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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


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.

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

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

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.


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.


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.

Erectile Dysfunction ED Treatment

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

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

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

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

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.


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

4 East 76th Street
New York, NY 10021

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?


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.


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:


What Are Kidney Stones?

What Are Kidney Stones? Renal calculi or kidney stones are rock-hard masses made of crystals. Usually, the origin of a kidney stone is in your kidneys. However, they can expand and travel to other areas such as:

  • Ureter
  • Bladder
  • Urethra
  • Kidneys

Kidney stones come along with a lot of pain. Causes of kidney stones differ according to the type of stone you may have. However, you can prevent yourself from most kidney stones by drinking sufficient fluids every day. According to experts, an individual should drink at least eight to twelve glasses of water per day.

For kidney stone patients or other kidney diseases, your may need to limit your intake of fluids. Hence, we advise you to consult with your doctor about the correct amount of fluid you must have each day. Include animal protein (eggs and meat) and limit the amount of sodium in your diet. With this, you might be able to prevent a kidney stone.

Your doctor is the only one who can determine the type of kidney stone you may have. After ascertaining the kind of stone you have, your doctor can create a diet plan with component food items to prevent future kidney stones. For those with medical conditions that can cause kidney stones, their doctor may prescribe medication to treat this condition.

Risk Factors for Kidney Stones

The most dangerous factor for kidney stones is excreting less than 1 liter of urine per day. Due to this, kidney stones tend to be quite common in infants with early kidney problems. However, kidney stones are mainly occur with people between the ages of 25 and 50.

Different factors can raise your risk of kidney stone formation. Sex also plays a role. According to the experts at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), men develop kidney stones more than women. Your family history also plays a vital role in your risk of developing a kidney stone. Other than family history, the following are the main risk factors that can cause a kidney stone:

  • Dehydration
  • Obesity
  • Your intake, which includes mostly salt, protein, or glucose
  • Heyperparathyroid condition
  • Surgery of gastric bypass
  • Increased absorption of calcium due to inflammatory bowel diseases
  • Side effects of medicines like triamterene diuretics, calcium-based antacids, and antiseizure drugs

Symptoms of Kidney Stones

Indeed, kidney stones are well-known to cause severe pain. Symptoms of kidney stones might not take place until the stone starts to move down close to the ureters. Renal colic is also a medical term of such severe pain. You might experience pain on one side of your abdomen or back.

In men, pain may be experienced in the genital area. Pain in the renal colic rises occasionally, but it can be forceful. People with renal colic often stay restless. However, there are some other symptoms of kidney stones including:

  • Blood in the urine (pink, red, or brown urine)
  • Nausea
  • Vomiting
  • Urine will smell
  • Fever
  • Frequent urination

For small kidney stones, you possibly will not experience any pain or symptoms, as the stone will eventually pass through your urinary tract.

Treatment of Kidney Stones

In a lot of cases, the stone may pass without any medical interference. A lot depends on the size of the stone. However, if the stone is more than 0.5 mm, you will probably need medical treatment. You should treat acute, severe pain associated with kidney stone movement through and into the ureter with narcotics and anti-inflammatories, intermuscular, oral, and intervenous.

You can also utilize medications to facilitate 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. Also, when there is a presence of an infection or intractable pain, ureteroscopic surgery demands camera insertion inside the urethra so that surgeons can locate the stone.

Once surgeons have a clear view of the stone, they can easily extract it. They put a stent inside the blocked ureter and break the stone with the help of laser or ultrasound shock waves. Selecting any of the procedures depends on the size, location, and composition of the stone.

For more information or to schedule an appointment, call us today:

4 East 76th Street

New York, NY 10021

What Is a Vasectomy and A Vasectomy Reversal?

A vasectomy is an operation for men that ensures their partners will not get pregnant. The procedure can take place in the urologist’s office without putting you to sleep. The purpose of this treatment is to stop sperms from leaving the testicles. As a result, it prevents your partner from getting pregnant.


vasectomy-info-top-urologists-nyc-01Under normal circumstances, the epididymis holds sperm and other male hormones after the testicles make them. When you ejaculate, the epididymis sends sperm to the Vas deferens that carries the sperm to the prostate where it mixes with the seminal fluid and vesicles, and then flows out of the penis. A vasectomy, in the most basic of terms, splits the tubes that carry the sperm from the testes to the prostate. Vasectomy can happen in two different ways, and your urologist can get either one.

Conventional Vasectomy

In a conventional vasectomy, your urologist will make one or two small cuts on the skin of your scrotum to access the vas deferens. Once they reach the vas deferens, they will then cut a small piece from your Vas Deferens, which will leave a small gap between the two ends. The gap ensures that the Vas Deferens is not able to heal over time and cannot send the sperm to the prostate. Further measures to ensure proper sterilization include your urologist searing the cuts and then tying the cut ends with sutures. Your urologist may repeat these steps for other Vas deferens and then close the scrotal cuts with stitches.

Non-Conventional Vasectomy

In the non-conventional Vasectomy, or the no-scalpel-vasectomy, the urologist skips the scalpel and instead takes a very different approach to the procedure. In this procedure, your urologist will feel for the Vas Deferens and hold them in place with a small clamp. After holding them in place, your urologist will make a tiny hole in the skin of your scrotum and stretch it to gently pull out the Vas Deferens. Once they pull out the Vas Deferens, they will cut, sear, and stitch, and put them back in place.

The Effectiveness of a Vasectomy

A vasectomy is a 100% effective, and ensures that there is no sperm when you ejaculate. Although in some cases, men were able to make their partners pregnant after a vasectomy. These cases are very rare and often the fault of the urologist.

Vasectomy Reversal

vasectomy-reversal-info-top-urologists-nyc-02A vasectomy reversal, as the name implies, is when a person gets a reversal of their vasectomy for any reason they see fit. Now, unlike a vasectomy, this is a little more complicated, and you will always be unconscious during the procedure. There are two methods of reversing a vasectomy, both of which are simple on paper but quite difficult in practice.


A vavosectamy is a process where your urologist reconnects the vas deferens separated previously. They undo the sutures of the vasectomy, and then reconnect the Vas deferens and stitch them together. Now, this is quite the delicate process, so it takes them a little longer.


Vasoepididymostomy is the recommended treatment when a vavosectamy isn’t possible for any reason. So, instead of joining the Vas Deferens together, they attach the Vas Deferens to the small organs called epididymis. Epididymis holds your sperm. Connecting Vas Deferens to epididymis allows the process to start all over again.


Vasectomy is quite a common treatment today. If you are looking to get this treatment or to reverse vasectomy, call us at Fifth Avenue Urology today.

Urology: Overactive Bladder

overactive-bladder-info-03An overactive bladder (OAB) is a very troublesome and embarrassing condition, which leads to sudden urination or frequent urge to urinate. This can be a serious problem at certain moments, and it is unfortunately a lot more common than most people believe. Nearly 33 million Americans suffer from some form of overactive bladder, which means that this is not just some isolated incident.

There are a large variety of bladder conditions that fall under this larger term of overactive bladder, most of them being incontinence. And due to its incredibly unpredictable nature, people who suffer from overactive bladder (OAB) reduce their social activities, as they may end up in a very awkward an unsettling situation.

Causes of Overactive Bladder

The causes for an overactive bladder (OAB) are a little tricky to pin down, as there are a lot of different variables that can contribute to a lack of bladder control. In some cases, it can be a temporary reaction to what you ate or drank. At other times, it can be a sign for something a little more dangerous and possibly life changing. Some of the causes of an overactive bladder (OAB) are:

  1. Consuming caffeine, alcohol, or medicine that produces more urine
  2. Drinking too much water
  3. Bladder abnormalities or difficulty emptying the bladder
  4. Urinary tract infections

It is often hard to say what causes an OAB, simply because there are just too many variables in play to determine properly. However, there is a way to find out what is causing it, and that is by looking at some of the symptoms of an OAB.

Symptoms of Overactive Bladder

overactive-female-bladder-info-urologist-nyc-02Although an OAB is a very serious problem that can drastically change how people live their lives, it is very easy to spot if you have one or not. Under normal circumstances, the kidneys produce urine that goes to your bladder, and when the muscles in the bladder relax the urine releases. That said, in an overactive bladder the muscles contract involuntarily releasing urine at unintended times.

However, since urine leakage can happen for other reasons than a serious problem, if you experience a little incontinence it does not mean that you have an OAB. But if you experience the following symptoms, then it is possible that you may have an OAB.

  1. Frequent urination, you may be urinating more than eight time a day
  2. Loss of urine involuntarily on a regular basis
  3. Sudden urges or uncontrollable needs to urinate
  4. Waking up in the middle of the night to urinate frequently

Now since overactive bladder refers to a wide array of different bladder conditions, symptoms can vary from person to person. So without the help of a medical professional, it can be very hard finding out whether or not you really have an overactive bladder.


An overactive bladder is a very disturbing and often awkward condition that greatly affects the lives of people that have it. But since the symptoms for an OAB can be very diverse and misleading, it is very hard to tell whether or not you have the condition. Therefore, before you jump to conclusions about what conditions you have, you should first meet with a urologist that can give you proper medical advice.

You can also visit our website at FifthAvenueUrology.com

Dr. Michael Brodherson
Dr. Yaniv Larish
Dr. Leonard Glickman
4 East 76th Street
New York, NY 10021

Urinary Incontinence: Men vs. Women

urinary-incontinence-men-women-01Urinary incontinence is quite a common condition among people of all ages. Millions of people in the United States alone suffer from Urinary incontinence. These people differ in age, race, and of course gender. While it is definitely more likely for women to have urinary incontinence, men also suffer from this condition at an unprecedented rate, but for very different reasons.

While Urinary incontinence is a direct result of a prostate issue in men, women can have this condition for a number of different reasons. These reasons also make them a lot more susceptible to this disease regardless of their age.

Urinary Incontinence in Men

Urinary incontinence in men is especially common at an older age because of the rapid growth of the prostate. The prostate is a small organ between your penis and the bladder from where urine and sperm pass through to go out of the body. The prostate tends to get bigger as men get older, putting men at a much greater risk of a UI. Of course, age is not the only factor that determines UI. Prostate cancer, constipation, Urinary Tract infection and an enlarged prostate are all factors that contribute to Urinary incontinence.

Urinary Incontinence in Women

Unlike men, who have a single body part that is often responsible for Urinary Incontinence, women can have a number of reasons contributing to this condition. Some of the reasons why women have Urinary incontinence include menopause, pregnancy, and a urinary tract infection. Urinary Incontinence is especially common during Menopause and pregnancy, and is a major reason why women are more likely to have UI rather than men. They are also more susceptible to getting Urinary incontinence as they get older much like men.

Types of Urinary Incontinence

types-urinary-incontinence-men-womenThere are many different types of Urinary incontinence and almost none of them are gender specific. Some of the most famous types of UI are the stress and urge UI. Both of these are very common among both men and women and each is very different. The stress condition is when urine start to leak when the body is put under the slightest amount of stress. This means that exercising, laughing, sneezing, and even coughing can lead to people urinating. Urge is completely different where people will feel a sudden urge to urinate but will not be able to make it to the bathroom in time.

Other types include overflow and functional UI that are not as common, yet quite serious conditions. Overflow is when the bladder is never able to fully empty. This conditions results in urine leakage and the person has very little or no control over it . Functional incontinence is possibly the most dangerous as it is when you have the need to urinate and you feel it, but due to some other mental or physical ailment you are not able to go to the bathroom.


A Urinary incontinence is a very serious and often a very embarrassing issue that can often put you into a very uncomfortable spot. But as difficult as this condition may seem, there is nothing that a quick trip to a urologist can’t help. We have some of the most talented and dedicated urologists looking to help you with your conditions.

Visit our Fifth Avenue Urology website to learn more about our urologists and get help with your condition.