditions and diseases do they treat in women. We’ll be covering everything you need to know, so invest a few minutes and continue reading.

Who Is A Urologist?

First, we must cover what urology is. It is the branch of medicine that concentrates on surgical and medical diseases that both men and women face with their urinary tract system. This system produces, stores, and excretes urine from the human body.

Urologists treat all related diseases and conditions, including conditions with the bladder, adrenal glands, and kidney-related issues.

They use their expertise and knowledge of urology to find a solution and proper treatment for the patient. All treatments and examinations may vary depending on the severity of the case.

Types Of Urolgical Treatments for Women

The following are the specific diseases of the urinary tract system that a woman may encounter and must visit a urologist for medical help.

Urinary Tract Conditions

It is common among women to encounter a urinary tract infection at some stage in life. This infection occurs only when the bacteria enter the urinary tract. It can cause a burning sensation while urinating, which is also a symptom of an infection in their urinary tract.

Urinary tract infection in the bladder can be painful; you may feel a sudden need to urinate and go to the bathroom constantly. However, they will also have trouble when it times to urinate. If the infection spreads to your kidneys, it can lead to complications.

A common method urologists use to treat this infection is using antibiotics.

Trouble Controlling The Bladder

This trouble of controlling the bladder occurs in women of all ages but is most common when they are older. Women are more prone than men to go through this problem. The loss of control on the bladder is also known as urinary incontinence.

What happens when women have this condition is that they face problems while holding back the urine. Urinary incontinence may result in leakage in circumstances where the body is under stress and makes sudden or rapid movements such as sneezing or even coughing.

It is also quite common to have a persistent urge to urinate during and post-pregnancy. This problem usually occurs when the bladder does not have any strong support from the muscles surrounding them. Urologists can simply look into the severity of your situation and proceed with the relative treatment.

The most common method of preventing this problem from occurring or treating it when it does happen is to exercise. It is good to work on your pelvic floor muscles as they support the bladder. Besides, if the case is too severe, the urologist may prescribe medication or opt for surgery.

Cancer In The Parts Of The Urinary Tract

A very severe condition that develops in multiple parts of the urinary tract is cancer in the bladder, kidneys, and the urethra. This condition may result in pain while urinating and even blood in the urine.

What Problems do Urologists Treat In Women?
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Other than this, a patient may feel intense pain in the lower back area and will have the urge to constantly go to the bathroom. You may feel pelvic pressure, painful urination, and discomfort in the lower abdomen.

The urologist may perform a cystoscopy to see inside your bladder and urethra. They might do biopsies and perform cystectomy to remove the bladder. Urologists may also treat this disease through chemotherapy, surgery, and radiation.

Bladder Falls From Original Position (Bladder Prolapse)

This is condition happens when the muscles or walls that are in the middle of the vagina and bladder lose strength. This results in the bladder to fall from its original position into the vagina. Women who have recently gone through pregnancy are more prone to develop this condition.

Other than this, women who tend to lift heavy things, whether related to home chores or heavyweight lifting may also be prone to this condition. Obesity is another reason for this to happen, and growing age may also result in this condition to occur in some women. This is mostly due to hormonal changes as women grow older.

Surgery is the main treatment for this particular condition. The urologist would do the necessary research and devise the right procedure to get the bladder back to its original position.

Fifth Avenue Urology: Experts In Female Urological Conditions

As you can see, preceding were some of the urological conditions and diseases that affect women. If you ever go through any of these conditions or face early symptoms of a particular condition, do not hesitate to visit a urologist. Whether you feel the persistent need to urinate, pelvic pain, or other issues, contact Fifth Avenue Urology today. We have a dedicated team of urologists to help you with your conditions.

FIFTH AVENUE UROLOGY
212-675-3186

What Conditions Do Urologists Treat in Men?

What conditions do urologists treat in men? Many people are not aware of what a urologist does. Well, a brief explanation would be that they are specialists in treating disorders of the urinary system in both men and women. They treat all diseases related to the male and female urinary tract system and reproduction system in males.

What conditions do urologists treat in men?
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It is essential for patients who have severe conditions such as issues related to kidney, bladder, adrenal glands, and prostate to seek advice and the attention of a urologist.

Today we will discuss further when you should see a urologist and what diseases do they treat in men.

Urology: Its definition

We think we should first briefly discuss what urology is. Some people know urology as genitourinary surgery. It is fair to say that urology is a branch of medicine that concentrates on surgical and medical diseases commonly related to the female urinary tract and the reproductive organs of males.

Continue reading to know when you should consider visiting a urologist.

When should you see a Urologist?

There are specific reasons for when a patient should consider seeing a urologist. If you are facing any condition related to the urinary tract, including your kidneys, adrenal glands, or ureters, you must visit a urologist.

Besides, men who face disorders with their penis, prostate, and the testes should head to the best urologist they know.

What Diseases Does Urologist Look After?

There are many medical and surgical diseases a urologist treats. While some urologists treat common diseases related to the urinary tract, others specialize in a specific type of urology, including urologic oncology.

The Urinary Tract Infections

This is a disease that commonly arises when certain bacteria moves all the way from the digestive system into the urethra. In case you are not sure if you are going through this condition, look out for these symptoms.

  • Unusual urination
  • Pain
  • Leakage of urine
  • Vomiting
  • Fever and feeling cold ( getting the shivers)

Infertility

This is related to a problem that occurs in the male reproductive system. Reasons for the cause of this condition are as follows

  • A low sperm count
  • The mobility of the sperm isn’t strong and cannot reach the egg
  • Unusual sperm, this means the sperm has an unusual shape.
  • An enlarged vein in testes

There is no way you can find out this problem by yourself unless you get it checked.

Kidney Disease

Any sort of damage to the kidney can be fatal. Usually, people who suffer from this condition have bad eating habits and other conditions such as diabetes. Symptoms may include the following

  • Swelled hands and ankles
  • Blood pressure is high

Therefore, a visit to a urologist would be the best option for early diagnosis and treatment of this condition. Urologists also conduct kidney transplants in cases of kidney failure.

Cancer

Urologists also have expertise in treating various cancers in men. For instance, in cases where the patient develops cancer in the bladder, prostate glands, testes, or kidneys, they must get the treatment from a urologist.

Enlarged Prostate

This is a condition that affects many men as they grow older. Due to prostate gland enlargement, also called Benign Prostatic Hyperplasia (BPH), you may experience problems with urination. Frequent need to urinate, difficulty starting urination, bladder, kidney, and urinary tract problems are a few symptoms.

Other Conditions

Besides the diseases mentioned above, urologists also treat some other conditions in men, including

  • Erectile dysfunction (if you face trouble keeping or getting an erection)
  • Prostatitis, i.e., inflammation of the prostate gland
  • Painful bladder syndrome
  • Kidney stones
  • Enlarged veins in the scrotum (varicoceles)

Why Is It Important To See a Urologist?

Well, as you can see, there are so many diseases that urologist treats. Make sure to consult the best urologist in town if you identify the symptoms that may relate to a severe or even minor condition of the urinary tract or reproductive system.

By avoiding a visit to a urologist, you would only make yourself prone to worsening your condition even more. Therefore, make sure to visit a urologist in any of these cases mentioned above for early diagnosis and treatment.

Urologists: Conclusion

Urologist plays an important role in helping us get through such severe diseases. They have all the necessary knowledge and training of years to treat such complex urinary tract and reproductive system issues. Most of the problems can lead to other health complications if not treated timely.

Call Fifth Avenue Urology for a Consultation

If you observe any symptoms related to the urinary tract, make sure to visit the best urologists in NYC. We at Fifth Avenue Urology have highly qualified urologists to help you with all these conditions. Visit our website for more information or to book an in person or telemedicine appointment with our urologists.

FIFTH AVENUE UROLOGY
212-675-3186

Urology Telemedicine

What is urology telemedicine? Urology concentrates on medical and surgical diseases that may develop in the female and male urinary tract and reproductive system. Urologists go through special training and lots of learning to understand the basics of urology. They are specialists who understand the organ functions and can determine what the cause of the disease in the organ is. Not only that, but through different treatments and medication, they can prevent the disease from worsening and also heal it.

Urology Telemedicine | New York
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The urinary tract and other sexual organs are prone to diseases if a person does not follow a healthy lifestyle. These organs can develop congenital diseases, several types of infections, and even tumors.

Patients who experience any of the symptoms of these conditions should seek the help of a urologist as soon as possible. A urologist will proceed with testing and examinations to determine the cause of the condition and its severity. After this, the urologist will decide whether antibiotics or surgery is needed.

Urology Telemedicine: Symptoms of Various Reproductive and Urinary Diseases

There can be many varying symptoms associated with urinary tract diseases and reproductive issues. You must not take these symptoms lightly because they can worsen fast and prove to be fatal. If you notice any of the symptoms stated below, call us immediately for consultation or an appointment.

  • Feel pain while urinating
  • Difficulty in passing urine
  • An unusual push to urinate, even when the bladder is clear
  • Urinary incontinence
  • Infections of Chronic urinary tract
  • Modification in the frequency of urination
  • A damaged urine stream
  • Discomfort in the lower abdomen
  • Pelvic pain
  • Impotence, infertility, or erectile dysfunction in men
  • Blood urine

You should search for professional medical help if you are experiencing any of the above signs/symptoms. A professional urologist can diagnose your condition quite accurately. You can always come and visit our clinic to talk to our expert urology doctors. They can help you identify your exact condition and come up with treatment plan to help you get rid of the disease that’s causing pain and agony.

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Treatments for Urological Conditions

Treating urological conditions is possible through medications and surgeries. The treatment will be different depending on the diagnosis. Following are the types of medications urologists use to treat urology.

  • To eliminate infections, they recommend antibiotics
  • For prostate cancer, hormone treatment is the first priority
  • Phosphodiesterase 5 (PDE5) helps treat erectile dysfunction, like tadalafil or Cialis
  • For cancer, chemotherapy drugs.

As stated earlier, a urologist can recommend surgery to treat urology. Here are some of the surgeries that can treat your reproductive and urinary issues:

  • Open surgery
  • Minimally invasive (keyhole), or laparoscopic surgery
  • They can advise you laser therapy to treat BPH (Benign prostatic hyperplasia), kidney stones, and cancer

There are different reasons for performing the surgeries stated above. Here is why urologists perform these surgeries:

  • For cancer, they prefer to perform surgery to remove just tumors or the complete prostate, bladder, or other body parts.
  • To perform repairs after a trauma
  • Scar tissues can cause a reduction of strictures in the urethra, which is also called urethral dilation
  • Stress relieve incontinence, like a sling procedure
  • Remove or break kidney stones
  • Transplanting a kidney

Urologists also carry out circumcisions, and they perform this procedure to remove the excessive skin of the penis, for religious, cultural, or medical reasons. Also, urologists can also perform a vasectomy, which is a form of male contraception.

Prevention of Urological Issues

Here are some precautions to take in your daily life to prevent any urinary or reproductive issues from occurring:

  • Keep yourself hydrated – it is recommended that you drink at least eight glasses of water every day
  • Drink cranberry juice to prevent yourself from urinary tract infections (UTIs)
  • Reduce the amount of salt and caffeine in your routine
  • Maintain a healthy weight
  • Quit smoking
  • Perform kegel exercises to strengthen the muscles of the pelvic area
  • Encourage your children and make it a habit for them to urinate before going to bed
  • In the night hours, limit your fluid intake
  • To prevent young boys from injuries, buy athletic cups
  • Teach girls to clean their genital area after using the washroom and use a front-to-back motion technique to wipe

Schedule a Urology Telemedicine Appointment

Don’t ignore any urological symptoms no matter how mild and benign they may seem. Call us if you experience any of the symptoms stated above. You can also visit our clinic and discuss urology telemedicine with one of our expert urologists.

FIFTH AVENUE UROLOGY
4 East 76th Street

New York, NY 10021
212-675-3186

Urologic Diseases: Types And Why You Should Visit A Urologist

Men, women, and children of all ages may encounter certain diseases and conditions that are urologic. Many people are not familiar with what urologic diseases are. Therefore, here is a brief explanation of what the term means.

Urologic Diseases
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Urologic diseases are several conditions that relate to the urinary tract of males and females and the reproductive system of men. Men and women develop these conditions due to various reasons. For instance, older women are prone to a condition in which the bladder drops into the vagina. Older men face conditions such as erectile dysfunction.

Even though these conditions are common in older people, there are other reasons too. While some conditions are gender-specific, there are urologic diseases that people of both genders may develop.

In this post, we will discuss the urologic diseases in detail and how do they develop. Invest a few more minutes and keep reading on for a better and broader explanation of this topic.

What Is Urology?

Let’s start by discussing what urology is and what a urologist does. Urology is the field of medicine that revolves around medical conditions and even surgical conditions of the urinary tract system.

Urologists receive special training and years of education to gain expertise in the diagnosis and treatment of the issues of the urinary tract and the male reproductive system. They can treat problems that may occur in any of the urinary organs, including the kidneys, bladder, and cancer in the testes, prostate, etc.

Types Of Urologic Diseases

Urologists treat several types of urologic diseases in the safest and efficient manner. The following are a few of the urologic diseases that occur in men and women.

Benign Prostatic Hyperplasia

Doesn’t even sound good, right? Well, this condition occurs when the prostate has enlarged in size. The prostate glands increase in size as men grow older.

Types of Urologic Diseases & Treatments
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Benign prostatic hyperplasia has a symptom that aggravates when there is a pressure on the urethra due to the large prostate. This can cause issues in the bladder as the urethra carries urine from the bladder and excretes it from the body.

Another symptom is the persistent urge to urinate more than often, and every time you urinate, you might feel the bladder still contains urine. Visiting a urologist, in this case, would be helpful as they will monitor the severity of your condition and provide the right treatment.

If the situation is severe, surgery would be a preferable option. However, in most cases, a urologist may prescribe medication only.

Urinary Incontinence

Not having bladder control can lead to leakage of urine. There are many reasons for people to develop this condition and some of these reasons are as follow

There are numerous ways to treat this condition. Exercises to strengthen the pelvic floor muscles or to control the amount of fluid you intake can prevent and treat the condition. In severe cases, the urologist may suggest surgery.

Urinary Tract Infections

This infection develops mostly in women, but men can also have this condition. This disease occurs in the body when bacteria travel into the urinary tract and result in an infection. Symptoms that indicate you must see a urologist include a burning sensation while urinating and an increase in the urge to urinate more often than before.

Urologists may prescribe antibiotics to treat the condition, which usually takes a week to treat with this method.

Kidney Related Conditions

Kidney stones are a condition that may develop in men and women. This condition occurs in the body when the crystals in the urine are surrounded by other tiny particles. These stones prevent the urine from flowing naturally and can cause a lot of pain.

Smaller stones are easy to expel, whereas larger ones can cause more problems. In this condition, surgery is mostly the best option to treat it.

Cancer is another disease that may damage the kidneys. Urologists mostly treat this condition with chemotherapy and radiation.

Conclusion

As you can see, there are multiple urologic diseases. It is important to follow a healthy lifestyle to prevent these conditions from developing in the body. You must drink plenty of water to stay hydrated. Also, you can strengthen your pelvic floor muscles with Kegel exercises.

Make sure always to keep your weight in check. If you ever develop these conditions, it is important to see a urologist for getting treatment as soon as possible. Contact Fifth Avenue Urology today for the treatment of all your urologic diseases. We have dedicated urologists to treat the specific conditions of the urinary tract, both in men and women. You can also visit our website for scheduling an appointment.

FIFTH AVENUE UROLOGY
212-675-3186

Treatment of Erectile Dysfunction (ED)

Erectile Dysfunction (ED) is probably the most embarrassing condition men go through, and there are many reasons this problem may occur. They tend to leave this untreated because they find it difficult to talk about. Men with ED find it challenging to maintain an erection or, in some severe cases, can’t get an erection at all.

In short, the erection that men with this problem get is not strong enough to have intercourse. ED requires immediate attention and treatment so that it doesn’t become permanent.

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Now, let’s discuss why this condition may occur in men. Erectile dysfunction may happen due to the following reasons.

  • When the blood flow in the penis is not normal
  • Damaged nerves that stop the blood from flowing properly
  • Stress and emotional reasons may cause it
  • Performance anxiety may lead to erectile dysfunction before intercourse
  • Some diseases like high blood pressure and diabetes can affect the blood flow

How Erection Occurs

When a man is sexually aroused, the nerves release a chemical that increases the blood flow into the penis. This blood flows into two chambers that assist with erections. These chambers are made of spongy muscle tissues.

While a man has an erection, this spongy tissue relaxes and locks in blood. The pressure that builds up in the chamber makes the erection solid and firm, resulting in a healthy and proper erection. During an orgasm, another set of nerve signals reaches the penis and causes the muscular tissues to contract in the penis, and the blood flows back into the body. After this, a man naturally loses his erection.

Risk Factors of ED

Erectile dysfunction can result from a variety of health issues, which include both physical and emotional problems. However, the following are the common risk factors.

  • Age (Usually above 50)
  • Having a high level of blood sugar (Diabetes)
  • High blood pressure
  • Cardiovascular diseases
  • Level of cholesterol is high
  • Smoking
  • Consumption of drugs and alcohol
  • Obesity
  • Missing exercise or being inactive

Even though the probability of erectile dysfunction increases as men age above 50, growing old is not always going to cause this condition. Some men stay sexually active even into their 80s. This type of dysfunction can be an early sign of a more serious health problem. Finding and treating the reason for ED is a vital first step.

Causes of Erectile Dysfunction

Physical Causes of ED

  1. The flow of blood is not enough into the penis.

Many health problems can decrease the flow of blood into the penis, such as hardened arteries, heart disease, smoking, and high blood sugar (Diabetes).

  1. A penis cannot catch blood during an erection

Man would not be able to keep an erection if the blood flow does not stay in the penis. Such a problem can take place at any age.

  1. Nerve signals from the spinal cord or brain do not reach the penis.

Some injuries, diseases, or surgeries in the pelvic area possibly will harm nerves to the penis, due to which, it would be difficult for nerve signals to contact with the penis from the spinal cord.

  1. Effects of diabetes on the nerves of the penis.

Diabetes can cause your body to have small vessel disease, and it can also damage the nerves that are connecting your brain with the penis.

  1. Cancer treatments can affect the functioning of a penis.

Surgeries or the passage of radiation near the pelvis for treating cancer can cause erectile dysfunction. Colon-rectal tests can also result in the same.

Emotional Causes of Erectile Dysfunction

Many people suffer from emotional issues that may cause erectile dysfunction. Following are the emotional causes of erectile dysfunction.

  • Depression
  • Anxiety
  • Conflicts in a relationship
  • Stress at workplace or home
  • Pressure from cultural, religious, social conflicts
  • Anxiety related to sexual intercourse

Treatment of Erectile Dysfunction

There are several treatments for erectile dysfunction. Your doctor might recommend some oral medications, injected medications, topical medications, or penile implant surgery.

Erectile Dysfunction ED Treatment Doctor
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For hormonal imbalance, doctors can advise you to have testosterone supplementation, which you can have orally, through injections or topically. There are three types of medications that you can take orally to treat ED. These three medications include Cialis, Levitra, and Viagra.

These medicines do not give you an erection; instead, they make it easy for you to achieve an erection. The significant difference between these medicines is of the time their effects last for. When performing surgical treatments for erectile dysfunction, surgeons place a device in the penis.

Bottom Line

ED can take a hard emotional hit on you, especially if you are young. However, you don’t have to be depressed when there are solutions to the problem. If you or someone you know has ED, you can come to us for treatment. Our licensed and knowledgeable urologists, Dr Michael Brodherson and Dr Yaniv Larish, can help you determine the right treatment.

Call us right not at 212-675-3186 to discuss your issue and book an appointment.

Prolapsed Uterus: Causes, Symptoms & Treatment

The uterus is an organ of the female reproductive system. The shape of the uterus is like an upside-down pear, and it is placed inside the pelvis. A hammock of muscles and pubic bone supports the bladder, uterus, and bowel. Connective tissue and ligaments also hold the uterus and pelvic organs in their right place. If you have weak and damaged muscles or connective tissues, the uterus can begin to drop into the vagina. This is known as a prolapsed uterus.

Urologist for Prolapsed Uterus
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The primary reason for a prolapsed uterus is obesity, vaginal childbirth, unhygienic straining on the toilet, severe coughing, and hormonal changes after menopause. Thus, hormonal changes can damage the support structures of the pelvic organ. Initial treatment must contain the pelvic floor with muscle strengthening exercises, under the guidance of a trained pelvic floor physiotherapist.

When you have a prolapsed uterus, doctors can insert a pessary to support the uterus and diminish the symptoms. When a pessary is in place, the pelvic floor exercises will still be helpful.

In some scenarios, the uterus can stick out from the vaginal opening. Sometimes complications can cause ulceration of uncovered tissue and prolapse of other pelvic organs, such as the rectum or the bladder.

Symptoms of Prolapsed Uterus

You can learn about a prolapsed uterus if you experience any of the symptoms. Indeed, it is significant to learn about the symptoms so that you can cure and treat a prolapse uterus. The symptoms differ depending on the severity of the prolapsed uterus. Following are the typical symptoms you know about;

  • Pelvic heaviness or pulling
  • An increase in vaginal discharge or vaginal bleeding.
  • Difficulty with sexual intercourse
  • Urinary leakage, bladder or retention infections
  • Challenges with bowel movement like constipation
  • Continuous pain in the lower back
  • Uterine protrusion from the vaginal opening
  • Feelings that something is falling out of the vagina
  • Weak vaginal tissue

Although these symptoms will not occur in mild cases, they can become worse if they appear repeatedly.

Causes of Prolapsed Uterus

A prolapsed uterus occurs when ligaments stretch and pelvic floor muscles stop supporting the uterus. Other than Pelvic floor muscles and ligaments stretching, the following are the causes of the prolapsed uterus;

  • Pregnancy
  • Factors related to delivery like delivering a large baby, trauma, or having a vaginal delivery
  • When you get old and especially after menopause because of the level of circulating estrogen drops
  • Lifting heavy weight regularly
  • Injury during bowel movements
  • Chronic coughing
  • A history of pelvic surgery
  • Genetics, which can lead to weak connective tissues.

Treatments for Uterine Prolapse

Treatments of a prolapsed uterus include both surgical and non-surgical options. Doctors and experts will recommend any one of them, and it depends on your general health and the conditions for a future pregnancy plan.

Strengthen your muscles with kegel exercises because it can help you with a prolapsed uterus. A pessary is an elastic or rigid device, and you can insert it into the vagina to support your uterus. Surgery aims to block the uterus from falling. This can be achieved using the body’s tissue, or an implanted mesh. A total hysterectomy may be performed to remove the uterus too.

Prolapsed Uterus info
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Pelvic Floor Exercises

Pelvic floor exercises have multiple benefits for your body, and one of them is to prevent you from a prolapsed uterus. However, pelvic exercises require you to work on your pelvic muscles; thus, it is essential that you do it correctly. To make it simple for beginners of pelvic workouts, there are many things you must keep in mind. However, it would be better to seek professional advice if you have a prolapsed uterus, and you would need to:

  • I Identify the muscles of your vagina, urethra, and anus.
  • Insert a finger into the vagina and try to press them.
  • Imagine yourself passing urine and try to stop the flow.
  • Compress the muscles inside the anus as if you are attempting to stop yourself from breaking wind.
  • Seek advice to do the exercise properly.

Vaginal Pessary

Vaginal pessary is a flexible device which you can fit inside your vagina to support the uterus. It comes in different shapes and sizes. Before using a vaginal pessary, you should consult with professionals and buy one that fits you perfectly. These are very helpful for reducing the symptoms of a prolapsed uterus. If used along with pelvic floor exercises, you might not need any further treatment.

Kidney Stones: Prevention, Causes & Treatment

People who are living with Autosomal Dominant Polycystic Kidney Disease (ADPKD) will probably have kidney stone issues. The formation of kidney stones takes place when crystals of minerals and salts combine in your urine. You can also call them renal calculi or nephrolithiasis. The size of kidney stones can vary, it can be a small particle or a large stone created from many small ones.

However, they can relocate themselves into the ureter and bladder. A ureter is one of the two tubes between the two kidneys leading to your bladder. Kidney stones are particularly common in patients who have ADPKD.

Approximately 3 out of 10 patients with this kidney disease have kidney stones once in their life. In the general population, almost one out of ten people get kidney stones in their lifetime. You can get kidney stones as your Autosomal Dominant Polycystic Kidney Disease (ADPKD) progresses.

The size and location of your kidney stone will decide the appropriate treatment for you. Small stones often pass through your urine and do not cause much discomfort. But larger stones possibly will cause blood in your urine, severe pain, or a blockage.

Due to that, it will be quite challenging and painful for you to pass urine. Also, you may require a procedure that involves the splitting of a large stone into small particles so that you can pass it, or you can have surgery to eliminate it.

In case your kidney tests show stones and their cause is particularly mineral or salt, you must consult your doctor so they can tell you to avoid certain foods. They may also prescribe you some medications or supplements to cure your urination problems.

Prevention of Kidney Stones

Passing a small kidney stone or its particle in urine is quite painful. The best way to avoid this pain is prevention. Follow the methods given below to prevent kidney stones from forming.

  • Stay hydrated and drink 8 to 12 glasses of fluids per day – avoid carbonated drinks.
  • Add fresh lemon juice with your water drinking routine.
  • Avoid salt and cut it down to a healthy level.
  • Consume an average amount of calcium (so, have a healthy diet but don’t use calcium supplements)

Causes of Kidney Stones

There is no single or definite cause of kidney stones, but many factors can increase your risk of having kidney stones. As discussed above, a kidney stone will form when your urine holds more crystal-forming substances; for example, uric acid, calcium, and uric oxalate acid.

In Autosomal Dominant Polycystic Kidney Disease (ADPKD) patients, the flow of urine through the kidney is relatively slow, which may increase the probability of the formation of kidney stones. We recommend you to avoid taking advice and suggestions from non-professional people around you. If you want to find out what lifestyle choices have caused you to have kidney stones, get in touch with us so we can guide you better.

Treatment of Kidney Stones

In some of you, the stone possibly will pass without any medical interference if its size is small. However, if the stone is larger than 0.5 mm, you must seek medical treatment.

Kidney Stones information
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You can also utilize medications to boost the passage of stones all the way through the ureter. These medications contain calcium channel blockers alpha, corticosteroids, and adrenergic blockers.

You can use lithotripsy to break any kidney stone into tiny pieces so that it can easily pass through your urinary tract. Lithotripsy applies high energy pulses of ultrasonic energy and delivers shock waves through your skin with no incision. As for tiny stones, you only need one treatment. But for larger stones, you might need several treatments.

Some surgeries might require treating kidney stones when there is a complete blockage of the ureter or when there is an infection or intractable pain. In ureteroscopic surgery, your surgeon has to insert a camera inside the urethra to visualize the stone.

Once the surgeons have clear visualization, they can easily extract the stone. They put a stent inside the blocked ureter and break the stone with the help of laser or ultrasound shock waves. The choice of the procedure depends on the size, location, and composition of the stones.

Conclusion

Kidney stones can cause intolerably excruciating pains, and things can get even worse if you don’t contact a doctor as soon as possible. Doctors know number of surgical techniques to remove kidney stones.

If you seem to have symptoms of kidney stones or someone you love is suffering from a similar condition, contact us at 212-675-3186

FIFTH AVENUE UROLOGY
4 East 76th Street
New York, NY 10021
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212-675-3186

Do Urologists Perform Vasectomies?

Vasectomy is a common treatment for men if they don’t want their partners to get pregnant. However, many who want to get vasectomies are not sure which doctor to see. If you are wondering whether urologists do vasectomies or not, well, the answer is yes, they do.

You may already know that urologists diagnose and treat diseases related to male and female urinary tract systems. They also specialize in conditions related to male reproductive organs. Thus, they also perform vasectomies.

Do Urologists Perform Vasectomies?

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This post focuses on why people get vasectomies done, and if it has any benefits. Continue reading as we’ll cover everything you need to know related to vasectomies.

What Is A Vasectomy?

The testicles produce sperms and other male hormones in men. The epididymis holds the sperm, and when you ejaculate, it sends sperm to the Vas deferens. From here, the sperm travels to the prostate, mixing with semen and vesicles, eventually flowing out of the penis.

A vasectomy is a minor surgery that creates a blockage by splitting the tubes carrying the sperm. It prevents the sperm from reaching the semen. Hence, when you ejaculate, the semen won’t have any sperm in it. Do you know nearly 50, 000 men get a vasectomy for birth control? Vasectomy is probably the best method to prevent pregnancy.

How Do Urologist Treat Patients?

Urologists normally perform vasectomies in their office but in some cases in a surgery center or a hospital. The urologist will first decide with the patient whether they need sedation or not to put them to sleep before the procedure. Patients who are nervous during the procedure may need sedation, and the urologist may also recommend sedation based on the patient’s anatomy.

Patients must sign a form in which they agree to the procedure to undergo. Some states have laws that require a patient to sign a form depending on their consent.

When the patient enters the procedure room, the urologist first cleans the scrotal area. Shaving and washing the scrotal area with an antiseptic solution is essential. Urologists will use anesthesia to numb the area; however, you will be able to feel the touch, tension, and movement during the procedure. This anesthesia will prevent the patient from feeling any sharp pain. In cases where you feel any pain, you should immediately inform your urologist.

There are two types of vasectomies that you may undergo –a conventional vasectomy and no-scalpel vasectomy. Read along to understand the difference between the two.

Conventional Vasectomy

Conventional vasectomy consists of one or two cuts made in the scrotums’ skin for reaching the vas deferens. During the process, the urologist cuts a tiny piece from the vas deferens, creating a short gap between the two ends to be left.

Next, the urologist sears the ends of the vas deferens and ties the cuts with a suture. Your doctor may repeat the procedure for other vas deferens as well. However, the urologist may do so using the same cut or by making a new one. As the final step, the urologist will stitch the cuts on the scrotum or leave to heal on its own.

No-Scalpel Vasectomy

In a no-scalpel vasectomy procedure, the urologist tries to identify the vas deferens in the skin of the scrotum and holds it in place using a clamp. After this, the scrotum skin needs another cut, which results in the easy pull the Vas deferens out with precision and care.

Once pulled out, it is cut, tied, or sometimes seared and returned to its original position.

Does It Have Any Risks

Once the surgery is complete, there is a risk of encountering bleeding in the scrotum. An indication of this bleeding or abnormality, once the vasectomy is complete, is if the scrotum has enlarged or if you feel pain. You must notify your urologist about this as soon as possible, as there is a possibility that an infection might have developed.

Another risk is known as a post-vasectomy syndrome. This is a balanced pain that you might feel post-vasectomy; it can be quite unpleasant and unbearable at times. Urologists don’t have a good reason for this condition to occur once the vasectomy is complete. However, they know how to treat it well before it worsens.

Urologists will prescribe anti-swelling meds for the swelling or other medicines to relieve you from the pain. In some cases, urologists will advise reversing the vasectomy to get rid of the pain. However, this does not always solve the problem.

Furthermore, vasectomy also has some benefits. For instance, men who undergo vasectomies are not in that much danger of developing heart diseases, prostate and testicular cancer, and other health-related issues.

Do Urologists Perform Vasectomies? Conclusion

Urologists do perform vasectomies and follow the right procedure to ensure the safety of the patient. If you are looking for the best urologist to get any urologic diseases treated or a vasectomy, call us at Fifth Avenue Urology today or visit our website for scheduling an appointment.

Do You Need Prostatitis Treatment?

Do You Need Prostatitis Treatment? Inflammation and swelling of the prostate gland is prostatitis. The prostate gland produces fluid (semen) that transports sperm cells and nourishes it.

Prostatitis often causes difficult or painful urination. Other symptoms include pain in the pelvic area or genitals and groin, accompanied by flu.

Men of all ages are not invincible when it to the effects of prostatitis, but this condition seems quite common in men 50 or older. There are several causes of this condition; sometimes, you may not be able to identify the cause. Usually, prostatitis is triggered by a bacterial infection, but you can treat it with antibiotics.

Prostatitis patients may recover quickly on their own, or there is a possibility that you might need treatment. Some types of prostatitis keeps recurring or (chronic prostatitis) may last for months. 

Causes of Prostatitis

The cause of acute bacterial prostatitis often is ordinary strains of bacteria. When acute bacteria in your urine leaks and enters your prostate, that’s when the infection starts. You can use antibiotics to treat this infection. If antibiotics fail to remove the bacteria, prostatitis might return. If this happens, it will be difficult to treat (chronic bacterial prostatitis).

Surgery or trauma in the lower area of the urinary tract can cause nerve damage. This might contribute to prostatitis, and it doesn’t occur due to bacterial infection. Mostly, you may not be able to identify the actual cause of prostatitis.

Types of Prostatitis

·          Acute Bacterial Prostatitis

The cause of acute bacterial prostatitis is a particular strain of bacteria. Generally, this type of prostatitis starts unexpectedly and cause symptoms like flu, fever, nausea, chills, and vomiting.

·      Chronic bacterial Prostatitis

When antibiotics don’t get rid of the bacteria, you possibly will find it difficult-to-treat or increase recurring infections. You may witness only minor symptoms or no symptoms at all for short periods during chronic bacterial prostatitis.

·      Chronic prostatitis/chronic pelvic pain syndrome

Chronic pelvic pain syndrome is the most common type of prostatitis, which is not caused by bacteria. Mostly, you cannot identify the exact cause of bacteria. Some symptoms stay the same for a long time; they don’t either increase or decrease with time. Therefore, other symptoms continue to follow the cycle of being less and more severe.

·      Asymptomatic Inflammatory Prostatitis

Asymptomatic inflammatory prostatitis is one of the types of prostatitis. Usually, it is found by chance, especially when you undergo tests because it doesn’t display symptoms. Also, asymptomatic inflammatory prostatitis doesn’t need any treatment.

Symptoms

Following are the signs and symptoms of prostatitis:

  • You will feel burning or sensation of pain while urinating (dysuria)
  • Complexity urinating, such as hesitant or dribbling urination
  • Urinating frequently, especially at night (nocturia)
  • Urgent need to urinate
  • Cloudy urine
  • Blood in the urine
  • There will be a pain in your groin, abdomen, or lower back
  • Pain in part between the rectum and scrotum (perineum)
  • Discomfort or pain in the testicles or penis
  • Ejaculation will be painful
  • Flu

Prostatitis Treatment

Acute prostatitis can cause an infection of the prostate. Thus, doctors prescribe antibiotics for the treatment of prostatitis. The selection of antibiotics depends on the organism present and the severity of the issue. Usually, doctors advise taking antibiotics orally and continuing it for around two to four weeks to eradicate the bacteria entirely. Doctors might prescribe IV antibiotics for severe or nonresponsive cases.

Bacteria can also cause chronic bacterial prostatitis, but their treatment is relatively more complicated. Doctors may recommend you a longer course of antibiotics that you must follow for almost four to eight weeks. However, the choice of antibiotic for chronic bacterial prostatitis also depends on the bacteria present and its severity. You can choose between oral and intravenous antibiotics.

Most of the asymptomatic prostatitis doesn’t need treatment. Moreover, while managing the treatment, it consists of anti-inflammatories and antibiotics.

As for chronic pelvic pain syndrome, it is pretty challenging to treat because all patients do not respond to their current treatments. Hence, there are numerous medications in existence to treat chronic pelvic pain syndrome. But you can utilize anti-inflammatory medications, alpha-blockers, antibiotics, and estrogen reabsorption inhibitor for treatment.

We advise you to consult with your doctor or visit our website if you experience pelvic pain, painful or difficult in urination, or problem ejaculating. If not properly treated in a timely fashion, there is a chance that prostatitis can cause severe health issues or worsen the infection.

For prostatitis treatment, call us today to schedule an appointment:

FIFTH AVENUE UROLOGY