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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.

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

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:

FIFTH AVENUE UROLOGY
4 East 76th Street

New York, NY 10021
——–
212-675-3186

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

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.

Vavosectamy

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

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.

Conclusion

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.

Conclusion

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

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

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.

Conclusion

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.

Urological Treatments for Kidney Stones

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

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

Treatment Options for Kidney Stones

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

Ureteroscopy (URS)

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

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

Shock Wave Lithotripsy (SWL)

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

Percutaneous Nephrolithotomy (PCNL)

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

Conclusion

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

FIFTH AVENUE UROLOGY
212-675-3186

Testicular Cancer

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

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

Causes of Testicular Cancer

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

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

Symptoms of Testicular Cancer

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

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

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

Risks of Testicular Cancer

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

Conclusion

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

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

FIFTH AVENUE UROLOGY
212-675-3186

Signs of a Good Urologist

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

What Makes a Good Urologist?

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

1.    Should Be Able To Empathize With Patients

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

2.    Should Adapt To Newer Forms of Technology

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

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

3.    Should Have Proper Credentials

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

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

Conclusion

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

FIFTH AVENUE UROLOGY

Dr. Michael Brodherson

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

Prostatitis Information

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

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

Symptoms of Prostatitis

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

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

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

Risks of Prostatitis

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

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

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

Causes of Prostatitis

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

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

Conclusion

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

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

Read more about prostatitis on our main website.