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Putting Patients First


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

Dr. Larish served as the former chief resident of Urology at Lenox Hill Hospital. Drs. Larish is focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. At Fifth Avenue Urology, we 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


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.


Robotic Sacrocolpopexy: A Breakthrough in Pelvic Organ Prolapse Treatment

Robotic Sacrocolpopexy treatment for pelvic organ prolapse NYCIn this comprehensive guide, we will delve into the intricate details of pelvic organ prolapse, its causes, and how robotic sacrocolpopexy is transforming its treatment landscape. Pelvic organ prolapse (POP) is a prevalent yet distressing condition that affects a significant number of women, especially as they age or after childbirth. It can lead to discomfort, pain, and a decreased quality of life. Thankfully, the field of urogynecology has witnessed significant advancements, and one such innovation is robotic sacrocolpopexy.

Understanding Pelvic Organ Prolapse (POP)

Pelvic organ prolapse occurs when the pelvic floor muscles and tissues weaken, allowing pelvic organs like the bladder, uterus, or rectum to sag or protrude into the vaginal canal. This condition can result in a range of distressing symptoms:

  • Pressure and Heaviness: Women often report feeling pressure or a sensation of heaviness in the pelvic area.
  • Vaginal Bulging: Prolapsed organs can cause a noticeable bulge in the vaginal canal.
  • Urinary Incontinence: POP can lead to urinary leakage, making daily life uncomfortable.
  • Bowel Issues: Bowel movements can become challenging and uncomfortable.
  • Pelvic Pain: Many women experience pelvic pain or discomfort.

Causes of Pelvic Organ Prolapse

Understanding the causes of POP is essential in developing effective treatment strategies. Several factors contribute to the development of pelvic organ prolapse:

  1. Childbirth: The stresses placed on the pelvic floor during childbirth, particularly vaginal deliveries, can weaken the supporting muscles and tissues.
  2. Aging: As women age, hormonal changes can lead to reduced tissue elasticity and muscle strength.
  3. Hormonal Changes: A drop in estrogen levels, particularly during menopause, can weaken the pelvic tissues.
  4. Chronic Constipation: Straining during bowel movements can strain the pelvic floor.
  5. Obesity: Excess weight can exert pressure on pelvic organs and contribute to prolapse.

Robotic Sacrocolpopexy: A Revolutionary Approach

Robotic sacrocolpopexy is an advanced surgical procedure designed to correct pelvic organ prolapse effectively. It stands out as a remarkable solution because of its precision, minimally invasive nature, and long-lasting results:

  • Minimally Invasive: The procedure involves making only a few small incisions in the abdomen, minimizing the need for extensive surgical cuts.
  • Robotic Assistance: A skilled surgeon controls a robotic system with advanced dexterity and precision, ensuring optimal outcomes.
  • Mesh Placement: Synthetic mesh is used to provide support and restore prolapsed organs to their normal positions.
  • Durability: Robotic sacrocolpopexy offers durable results with a low risk of recurrence, providing women with long-term relief.

Consultation with a Specialist

If you’re grappling with the discomfort and symptoms of pelvic organ prolapse, it’s imperative to seek consultation with a specialist in urogynecology or urology. Dr. Yaniv Larish, an expert at Fifth Avenue Urology, specializes in diagnosing and treating pelvic organ prolapse. He offers personalized treatment plans tailored to your unique needs, ensuring you receive the best care.

Don’t allow pelvic organ prolapse to control your life. Take the first step toward regaining your comfort, confidence, and quality of life. Contact Fifth Avenue Urology today to schedule a consultation and explore how robotic sacrocolpopexy can transform your journey to treat pelvic organ prolapse.

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

Discover how this treatment is revolutionizing the treatment of pelvic organ prolapse. Reach out to us today and take the first step toward lasting relief and an improved quality of life.

Sacral Neuromodulation: Restoring Bladder Control for Urge Urinary Incontinence

Sacral Neuromodulation for bladder controlLiving with urge urinary incontinence (UUI) can be a daily challenge, impacting your comfort and confidence. But there’s hope. Sacral neuromodulation, a cutting-edge treatment, offers a way to regain control over your bladder and significantly improve your quality of life. Let’s explore how this remarkable procedure is restoring bladder control for those with UUI.

Understanding Urge Urinary Incontinence (UUI)

UUI, also known as overactive bladder (OAB), is characterized by sudden, intense urges to urinate, often leading to involuntary leakage. It can disrupt your daily routine, social activities, and overall well-being. UUI can result from various factors, including bladder muscle overactivity and neurological conditions.

What Is Sacral Neuromodulation?

Sacral neuromodulation is a minimally invasive procedure that involves the implantation of a small device, similar to a pacemaker, near the sacral nerves in the lower back. These sacral nerves play a vital role in controlling bladder function. The device delivers mild electrical impulses to modulate the nerve signals, helping to regulate bladder activity.

The Sacral Neuromodulation Procedure

The sacral neuromodulation procedure typically involves the following steps:

  1. Trial Period: Before permanent implantation, a trial period is conducted to determine if sacral neuromodulation is effective for the patient. During this phase, a temporary lead is placed through the sacral foramina and connected to an external device.
  2. Permanent Implantation: If the trial period proves successful, a permanent implantation is performed. A small device is implanted under the skin, usually in the upper buttock area, and connected to the lead.
  3. Programming: The device is programmed to deliver electrical impulses that help regulate bladder activity. The patient can adjust settings as needed to achieve optimal results.

Benefits of Sacral Neuromodulation

UUI Sacral Neuromodulation treatment 2024Sacral neuromodulation offers several advantages for individuals with UUI, including:

  • Improved Bladder Control: The procedure helps reduce sudden urges to urinate and episodes of leakage.
  • Enhanced Quality of Life: Patients can regain the confidence to engage in daily activities without fear of accidents.
  • Minimally Invasive: The procedure is minimally invasive, with a relatively short recovery time.

Consultation with a Urology Specialist

If you’re considering sacral neuromodulation for UUI management, it’s crucial to consult a urologist who specializes in urological conditions. Dr. Yaniv Larish at Fifth Avenue Urology has extensive experience in diagnosing and treating UUI and can help determine if this treatment is the right choice for you. Don’t let UUI control your life.

Contact Fifth Avenue Urology today to schedule a consultation and explore restoring your bladder control.

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

Discover how this treatment is revolutionizing UUI management. Contact us today and take the first step toward a life with improved bladder control and confidence.

Bladder Botox: Revolutionizing Urge Urinary Incontinence Management

A new and revolutionary approach to treat urge urinary incontinence (UUI) is Bladder Botox, a game-changing treatment that holds promise in controlling UUI symptoms and improving your overall quality of life. Urge urinary incontinence (UUI) can be a daily struggle, affecting not only your physical comfort but also your confidence and lifestyle. Fortunately, medical science has made significant strides in offering innovative solutions to manage UUI effectively.

Bladder Botox best Urge Urinary Incontinence Management Men

Understanding Urge Urinary Incontinence (UUI)

UUI, often referred to as overactive bladder (OAB), is characterized by sudden, strong urges to urinate, often leading to involuntary leakage. It’s a condition that can disrupt daily activities, social interactions, and even sleep. UUI can result from various factors, including bladder muscle overactivity and neurological conditions.

Bladder Botox: How Does It Work?

Bladder Botox, also known as onabotulinumtoxinA, is derived from the same substance used in cosmetic treatments to reduce wrinkles. However, when used for UUI, it serves a different purpose. Here’s how it works:

• Muscle Relaxation: Injections directly into the bladder muscle help relax the overactive muscle fibers responsible for UUI symptoms. This relaxation reduces the intensity and frequency of sudden urges to urinate.
• Increased Capacity: By calming the bladder muscle, Botox increases the bladder’s storage capacity, allowing it to hold more urine without triggering urgency.

The Bladder Botox Procedure

The procedure is minimally invasive and typically performed in a urologist’s office. It involves the following steps:

• Local Anesthesia: Your urologist will apply a local anesthetic to numb the area and minimize discomfort.
• Injection: Using a thin cystoscope, a small tube with a camera at its tip, your urologist will guide the Botox injection into specific areas of the bladder.
• Quick Procedure: The entire procedure usually takes less than 30 minutes, and you can return to your daily activities shortly afterward.

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Results and Benefits

Patients often experience relief from UUI symptoms within a week or two after the Bladder Botox procedure. Benefits include:

• Reduced Urgency: Sudden urges to urinate become less frequent and less intense.
• Increased Continence: Fewer episodes of leakage and improved control.
• Enhanced Quality of Life: Regain the confidence to enjoy daily activities without fear of accidents.

Consultation with a Urology Specialist

Considering Bladder Botox for UUI management is a significant decision. Consulting a urologist who specializes in urological conditions, like Dr. Yaniv Larish at Fifth Avenue Urology in New York City, is crucial. Dr. Larish and his team will evaluate your condition, discuss your treatment options, and determine if Bladder Botox is the right choice for you.

Take the first step toward a life with improved bladder control and confidence. Contact Fifth Avenue Urology today to schedule a consultation.

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

Discover how Bladder Botox can revolutionize your journey to manage urge urinary incontinence effectively. Reach out to us, and let’s work together to reclaim your comfort and peace of mind.

Managing Urge Urinary Incontinence: Exploring Medical Treatment Options

Managing Urge Urinary Incontinence 2024Urge Urinary incontinence can significantly impact one’s quality of life, and urge urinary incontinence (UUI) is no exception. UUI, characterized by a sudden, strong urge to urinate and an inability to reach the toilet in time, is a condition that affects many individuals. In this blog, we will explore what UUI is, its causes, and the various medical treatment options available to help manage and improve this condition.

Understanding Urge Urinary Incontinence (UUI)

Urge urinary incontinence, also known as overactive bladder (OAB), is a condition marked by the involuntary loss of urine following a sudden, intense urge to urinate. This urge can be challenging to control, leading to leakage episodes that can be embarrassing and disruptive.

Common Causes of UUI

UUI can have various causes and contributing factors, including:

  • Bladder Muscle Dysfunction: Overactivity or spasms in the muscles of the bladder can lead to UUI.
  • Neurological Conditions: Certain neurological disorders, such as multiple sclerosis, can affect bladder function and lead to UUI.
  • Urinary Tract Infections (UTIs): Infections in the urinary tract can irritate the bladder and trigger UUI symptoms.
  • Medications: Some medications can affect bladder control and increase the risk of UUI.

Medical Treatment Options for UUI

Managing UUI often involves a combination of lifestyle changes, behavioral therapies, and medical treatments. Here, we’ll focus on medical treatment options:

  • Anticholinergic Medications: These medications help relax the bladder muscles and reduce the frequency and intensity of urges. They are available in oral and transdermal forms.
  • Beta-3 Agonists: This newer class of medications helps increase the bladder’s capacity and reduce the urge to urinate.
  • Botox Injections: In some cases, injections of botulinum toxin (Botox) into the bladder muscle can effectively control UUI symptoms by relaxing overactive muscles.
  • Sacral Neuromodulation: This minimally invasive procedure involves the placement of a small device under the skin, near the sacral nerves. It modulates nerve signals to the bladder, helping to control urges and reduce UUI episodes.
  • Percutaneous Tibial Nerve Stimulation (PTNS): PTNS is a non-surgical therapy that involves the placement of a thin needle near the ankle, which is connected to a device that delivers electrical impulses to the tibial nerve. This therapy helps regulate bladder function.

Managing Urinary Incontinence urologist nyc

Consult a Specialist for UUI Management

If you or a loved one is dealing with urge urinary incontinence, seeking professional help is essential. At Fifth Avenue Urology, our team, led by Dr. Yaniv Larish, specializes in diagnosing and treating UUI, among other urological conditions. Don’t let UUI control your life. Contact Fifth Avenue Urology today to schedule a consultation and explore the medical treatment options available to manage and improve your condition.

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

Regain control and confidence in managing your urge urinary incontinence with the expertise of Dr. Yaniv Larish and our dedicated urology team. Contact us today to take the first step toward a more comfortable and fulfilling life.

Male Infertility: Causes, Diagnosis, and Treatment Options

In this article, we will explore the causes, diagnosis, and treatment options for male infertility. Infertility is a challenging issue that affects many couples trying to conceive. While infertility is often associated with women, it’s important to recognize that male infertility is also a significant factor. If you and your partner are struggling to conceive, understanding the causes, seeking proper diagnosis, and exploring the available treatment options is crucial.

Male Infertility Causes Diagnosis Treatment

Male Infertility: Causes, Diagnosis & Treatment

Causes of Male Infertility

Male infertility can result from various factors that affect sperm production or delivery. Some common causes include:

  1. Low Sperm Count: A low number of sperm present in the semen.
  2. Abnormal Sperm Shape or Movement: Sperm with abnormal shape or impaired movement may have difficulty reaching and fertilizing the egg.
  3. Genetic Abnormalities: Certain genetic conditions or chromosomal abnormalities can impact sperm production or function.
  4. Hormonal Imbalances: Hormonal imbalances can disrupt the production of sperm.
  5. Testicular Damage: Injury or damage to the testicles can affect sperm production.
  6. Varicocele: Enlarged veins within the scrotum can interfere with sperm production.

Diagnosis of Male Infertility

If you suspect male infertility, it’s essential to consult a urologist who specializes in reproductive medicine. The diagnostic process may involve the following:

  1. Medical History: The doctor will review your medical history, including any previous reproductive health issues, surgeries, or exposures that may have contributed to infertility.
  2. Semen Analysis: A semen sample will be analyzed to assess sperm count, motility, and morphology.
  3. Hormonal Testing: Blood tests may be conducted to evaluate hormone levels that play a role in sperm production.
  4. Genetic Testing: Genetic tests may be performed to identify any genetic abnormalities that could affect fertility.
  5. Imaging Studies: Imaging techniques, such as ultrasound or testicular biopsy, may be used to examine the reproductive organs for any structural abnormalities.

Treatment Options for Male Infertility

The treatment for male infertility depends on the underlying cause and may include:

  1. Lifestyle Modifications: Adopting a healthy lifestyle, including regular exercise, a balanced diet, and avoiding smoking or excessive alcohol consumption, can improve sperm quality.
  2. Medications: Certain medications can help address hormonal imbalances or other specific issues affecting sperm production.
  3. Surgical Interventions: Surgical procedures can correct anatomical abnormalities, such as varicoceles or blockages in the reproductive tract.
  4. Assisted Reproductive Techniques: In cases where other treatments are ineffective, assisted reproductive techniques, such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI), may be recommended.

Male Infertility Causes Diagnosis Treatment: Contact Fifth Avenue Urology in NYC

At Fifth Avenue Urology, we understand the emotional and physical challenges associated with male infertility. Our team of experts is dedicated to providing comprehensive and cutting-edge urological care to address male reproductive health issues. With Dr. Yaniv Larish’s expertise and the support of our skilled urologists, you can be confident that you are receiving the highest standard of care.

Don’t let male infertility stand in the way of your dreams of parenthood. Contact Fifth Avenue Urology today to schedule a consultation and take the first step towards understanding and overcoming male infertility.

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

Trust the experience and expertise of Dr. Yaniv Larish and the dedicated urologists at Fifth Avenue Urology to provide you with compassionate and effective treatment options for male infertility. Let us help you on your journey towards achieving your dream of parenthood. Contact us today and take control of your reproductive health.

BPH: Symptoms, Diagnosis, and Treatment

In this article, we will delve into BPH symptoms, diagnosis, and treatment options. Benign Prostatic Hyperplasia (BPH), also known as prostate gland enlargement, is a common condition that affects many men as they age. It occurs when the prostate gland, which is located beneath the bladder, grows in size and begins to squeeze the urethra, causing urinary symptoms. If you or someone you know is experiencing urinary problems, it’s essential to understand the symptoms, seek proper diagnosis, and explore the available treatment options.

urinary problems in men

BPH Symptoms, Diagnosis, and Treatment

Symptoms of BPH

BPH can cause a variety of urinary symptoms that can significantly impact a man’s quality of life. Some common symptoms include:

  • Frequent Urination: A need to urinate more often, especially during the night.
  • Urgency: A sudden and intense urge to urinate that may be difficult to control.
  • Weak Urine Flow: A weak or slow stream of urine during urination.
  • Difficulty Starting and Stopping: Difficulty initiating urination or stopping and starting the flow.
  • Incomplete Emptying: A feeling that the bladder is not completely empty after urination.

Diagnosis of BPH

If you experience any of the symptoms associated with BPH, it’s crucial to consult a healthcare professional for a proper diagnosis. The diagnostic process may involve the following:

  • Medical History: The doctor will review your medical history, including any urinary symptoms and their duration.
  • Physical Examination: A physical examination, including a digital rectal examination, will be performed to assess the size and condition of the prostate gland.
  • Urinalysis: A urine sample may be analyzed to rule out other possible causes of urinary symptoms.
  • Prostate-Specific Antigen (PSA) Test: A blood test may be performed to measure the PSA levels, which can help evaluate the risk of prostate cancer.
  • Urodynamic Testing: In some cases, urodynamic tests may be conducted to evaluate bladder function and urine flow.

Treatment Options for BPH

BPH Symptoms Diagnosis and TreatmentThere are several treatment options available to manage and treat BPH, depending on the severity of symptoms and the impact on the patient’s quality of life. Common treatment options include:

  • Watchful Waiting: In cases where symptoms are mild or not bothersome, a “watchful waiting” approach may be recommended, with regular monitoring of symptoms.
  • Lifestyle Changes: Certain lifestyle modifications, such as limiting fluid intake before bedtime, avoiding caffeine and alcohol, and practicing double voiding, may help alleviate symptoms.
  • Medications: Medications, such as alpha-blockers or 5-alpha reductase inhibitors, can help relax the prostate gland and improve urine flow.
  • Minimally Invasive Procedures: Minimally invasive procedures, like transurethral microwave therapy (TUMT) or prostate artery embolization (PAE), can help reduce the size of the prostate gland and relieve symptoms.
  • Surgery: In severe cases, surgical interventions such as transurethral resection of the prostate (TURP) or laser surgery may be recommended to remove or reduce the size of the prostate gland, thereby improving urinary flow.

Contact Fifth Avenue Urology for Expert Urological Treatment

If you are experiencing symptoms of Benign Prostatic Hyperplasia (BPH), the experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, are here to help. We offer comprehensive urological care and a range of treatment options tailored to your specific needs.

Don’t let the symptoms of BPH limit your lifestyle or affect your well-being. Take the first step towards relief by contacting Fifth Avenue Urology today. Our team of skilled urologists will provide a thorough evaluation, diagnose your condition, and guide you through the available treatment options.

Regain control of your urinary health and improve your quality of life. Contact Fifth Avenue Urology now to schedule a consultation:

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

Chronic Testicular Pain: Exploring Microscopic Denervation of the Spermatic Cord

In this article, we will explore microscopic denervation of the spermatic cord for patients seeking relief from chronic testicular pain. Testicular pain can be a debilitating condition that affects a man’s quality of life. If you or someone you know is suffering from this condition, there is hope. Thanks to advancements in urological treatment, a revolutionary procedure known as microscopic denervation of the spermatic cord offers a promising solution for long-lasting pain relief.

Chronic Testicular Pain urologist NYC

Understanding Testicular Pain

Testicular pain can have various causes, including injury, infection, nerve entrapment, or a condition called chronic orchialgia. This condition refers to persistent testicular pain that lasts for more than three months. Chronic testicular pain can significantly impact a man’s daily activities, mental well-being, and overall quality of life.

The Microscopic Denervation Procedure

Microscopic denervation of the spermatic cord is a minimally invasive procedure designed to relieve testicular pain. The procedure involves the following steps:

1) Preparation

Before the procedure, a comprehensive evaluation will be conducted by a urologist to determine the underlying cause of the testicular pain and whether microscopic denervation is an appropriate treatment option.

2) Anesthesia

Local or general anesthesia is administered to ensure patient comfort during the procedure.

3) Microscopic Dissection

Using high-powered surgical microscopes, the urologist carefully identifies and dissects the nerves responsible for transmitting pain signals in the spermatic cord.

4) Nerve Removal

Once identified, the targeted nerves are selectively removed to disrupt the pain signals and provide relief.

5) Closure and Recovery

After the procedure, the incisions are closed, and patients are monitored before being discharged. Recovery time is typically minimal.

Chronic Testicular Pain: Benefits of Microscopic Denervation

Microscopic Denervation of the Spermatic Cord test pain specialist new yorkMicroscopic denervation of the spermatic cord offers several benefits for patients suffering from chronic testicular pain, including:

Pain Relief

The procedure aims to provide long-lasting relief from testicular pain, improving the patient’s quality of life and overall well-being.

Minimally Invasive

The procedure is minimally invasive, resulting in smaller incisions, less scarring, and faster recovery compared to traditional open surgery.

Precise and Targeted

The use of high-powered microscopes allows for precise identification and removal of the pain-causing nerves while preserving surrounding tissues.

Improved Quality of Life

By alleviating chronic testicular pain, patients can regain their ability to engage in daily activities, work, and enjoy life without the burden of persistent pain.

Contact Fifth Avenue Urology for Expert Urological Treatment

If you or someone you know is seeking relief from chronic testicular pain, the team of experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, is here to help. Our urological practice specializes in microscopic denervation of the spermatic cord and offers personalized care tailored to your specific needs.

Take the first step towards a pain-free life by contacting Fifth Avenue Urology today:

FIFTH AVENUE UROLOGY

4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com

Sacral Neuromodulation: A Revolutionary Treatment for Bladder and Bowel Control

In this article, we will explore the potential of sacral neuromodulation and its benefits for patients. For individuals struggling with bladder and bowel control issues, even the simplest daily activities can become challenging and distressing. However, thanks to advancements in medical technology, there is newfound hope in the form of sacral neuromodulation. This revolutionary treatment offers a promising solution for those seeking improved bladder and bowel control.

Understanding Sacral Neuromodulation

Sacral neuromodulation is a minimally invasive procedure that involves the implantation of a small device known as a neurostimulator. This device is placed near the sacral nerves, which control bladder and bowel function. By sending mild electrical impulses to these nerves, this treatment can help regulate and improve bladder and bowel control.

The Treatment Process

The process of sacral neuromodulation typically involves the following steps:

  1. Evaluation: Before undergoing the procedure, a thorough evaluation will be conducted by a urologist to determine the appropriateness of  neuromodulation for the patient’s specific condition.
  2. Trial Phase: In some cases, a temporary device will be implanted for a trial period to assess the effectiveness of the treatment. This helps both the patient and the urologist determine whether sacral neuromodulation is a suitable option.
  3. Permanent Implantation: If the trial phase is successful, a permanent neurostimulator device will be implanted. This device is typically placed under the skin in the upper buttock area during a minimally invasive surgical procedure.
  4. Programming and Adjustment: After the implantation, the urologist will program the neurostimulator to deliver electrical impulses tailored to the patient’s specific needs. The settings can be adjusted as necessary over time to optimize effectiveness.

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Benefits of Sacral Neuromodulation

Sacral neuromodulation offers several benefits for patients struggling with bladder and bowel control issues, including:

  1. Improved Quality of Life: By restoring bladder and bowel control, sacral neuromodulation can significantly enhance a patient’s quality of life, allowing them to regain independence and engage in daily activities without limitations.
  2. Minimally Invasive: The procedure is minimally invasive and typically does not require a lengthy hospital stay. Patients can often resume their normal activities relatively quickly.
  3. Personalized Treatment: The settings of the neurostimulator can be customized to meet each patient’s specific needs, ensuring optimal control and symptom management.
  4. Reversible: If necessary, the neurostimulator can be adjusted, turned off, or removed entirely. This provides flexibility and allows for personalized treatment adjustments over time.

Contact Fifth Avenue Urology for Expert Urological Treatment

If you or someone you know is seeking effective bladder and bowel control solutions, the team of experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, is here to help. Our urological practice specializes in sacral neuromodulation and offers personalized care tailored to your specific needs.

Don’t wait any longer to seek the treatment you deserve. Reach out to Fifth Avenue Urology now and take the first step towards a life of improved bladder and bowel control.

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

Unlocking the Power of Bladder Botox: A Comprehensive Guide to Overcoming Urinary Incontinence

urinary incontinence and treatment

In this comprehensive guide, we will explore how bladder Botox can help in overcoming urinary incontinence, a common condition that can significantly impact a person’s quality of life. If you or someone you know is struggling with urinary incontinence, there is hope. Advances in medical technology and treatments have provided effective solutions to help overcome this condition. One such innovative treatment is bladder Botox.

Understanding Urinary Incontinence

Urinary incontinence refers to the involuntary leakage of urine. It can occur due to various factors, including weak pelvic floor muscles, nerve damage, or bladder dysfunction. The condition can affect people of all ages and genders, causing embarrassment, social anxiety, and a decreased quality of life.

bladder botox for urinary incontinence 2023

Introducing Bladder Botox as Urinary Incontinence Treatment

Bladder Botox, also known as onabotulinumtoxin-A, is a non-surgical treatment option for urinary incontinence. Botox, derived from the bacterium Clostridium botulinum, works by temporarily paralyzing the bladder muscles, reducing bladder contractions and the urge to urinate.

The Bladder Botox Treatment Process

The procedure involves the following steps:

  1. Preparation: Before the treatment, a urologist will evaluate your medical history, perform a physical examination, and discuss the procedure in detail.
  2. Anesthesia: Local anesthesia or sedation may be used to ensure your comfort during the procedure.
  3. Injection: Botox is injected into multiple sites in the bladder using a thin cystoscope. The procedure is typically quick and minimally invasive.
  4. Recovery: You will be monitored for a short period after the procedure to ensure there are no immediate complications. Most patients can return home on the same day.

bladder-botox-diagram

Benefits of Bladder Botox

Bladder Botox offers several benefits for those suffering from urinary incontinence, including:

  1. Improved Bladder Control: Botox injections help relax the bladder muscles, reducing urgency, frequency, and urge incontinence.
  2. Minimally Invasive: The procedure is performed on an outpatient basis, minimizing the need for extensive hospital stays or recovery time.
  3. Long-Lasting Results: The effects of bladder Botox can last for several months, providing relief from urinary incontinence symptoms.
  4. Enhanced Quality of Life: By regaining control over bladder function, individuals can experience a significant improvement in their overall quality of life.

Contact Fifth Avenue Urology: Bladder Botox for Urinary Incontinence

If you’re ready to regain control over your bladder and overcome urinary incontinence, the team at Fifth Avenue Urology is here to help. Led by Dr. Yaniv Larish, our experienced urologists specialize in providing comprehensive urological care, including bladder Botox treatment.

Don’t let urinary incontinence limit your activities or hinder your confidence any longer. Take the first step towards a better quality of life by contacting Fifth Avenue Urology today:

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

Website: https://www.fifthavenueurology.com/

Testicular Cancer: Symptoms, Diagnosis, and Treatment

Testicular cancer is a relatively rare but highly treatable form of cancer that primarily affects young men. Early detection, understanding the symptoms, and seeking prompt medical attention are crucial for successful outcomes. In this article, we will explore the symptoms, diagnosis, and treatment options for this type of cancer.

Testicular Cancer info nyc urologist

Symptoms of Testicular Cancer

Recognizing the signs and symptoms is essential for early detection. Common symptoms include:

  • Lump or Swelling: A painless lump or swelling in the testicle is often the first noticeable symptom of testicular cancer.
  • Testicular Pain or Discomfort: Some men may experience pain or discomfort in the testicles or scrotum.
  • Heaviness or Achiness: A feeling of heaviness or achiness in the lower abdomen or scrotum can be an indicator of testicular cancer.
  • Changes in Testicular Size or Shape: Testicles may appear enlarged or irregular in shape.
  • Fluid Accumulation: Some men may notice a buildup of fluid in the scrotum.

Diagnosis of Testicular Cancer

If you experience any symptoms or notice any abnormalities, it’s important to seek medical attention for proper diagnosis. The diagnostic process may involve:

  • Physical Examination: Your doctor will perform a physical examination of the testicles to check for any lumps, swelling, or irregularities.
  • Imaging Tests: Imaging techniques, such as ultrasound, may be used to examine the testicles and surrounding areas to identify any tumors or abnormalities.
  • Tumor Marker Blood Tests: Blood tests, including alpha-fetoprotein (AFP), beta-human chorionic gonadotropin (β-HCG), and lactate dehydrogenase (LDH) levels, can help detect certain markers that may indicate testicular cancer.
  • Biopsy: If a suspicious lump is found, a biopsy may be performed to confirm the presence of cancer cells.

Symptoms of Testicular CancerTreatment Options

The treatment approach for testicular cancer depends on various factors, including the type and stage of the cancer. Common treatment options include:

  • Surgery: Surgical removal of the affected testicle, known as a radical inguinal orchiectomy, is typically the first step in treating testicular cancer.
  • Chemotherapy: Chemotherapy may be recommended to destroy cancer cells and prevent their spread to other parts of the body.
  • Radiation Therapy: High-energy X-rays or other forms of radiation are used to target and kill cancer cells.
  • Surveillance: In some cases, surveillance or active monitoring may be appropriate for early-stage or low-risk cancers, with regular check-ups and imaging tests to monitor for any changes.

Contact Fifth Avenue Urology for Expert Urological Treatment

If you suspect or have been diagnosed with testicular cancer, the team of experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, is here to provide comprehensive and compassionate care.

Don’t delay in seeking expert guidance. Contact Fifth Avenue Urology today to schedule an appointment:

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

Website: https://www.fifthavenueurology.com/

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