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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.


Top Urologists: Benign Prostatic Hyperplasia (BPH)

The prostate is a small gland of the male reproductive system. It’s around the urethra, which is the passageway for the flow of urine. It is responsible for much of the fluid in the semen. Moreover, the function of the prostate is to expel the fluid through the penis. It uses muscular force to create this propelling action inside the penis.

Many men face the troubles of an enlarged prostate. This complication is usually a result of the aging process. A highly troublesome condition leads to many symptoms and difficulties. Fortunately enough, there are treatments for this occurrence.

Benign Prostatic Hyperplasia (BPH)

Benign prostatic hyperplasia is the enlargement of the prostate. A complication occurs due to the excessive prostate gland cells. When the cells of the prostrate start multiplying, it causes the gland to grow abnormally and press upon the urethra. This squeeze on the urethra starts to obstruct the flow of the urine. Therefore, a person with BPH faces plenty of urinary problems.

Urologists | Benign Prostatic Hyperplasia
(source)

People tend to confuse this condition with prostate cancer. However, it is completely different. This condition does not correlate to cancer; neither does it increase your risks of cancer. However, it can still cause disturbing symptoms. These symptoms can drastically affect your quality of life. It is most common amongst men of age fifty and older.

BPH Symptoms

The symptoms of Benign Prostatic Hyperplasia start as mild and then go on to become very serious depending on how fast someone gets treatment. Prolonging this condition will lead to more concerning symptoms. The most common symptoms include:

  • Incomplete emptying of the bladder
  • Blood in the urine
  • (refers to symptoms that cause you to urinate more than two times every night)
  • Pain while urinating
  • Excessive drops after long urine stream
  • Delayed stream of urine
  • Unexpected leaking of urine
  • Sudden urination urges
  • A weak stream of urine (not enough urine pressure, due to the bad functions of the bladder)
  • Trouble urinating without applying strain

BPH Causes

The exact cause of this condition is unknown. However, the most common cause is the aging process. When a person starts to age, the body starts to undergo certain hormonal changes. Furthermore, certain cells start to deteriorate, and abnormalities start to show. Thus, male sex hormone changes may be a cause of BPH.

Another probable cause could be the inheritance of a defective gene. If this condition commonly runs in your family, then you are also at risk of BPH. This does not apply to BPH alone; it can also include any medical abnormalities of the prostate or urinary tract. Lastly, this condition is also rare amongst men that undergo testicle removal at a young age.

BPH Treatment

People that suffer from BPH usually have to resort to self-care solutions initially. In some cases, self-care measures work tremendously. Nevertheless, the doctor is likely to treat the patients with medications, or in extreme cases, surgery. The treatment may also depend on the age of the patient and whether they are in the condition to undergo extensive surgery.

Apart from medication, a patient can seek comfort in these steps by taking a few measures. These include timely urination at the exact moment of the urge. Furthermore, a patient should be consistent in going to the bathroom to ensure that their bladder remains empty. This is important because having a half-empty bladder for a patient with BPH can lead to unwanted leakages.

Benign Prostatic Hyperplasia Urologists
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Moreover, avoiding substances that put stress on your bladder is another way to subdue the lasting symptoms of BPH. Thus, patients should stay away from substances such as alcohol, caffeine, and certain medications. Other times, doctors advise patients to stay away from stressful situations. If you suffer from mild level BPH, you must keep your mental health in check. Being under the burden of stress can have negative impacts on your bladder and urine frequency.

Another beneficial habit for BPH patients is exercise. Lack of exercise will only lead to the worsening of your condition. Some people advise Kegel exercise for patients. This exercise involves certain movements that strengthen your pelvic muscles.

Benign Prostatic Hyperplasia Urologists: Conclusion

If you or anyone you know suffer from prostate or bladder issues, such as Benign Prostatic Hyperplasia, visit Fifth Avenue Urology, a medical practice in New York City whose renowned doctors offer you the experience and expertise to best treat BPH and related issues.

FIFTH AVENUE UROLOGY
4 East 76th Street

New York, NY 10021
212-675-3186

Visit our website for more information.

Urology: Bladder Cancer

The bladder is a hollow organ present in the lower pelvis of the body. The bladder can stretch to store urine and squeeze to allow excretion through the urethra. Kidneys produce urine, and it passes through two veins, ureters, into the bladder. Cancer in the bladder develops when cells start growing abnormally inside the bladder. This can happen to the layers that make up the bladder from either the inside or the outside.

Bladder Cancer & Urology

Rare Types of Bladder Cancer

Adenocarcinoma

Adenocarcinoma occurs in the glands’ epithelial, which secrete mucus. It is a very rare form of bladder cancer. Moreover, it is “invasive,” which means it spreads into the layers of the bladder deeply, becoming difficult to treat.

Squamous Cell Carcinoma

Rarely occurring in the US, squamous cell carcinoma occurs mainly due to chronic inflammation and irritation of the bladder. Thus, cancerous cells in the bladder lining develop, and this type of cancer is also invasive. The reason for irritation can be the use of a urinary catheter to treat bladder conditions or draining urine by inserting a catheter through the penis.

Carcinoma of Small Cell

Small cell carcinoma refers to the development of abnormal neuroendocrine cells. These nerve-like cells spread cancer into the bladder and to the other parts of the body through it aggressively.

Sarcoma

Sarcoma occurs due to the development of abnormal and cancerous cells in the bladder muscles. It is, however, very rare in the US.

The Most Common Type of Bladder Cancer

The most common type of bladder cancer is Urothelial Carcinoma or simply Transitional Cell Carcinoma (TCC). It affects the bladder’s inner lining, which contracts and stretches when passing or storing urine. Furthermore, these Urothelial cells are present in the ureters as well as the urethra, which means that tumors can also develop in these parts of the urinary tract as well.

Invasive, Non-Invasive & Superficial

These two terms describe the different types of bladder cancer.

  • Invasive

This type of cancer, such as TCC, does not reach deeper layers, but instead, it occurs on the inner layers of the organ.

  • Non-Invasive

Non-Invasive cancer, however, occurs in the deeper layers of the bladder and other organs of the body. And, due to its tendency of spreading further, it is difficult to control and treat.

  • Superficial

This refers to both the above types of bladder cancer that have not reached the major muscle layers.

Factors Contributing to Risk of Bladder Cancer

  • Genetic History of Cancer; if any family member has bladder cancer, it is possible that you might get it too. It is not contagious, but if you had bladder cancer before, you could get it again.
  • Smoking; Body processes harmful chemicals and secretes them through urine. These harmful substances can damage the lining of the bladder as that is where it stores urine before excretion.
  • Age; aging causes the weakening of the body. Most likely, bladder cancer occurs in men of age over 50.
  • Chemical Absorption; certain chemicals such as those in the manufacture of tires, textiles, paints, or even arsenic chemicals can cause bladder cancer.

Symptoms of Bladder Cancer

  • Blood in Urine or Semen, sometimes the blood might only be visible through lab test of the urine
  • Urination occurs frequently and causes pain
  • Pain in the pelvic and lower abdominal area of the body

If you are experiencing any of these symptoms, either at acute or chronic levels, contact Fifth Avenue Urology.

Bladder cancer and urology
(Source)

Bladder Cancer Urology Treatments

Urologists in the US employ various techniques and medications to treat bladder cancers. Some common treatments for bladder cancer are as below.

For Non-Invasive Bladder Cancer

  • Intra-vesical therapy involves the use of a urinary catheter to apply different medical therapies on the bladder. These often include BCG, and it prevents the progression and reoccurrence of tumor in the bladder
  • Transurethral Resection applies to patients with large tumors. Surgeons use a cystoscope to cut out the tumor. They also keep a visual of the bladder through a small T.V insertion in the bladder. Despite the resection, the incisions are not visible on the body.
  • Cystoscopy: modern cystoscopy allows surgeons to insert microscopic equipment into the bladder. Electrical cautery and laser treatments enable the treatment and cauterization of the tumor in the bladder. In the case of small tumors, there may even be complete removal.

For Invasive Bladder Cancer

  • Chemotherapy and Radiation Therapy; radiation therapy allows the destruction of cancerous cells through x-rays. On the other hand, chemotherapy involves injecting a drug that disperses in the whole body and treats cancerous cells.
  • Cystectomy; involves the removal of bladder and or prostate in men. In the case of women, portions of the vagina, ovaries, bladder, and uterus require dissection and removal.

Conclusion: Consult With Experienced Urologists For Bladder Problems

Visit the Fifth Avenue Urology website to find out more. Give us a call at 212-675-3186 to schedule an appointment and give us a visit for a personal checkup firsthand at 4 East 76th Street New York, NY 10021.

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

 

 


References

  1. https://www.cdc.gov/cancer/bladder/
  2. https://www.cancer.net/cancer-types/bladder-cancer/introduction
  3. https://www.cancer.net/cancer-types/bladder-cancer/types-treatment
  4. https://urology.ufl.edu/patient-care/urologic-oncology/urologic-cancers/bladder-cancer/
  5. https://www.urologyhealth.org/urology-a-z/n/non-muscle-invasive-bladder-cancer
  6. https://www.mayoclinic.org/diseases-conditions/bladder-cancer/diagnosis-treatment/drc-20356109
  7. https://www.mayoclinic.org/diseases-conditions/bladder-cancer/symptoms-causes/syc-20356104
  8. https://www.cancer.org/cancer/bladder-cancer/about/what-is-bladder-cancer.html

6 Common Urological Problems Men Face

What are the common urological problems that men have? Urology is a medicinal and doctoral branch that accounts for urinary tract-related conditions and diseases men and women experience. The body’s urinary tract system works to regulate and manage the passage of urine. In males, the reproductive organs are also part of this.

Urology pertains to organs like the bladder, ureter, urethra, kidney, and other reproductive organs inside the body. Men and women both can experience urological problems or diseases due to aging, injury, genetic problems, or even birth defects.

Urological diseases affect the urinary tract system and the body organs associated with it. These conditions can be acute or chronic depending on the age, injury, or for the time that these conditions have persisted.

Below are some of the most common urological problems and diseases that men experience at some point during their lifetime that often lead to a disturbing and unhealthy lifestyle causing stress and loss of focus.

Common Urological Problems In Men
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6 Common Urological Problems Men Face

Some urinary tract-related issues cause minor symptoms that do not significantly impact men’s lifestyle. On the contrary, some urological conditions do have the tendency to cause more pain and induce other effects on the male reproductive and urinary organs. If left untreated for long periods, these conditions can lead to serious illnesses.

1.     BPH

Short for Benign Prostatic Hyperplasia or Benign Prostatic Hypertrophy, BPH is a condition most common for older men. Due to aging a prostate gland may start enlarging. The most common age for this condition is around 50 years in men. Researchers have not found clear reasons as to why this condition may occur in men. The symptoms of BPH include:

  • Fullness in the bladder
  • Difficulty starting or stopping urination
  • Urge to go urinate suddenly
  • Straining during urination
  • Dripping at the end of urination

These symptoms occur because the enlarged prostate weakens the urethra, causing a weaker flow of urine.

2.     Erectile Dysfunction

Erectile Dysfunction causes men to struggle to maintain an erection. Most common in older men, it can affect younger men as well. This might be due to stress and fatigue in lifestyle or simply aging. Symptoms of this condition are not painful but they can cause embarrassment, humiliation, stress, and even weaken your relationship.

3.     Prostatitis

This urological condition involves the inflammation and irritation in the prostate glands. This leads to difficulty in urination, often correlated with pain, fevers, pain in the abdomen or pelvic area, and Urinary Tract Infections (UTIs). Many urological problems in men affect the prostate.

Nonetheless, there can be misconceptions while figuring out what it is that you might experience. Therefore, seeking professional care and medicine may help well.

4.     UTIs

A urinary tract infection may occur due to several reasons. Having prostate inflammation or prostatitis are some common reasons. Conversely, it is evident that the presence of bacterium in the urinary tract causes UTIs. Some common symptoms of UTIs are:

  • Pain in the lower belly
  • Difficulty urinating
  • Cloudy urine
  • Burning when urinating

Consulting a medical professional specializing in urology is the best way to counter such conditions.

5.     Infertility and Testosterone Deficiency

Testosterone deficiency may occur due to a low sperm count in men. It may be genetic for some men. Causes for infertility may be the abnormality of sperm, weak sperm, low sperm count, or the inability of sperm to swim. Nonetheless, it can cause various difficulties for couples looking to conceive. This may be because of extreme stress or a loss in focus, but it can lead to a lack of sex drive.

6 Common Urological Problems In Men
(Source)

6.     Prostate Cancer

This is the second-largest cause of death in men due to cancer. This is different from BPH. However, prostate enlargement does occur. The main cause that doctors detected is the production of abnormal cells in the prostate glands. These can form tumors that, if left untreated, lead to cancer.

Early treatment is one of the best options to treat prostate cancer. Early detection allows you to take quick measures to reduce tumors and keep them under control. Regular checkups might be necessary. However, some symptoms of prostate cancer are:

  • Semen containing blood
  • Urine containing blood
  • Erectile dysfunction
  • Infertility experienced when trying to conceive
  • Weight loss
  • Weak urination
  • Pain in lower abdomen and bones

Conclusion: Consult With An Experienced Urologist

There are various treatments and medications in effect to counter urological diseases and conditions in men. More are under development, requiring further testing. Nonetheless, the best measures are preventative, which means being self-aware. Reporting such symptoms and initiating medications and treatments can help you avoid losses and discomfort, alongside other difficulties.

At Fifth Avenue Urology, we work with the best professional urological experts who can treat you with patience and respect. Our doctors view these opportunities as privileges. So, if you are experiencing these symptoms and are unsure of the reasons you can visit our contact us page.

Give us a call to book an appointment at 212-675-3186. Or visit us in person for a detailed medical checkup at 4 East 76th Street, New York, NY 10021.


References

  1. https://www.healthgrades.com/right-care/mens-health/7-reasons-for-men-to-see-a-urologist
  2. https://www.urologyhealth.org/urology-a-z/b/benign-prostatic-hyperplasia-(bph)#:~:text=Some%20researchers%20believe%20that%20factors,of%20estrogen%2C%20a%20female%20hormone.
  3. https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087

Suffering from Erectile Dysfunction? Causes and Treatment

What are the causes and treatment for Erectile Dysfunction (ED)? ED simply refers to the inability of getting or maintaining an erection. This happens to men as they age, but may sometimes happen to younger men. There are a variety of reasons for erectile dysfunction.

Causes of Erectile Dysfunction

Stress, anxiety, or fatigue often leads to men losing sexual drive resulting in impotency (erectile dysfunction). These and other mental problems can occur due to work, social or even personal life issues with your spouse.

Health conditions such as diabetes, heart diseases, weakening of arteries and veins, or weakening of the heart muscles, etc are among a few issues that can cause or worsen ED in men.

Drugs can also weaken the arteries and veins, causing erectile dysfunction. Sometimes, the medications used for treating various health conditions such as prostate conditions, high BP or even pain can cause ED.

Damage and/or injuries to arteries or veins responsible for carrying blood to the penis for firm erection can lead to erectile dysfunction. Damage can be severe or minor. However, minor injuries reciprocate through proper medication and even surgeries.

As for as older men go, most of them tendency to remain sexually functional till their 60s or even their 80s. Therefore, old age isn’t necessarily the only reason behind ED.

Erectile Dysfunction Treatment NYC
(Source)

Symptoms

Here are some common symptoms that people with ED face:

  • Trouble maintaining an erection during sex
  • Trouble getting an erection due to lack of blood flow to the penis (chronic)
  • Soft erection throughout the sex
  • Reduced sex drive

These common symptoms of ED are persistent throughout men who experience ED. Nonetheless, there are natural as well as traditional medicines that can help you treat erectile dysfunction. Depending on the state of ED you can contact a doctor or urology expert like Dr. Larish at Fifth Avenue Urology who can help you through the treatment and provide you with the best measures to prevent ED. Visit Fifth Avenue Urology’s website here for more info on Urology by Dr. Larish.

Treatments & Prevention of Erectile Dysfunction

ED treatments generally depend on its causes. Therefore, you might have to start with a combination of treatments which might consist of physical and mental therapy. You can work with a professional like Dr. Larish at Fifth Avenue Urology to help identify the cause of ED and choose the proper treatments.

As mentioned before, emotional treatments could be vital for men suffering from ED due to emotional or mental effects. Emotional problems can consist of anxiety, stress, depression, or lack of mental stimuli during sex.  Many professionals prefer talk therapies and counseling to work out any mental issues such as fatigue, stress, or anxiety.

Other problems such as conflict in relationships or the lack of stimulation in certain sexual criteria are also the point of discussion during these therapies. With a healthy relationship with your spouse and by resolving mental and emotional issues causing strain on the sexual performance, you can move past the barriers of erectile dysfunction and enjoy a happy and satisfying sexual life.

Top Erectile Dysfunction ED Treatment NY
(Source)

Many physical treatments are restricted to oral medications, injections and some checkups at your doctor’s. Your doctor could also ask you to stop taking your old medications that affect your sexual performance. Instead, he or she might prescribe you to take medicines such as Viagra, Cialis or Stendra. These medications promote healthy blood flow to your penis by relaxing hardened arteries and veins that leads to a firm erection.

Moreover, your doctor might prescribe you Alprostadil to inject to the base or side of the penis. This will also enable a firm erection through healthy blood flow. Further, there are various other techniques to overcome the difficulties of ED:

  • You can use penile implants
  • Vacuums to pump blood into the penis for firm erection
  • Surgeries (laser) to vaporize excess tissue on the prostates
  • Vascular repair inside the penis that will prevent blockage to blood flow

There are also some preventative measures you can take to avoid going “down” the ED road.

  • Stop alcohol consumption
  • Stop smoking
  • Do cardio exercises
  • Maintain a healthy sleep routine and diet
  • Avoid taking unnecessary stress
  • Avoid conflicts with your spouse

Consult Fifth Avenue Urology for Problems with Erectile Dysfunction

Dr. Larish at Fifth Avenue Urology can help you with ED. With years of expertise in urology, he provides compassionate and effective care to his patients.

Book an Appointment: 212-675-3186

Fifth Avenue Urology
4 East 76th Street
New York, NY
10021

Visit our main website for more information.


References:

  1. https://www.medicalnewstoday.com/articles/5702#treatment
  2. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment
  3. https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776
  4. https://www.urologyhealth.org/urology-a-z/e/erectile-dysfunction-(ed)
  5. https://www.healthline.com/health/erectile-dysfunction#_noHeaderPrefixedContent

Urology: Prostate Cancer Treatment

The prostate gland is present in the pelvis area behind the bladder. It is responsible for producing seminal fluid, which nourishes and helps transport sperm. The urethra in the middle of the prostate gland, and it’s responsible for carrying sperm out of the penis during ejaculation. Prostate cancer can occur when cells grow abnormally inside the prostate gland.

Urologist for prostate cancer treatment NYC
(Source)

However, there are few incidents of prostate cancer being fatal. In fact, in many cases, patients of prostate cancer and their doctors might even be unaware.

Types of Prostate Cancer

The most common prostate cancer is Adenocarcinoma. Others include:

  • Sarcoma
  • Small Cell Sarcoma
  • Neuroendocrine Tumors
  • Transitional Cell Carcinoma (TCC)

Prostate Cancer: Symptoms

It is advisable that you visit your doctor or have contact with Dr. Larish at Fifth Avenue Urology to work out the diagnosis and find out if you have prostate cancer or not. Initially, there are no significant symptoms of Prostate cancer. Nevertheless, some symptoms do develop at later stages of prostate cancer.

  • Frequent urge to urinate
  • Straining during urination
  • Pain in urination
  • Blood in urine or semen
  • Pain in the pelvic and lower abdominal area
  • Back pain
  • Infertility, in chronic cases
  • Swelling of one or two testicles

Although swelling of a testicle appears as a symptom of prostate cancer, it is not always the case. On the contrary, some men experience testicle enlargement due to their physical growth.

  • Erectile Dysfunction may occur due to prostate cancer or its treatment.
  • Prostate Cancer can metastasize. This means the spreading of cancer cells to other organs and parts of the body. It can spread to bones through lymph nodes and even affect the urinary tract system or the bladder.

Risk Factors

  • Family history- cancerous diseases, especially in close relatives such as siblings or parents, pose the probability of getting prostate cancer
  • Aging
  • Smoking and drugs
  • STDs
  • Various research is underway to confirm that after vasectomy, a man increases the chances of getting prostate cancer

Diagnoses

If you have experienced any of the symptoms above or feel that you might have prostate cancer, it is a good idea to visit a professional Urologist. Dr.Larish at Fifth Avenue Urology is a top nyc urologist with immense expertise in the field. Some of the diagnostic procedures are as mentioned below.

  • Urologist will assess your previous cancer history if there is any
  • He might also assess your family’s history of cancerous diseases
  • Urine sample for lab tests
  • Sperm samples for lab tests
  • Blood sample test to check the level of Prostate-Specific Antigen (PSA)

Under a high PSA level in your blood, the urologist may also advise MRI scans.

Best NYC Urologist | Prostate Cancer
(Source)

Prostate Cancer: Treatment

Your urologist will work with you to produce various combinations of treatment techniques and methods depending on the stage of your prostate cancer. Some common treatment methods of prostate cancer are as below.

  • Radiation Therapy; involves the use of high-energy x-rays to vaporize and cauterize the excess and abnormal cancerous cells present in the prostate gland or around it.
  • Chemotherapy; involves administering a drug that disperses throughout the body to prevent the progression and further spread of the cancerous cells.
  • Surgery; Safe surgical procedures also take place in order to remove the tumor(s) of the prostate gland entirely.
  • Hormone therapies; involve the urologist administering drugs that lower the testosterone levels in the body. Testosterone might serve as a fuel for cancerous cell development in the prostate gland. Therefore, reducing levels of testosterone can prevent the further progression of cancer.

Prevention of Prostate Cancer

Researchers and urologists advise certain prevention techniques to reduce the risk of prostate cancer. These areas are mentioned below.

  • A healthy diet involving a variety of colorful fruits and vegetables to provide anti-oxidants, which prevent the production of cancerous cells in the body
  • Exercising regularly or frequently every week to sustain a healthy blood flow
  • Avoiding sedentary lifestyles (excessive sitting, obesity, or unnecessary cycling)

Conclusion: Consult with an Urologist

At Fifth Avenue Urology, Dr. Larish provides extremely professional and compassionate care to his patients. He can diagnose prostate cancer and find suitable treatments.

Fifth Avenue Urology
4 East 76th Street
New York, NY 10021

Book an appointment: 212-675-3186

Or Contact us on our main website.


References:

  1. https://www.nhs.uk/conditions/prostate-cancer/diagnosis/#:~:text=The%20GP%20is%20likely%20to,bottom%20%E2%80%93%20called%20digital%20rectal%20examination
  2. https://www.cancer.gov/types/prostate
  3. https://www.cancercenter.com/cancer-types/prostate-cancer/symptoms?invsrc=non_branded_natural_search_google
  4. https://www.medicalnewstoday.com/articles/150086
  5. https://www.nhs.uk/conditions/prostate-cancer/
  6. https://www.uclahealth.org/urology/prostate-cancer/what-is-prostate-cancer
  7. https://www.pcf.org/about-prostate-cancer/prostate-cancer-treatment/hormone-therapy-prostate-cancer/
  8. https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/how-diagnosed.html
  9. https://www.cancer.org/cancer/prostate-cancer/about.html
  10. https://www.cancer.org/cancer/prostate-cancer/causes-risks-prevention/risk-factors.html
  11. https://www.urologyhealth.org/urology-a-z/p/prostate-cancer
  12. https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087

Urethral Stricture Causes & Treatment

What is a urethral stricture? The urethra is a tube that transfers urine from the bladder to the penis. This hollow tube starts from the lower bladder opening, stretching throughout the length of the penis. In women, the length of the tube is around 2.5 to 4 cm in length. The opening of this tube is short in contrast to men’s, stretching from the lower bladder. The urethral sphincter is a muscle surrounding the urethra in both women and men. This muscle keeps the urine inside the bladder by closing the urethra. The muscle relaxes before urination, allowing the urine to pass through the urethra from the bladder.

Urethral Stricture | Causes & Treatment NYC
(Source)

Causes of a Urethral Stricture

The urethral stricture shrinks the opening of the urethra. This usually happens when the tissue starts to swell because of scar tissue. The tissue might scar for numerous reasons and factors. Men with penile implants and young boys with hypospadias surgery have a higher risk of developing urethral strictures.

A common type of trauma, straddle injury, may lead to urethral stricture. For instance, if you fall on fences and hit the area near your scrotum, you might develop a straddle injury. Here are some other causes of urethral stricture:

  • Catheter insertion
  • Pelvic fractures
  • Radiation
  • Benign prostatic hyperplasia
  • Prostate surgery

Here are some rare causes of urethral stricture:

  • Chlamydia, gonorrhea, or other sexually transmitted infections
  • Repetitive or untreated urinary tract infections
  • A tumor developing near your urethra

Symptoms of Urethral Stricture

The most common symptom of urethral stricture is a weak urinary system. Here are some symptoms of urethral stricture:

  • Pain while urinating
  • Straining when urinating
  • Prostatitis
  • Urinary tract infection

People who are unable to develop severe urethral strictures lose their ability to urinate. This is a medical emergency, and you can refer to it as urinary retention. Renal failure and hydronephrosis might occur due to poor drainage of your bladder, and it fills in the kidney.

The urethral stricture will lead to inflammation in the prostate region. The prostate surrounds the urethra under your bladder. You can refer to this condition as prostatitis. You might develop a urinary tract infection due to urinary backup. You can manage this condition using antibiotics and treating the urethral stricture. More importantly, you should visit a urologist for diagnosis and suitable treatment options.

Diagnosis of Urethral Stricture

Your doctor will use different approaches for the diagnosis of urethral stricture:

·       Understanding the Symptoms

When you visit the doctor, they will ask various questions to identify the symptoms you are experiencing. You can also self-report the symptoms if they are prominent. Furthermore, the doctor will ask about your medical history to recognize the risk factors of the condition.

Urethral Stricture Treatment | Top Urologist NYC
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·       Undergoing Physical Examination

The urologist will perform a simple physical examination and try to identify the urinary stricture. For instance, the possible symptoms that the doctor will observe while the physical inspection is redness, swell, and harness on the penile region.

·       Conducting Tests

To identify the condition and diagnosing the urethral stricture, the urologist will also perform these tests:

  • Gonorrhea or chlamydia
  • Measuring urethral opening’s size
  • Measuring flow rate while urinating
  • Analysis of chemical and physical urinary properties and determine the presence of bacteria.
  • In this diagnosis process, the urologist will insert a small tube containing a camera. This device helps the doctor to view the urethra and bladder. This way, they can ensure the presence of the condition.

Treatment of Urethral Strictures

The treatment process will depend on your condition’s severity:

·       Nonsurgical

Dilator – The urologist will use a dilator to widen the urethra. The dilator is a medical instrument and helps with the primary treatment mode. This procedure is outpatient, and you can return home after the treatment. The doctor will pass a small wire in the bladder through the urethra and start dilating. After some time, the urologist will start using the larger dilators to increase the urethra’s width.

Catheter – In another nonsurgical option, the urologist will insert a urinary catheter permanently. Doctors only opt for this treatment in severe cases. This procedure has risks such as urinary tract infection and bladder irritation.

·       Surgery

If nonsurgical treatment does not work, the urologist will perform surgery to remove the affected tissue. For severe and longer stricture, you can go through open urethroplasty. The urologist will remove the tissue and reconstruct the urethra.

·      Urine Flow Diversion

In severe cases, the urologist will use the procedure for complete urinary diversion. The surgeon will reroute the urine to the abdomen’s opening. They will use the intestines and connect the opening to the ureters. The surgeon will perform this treatment when they find the need to remove the damaged bladder.

Other Surgical Options for Urethral Stricture

The surgeon will recommend you, anyone, out of these surgical options, depending on your condition:

  • DVIU or direct vision internal urethrotomy
  • Urethral dilation
  • Open urethral reconstruction
  • Urethral stent placement

Urethral Strictures: Conclusion

If you experience pain or strain while urinating, consult with one of the best urologists in New York City, Dr. Yaniv Larish. You can set-up an appointment with the urologist by contacting us at 212-675-3186 or visit our main website to learn more: Fifth Avenue Urology.

Urologist for Kidney Stones

Do you need a urologist for kidney stones? The kidney’s function is to purify your blood by removing wastes and excess fluid from your blood. They are responsible for the essential forming of urine and keep our blood free of toxic and foreign material. However, sometimes the toxicity inside our blood becomes too much for our kidneys to handle, and this leads to complications.

Urologist for Kidney Stones NYC
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Kidney Stones

You can also refer to kidney stones as renal calculi. In terms of physical shape, kidney stones look like small crystals. Most often, these stones will form inside a patient’s kidney. However, their formation can occur anywhere between the urinary tract. This involves the ureters, bladder, and urethra. Their creation inside the body is usually due to the excessive intake of particular substances. These substances may include many things, and thus, you find different types of kidney stones inside a person.

Types

Below are some of the examples of Kidney stones. You can find different deposits in a person with impure blood.

Calcium Stones

This type of stone deposit or creation occurs from having food that is rich in oxalates. This type of condition is most common for people. The foods that most commonly put you at risk of this condition are the following:

  • Spinach
  • Potatoes
  • Chocolate
  • Beets
  • Peanuts

You must be wary of over-consuming the foods mentioned above if you want to ensure that you do not develop the symptoms of calcium stones.

Struvite

You can find these stones developing mostly in women that suffer from urinary tract infections. They can be large and obstruct the urinary tract, making it hard for the patient to pass urine. Since they are mostly a result of a kidney infection, treating this condition involves anti-inflammatory measures to mitigate the infection’s effects.

Cystine

Unlike other stones, this condition is rare. They can be present in both men and women. However, one has to have the rare disorder of cystinuria. When a person suffers from this condition, an acid forms their kidneys and starts leaking into the urine, causing undeniable complications.

Uric Acid

Uric acid shows its presence mostly in patients suffering from gout. On the other hand, people going through chemotherapy may also develop uric acid. Moreover, you will notice that men most commonly go through this condition.

Best NYC Urologist for Kidney Stones
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A person will start facing troubles once their urine starts to become acidic. Usually, eating a purine-rich diet will increase the acidity of your urine. You can find purines in animal proteins such as fish, meats, and shellfish. In its physical form, it is a colorless substance.

Risks and Indications of Kidney Stones

The biggest indication of kidney stones occurs when you start producing less than one liter of urine each day. For this reason, you will find that kidney stones are most common in infants with kidney problems. They are also common occurrences for people between the age of 20 and 50.

You need to be wary of many factors that lead to kidney stone problems. These risk factors include:

  • Dehydration (water is essential for the health of the kidney)
  • Obesity (a person who is obese is more likely to have toxins – excessive substances in their blood that will become toxic)
  • Eating a diet that is rich in proteins, glucose, or salts
  • Intake of certain medications such as anti-seizure drugs and calcium-based antacids
  • Hyperthyroid Conditions
  • Inflammatory bowel diseases( in this condition, a person begins to over-absorb calcium)
  • Certain Surgeries

Symptoms of Kidney Stones

The most evident symptom of a kidney stone includes severe pain. The symptoms of a kidney stone begin to amplify once the stone starts to enter the ureters. Doctors refer to this pain as renal colic. Patients who suffer from this condition feel excruciating pain in the abdominal regions of their body. This pain can also travel to the back and groin areas of the bodies. Other symptoms of the kidney stone include:

  • Small amounts of urine streams when urinating
  • Blood in urine
  • Frequent urges to urinate
  • Vomiting
  • Fever
  • Nausea
  • Chills
  • The bad coloration of urine and foul smell

You must urgently visit a urologist if you come across these problems. Prolonging the visit to the doctor will increase the severity of the kidney stone condition. Avoiding treatment and checkups will lead to stone deposits entering the urinary tract. This will not only cause spasms in your ureters but also block the flow of the urine.

Conclusion

If you or anyone you know suffers from urinary tract infections or kidney stones, then you should get treatment from the best urologists in New York. We at Fifth Avenue Urology provide you with the best urologists in the city. Contact us at 212-675-3186, or visit our website for more information.

Prolapsed Uterus Causes & Treatment

Uterine prolapse is a disorder that relates to stretched and weakened pelvic ligaments and muscles. When this condition occurs, the muscles no longer provide support to the uterus. Consequently, the uterus swells out of the vagina or slips down. This condition may occur at any age in women. However, it mostly occurs in women who had vaginal deliveries. If you have mild uterine prolapse, you won’t require any treatment. You can seek help via treatment if you experience uncomfortable consequences due to this disorder.

Prolapsed uterus treatment NYC
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Symptoms of Prolapsed Uterus

With minor uterine prolapse, you won’t experience any symptoms. Conversely, moderate and severe prolapse might include these symptoms:

  • Vaginal bleeding
  • Problems during sexual intercourse
  • Strange feelings, as if you are sitting on a ball
  • Increased discharge
  • Heavy or pulling feeling inside your pelvis
  • The cervix or uterus sinking out of the vagina because of swelling
  • Problem emptying the bladder or developing bladder infections
  • Constipation or difficulty in passing stool

You should immediately visit an experienced doctor if you experience any of these symptoms. The doctor will diagnose you and treat the condition. Failure to seek timely medical attention might impair bladder, bowel, and sexual functions.

Causes of Prolapsed Uterus

You might develop this condition due to weakened muscles in the pelvic region. Here are some of the reasons for weak muscles:

  • Consistently lifting heavyweight
  • Pregnancy
  • Trauma during delivery, giving birth to a large baby or undergoing vaginal delivery
  • Chronic coughing
  • Straining during bowel movements
  • Pelvic surgeries
  • Weak connective tissues due to genetic factors
  • Drop in the levels of estrogen due to age factor. This mostly happens after menopause.

Risk Factors for Prolapsed Uterus

Uterine prolapse occurs in the following situations:

  • When you are post-menopausal
  • When you go through vaginal deliveries
  • If your family members had a prolapse

Menopause is when the ovaries lose their ability to produce hormones that trigger your monthly menstrual cycle. You are in a menopausal condition if you haven’t had a period of 12 months. During menopause, you stop producing estrogen, which helps in strengthening the pelvic muscles. When this happens, you are at a higher risk of developing prolapsed uterus.

Diagnosis for Prolapsed Uterus

Pelvic examination

You need to go through a pelvic exam to diagnose the disorder. The doctor will ask you to:

  • Sit down as if you have a bowel movement. This will help the doctor examine the uterus and estimate how much the uterus slips inside the vagina.
  • Tighten the pelvic muscles as you are stopping the stream of urine. This will help your doctor to test the strength of the pelvic muscles.

The doctor will ask you to fill out a questionnaire. This is to assess how the condition affects your life quality. After going through the diagnosis, the doctor will decide the best treatment option. After that, you will undergo urodynamic testing so the doctor can examine how your bladder is functioning.

Treatment for Prolapsed Uterus

The need for treatment depends on the severity of your condition. If you feel the prolapse is getting worse, you need to discuss it with your doctor. They will help you choose the best treatment option:

1.    Non-surgical Treatments

Here are some non-surgical treatment options:

  • Avoid lifting heavy objects
  • Decreasing stress from your pelvic structure by losing weight
  • You can use a pessary to stabilize your cervix and uterus. You need to insert this device into your vagina.
  • Perform Kegel exercises for strengthening your vaginal muscles.

According to some studies, you can use vaginal estrogen to strengthen and regenerate the vaginal tissue. Vaginal estrogen will help improve the results of various treatments. In contrast, it does not reverse the prolapsed itself.

2.    Surgical Treatments

The doctor might suggest various treatments to repair the prolapsed uterus. Vaginal or laparoscopic surgeries might help with the condition. Here are some surgeries that might help:

  • Hysterectomy or Removal of the Uterus

Hysterectomy is a safe treatment option but includes various complications. A doctor will recommend this surgery for uterine prolapse in various cases.

  • Repairing Weakened Tissues in Pelvic Region

The doctor will perform this surgery through the abdomen or vagina. In this treatment option, the surgeon will support the pelvic floor’s structure through synthetic material, donor tissue, or your tissue. This way, your pelvic organ gains crucial support.

Surgery options for prolapsed uterus are very effective but not suitable for women planning to have children. Childbirth and pregnancy exert a strain on your pelvic muscles, which affects the support for the uterus.

Urologist for prolapsed uterus NY
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Preventions for Prolapsed Uterus

There is no technique to prevent uterine prolapse, but you can reduce your risk of developing the conditions by incorporating these activities into your routine:

  • Maintaining your weight
  • Performing physical exercises daily
  • Practicing Kegel exercises
  • Undergoing treatments for disorders that increase the pressure in your pelvis, such as coughing or constipation

Conclusion: Consult an Expert Urologist

If you encounter any symptoms of a prolapsed uterus, you need to discuss with the urologist for treatment options. You can consult with Dr. Larish by calling at 212-675-3186 if you live in New York City. He will understand your disorder and guide you through the risk factors and benefits of the treatment. You can visit our clinic, Fifth Avenue Urology, for further information about the condition.

Overactive Bladder: Causes & Treatments

Overactive Bladder

An overactive bladder is a condition that triggers the sudden urge to urinate in unpredictable instances. It also causes involuntary accidents to happen in which people undergo the unexpected loss of urine. This condition causes millions in the world to suffer and is very difficult to manage.

The unpredictability of this condition makes it one of the toughest illnesses to treat and overcome. Women tend to suffer from it more than men. Apart from the physical toll, this condition has drastic psychological effects on a person. Since a person is vulnerable to urinating at any given moment, they tend to avoid social gatherings and stay isolated.

The psychological impact that this condition has causes a person to go into severe emotional distress. Bad mental health will also lead to other conditions that make a person’s overall health even worse. However, with the help of a few treatments, a person can manage to control their symptoms and improve their condition to quite an extent.

Overactive Bladder Causes & Treatment
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Overactive Bladder: Symptoms

Urine leakage is an occurrence that can happen regardless if you have a bladder problem. The excessive leakage of urine is an indication that you have an overactive bladder. Some people will also produce little leakage because of laughing too vigorously. Others produce slight leakage after holding urine inside the bladder for too long. However, this is not an indication that you have an overactive bladder.

You can find many indications that point to an overactive bladder. One of the most identifiable indications is the frequency of the urine. The most common symptoms of an uncontrollable bladder include:

  • Urgent need to urinate
  • Frequent loss of urine
  • Urge to urinate more than eight times on a given day
  • Frequently waking up during sleep to urinate

The symptoms of an overactive bladder vary depending on the person. Each individual with an overactive bladder can experience different symptoms depending on the circumstances. Therefore, it is very difficult to self-diagnose whether you have a bladder issue. For this reason, you must visit the doctor if you are undergoing the symptoms mentioned above.

How does it Happen?

Normally, a person urinates when their bladder is full. Once your kidneys finish purifying your blood, and the urine collects into the bladder, your pelvic muscles begin to contract. Then the brain sends a signal to your body, and you relax your pelvic muscles so that the urine can pass through your penis.

A patient suffering from an overactive bladder will experience bladder contraction even when the bladder is not full. Due to this, they feel a frequent urge to urinate regardless of whether they have a full bladder.

Factors That Put you at Risk

In some instances, the cause of an overactive bladder is faulty genetics. However, some habits are more likely reasons that lead a person to suffer from this condition. The factors that cause these symptoms include:

  • Drinking an excessive amount of fluid
  • Intake of certain medications that have side effects, which cause bladder issues
  • Abnormalities in the bladder
  • Overconsumption of caffeine
  • Alcoholism

Nonetheless, experts cannot point to the exact cause of an overactive bladder. The people with the highest risk are ones that fall in the age group of fifty and above. This shows that there is a strong correlation between aging and bladder problems. However, you should not undermine the symptoms even if you do not fall into the particular age group. This is because an overactive bladder is not an inevitable symptom of aging.

Diagnosis for Overactive Bladder

Initially, doctors diagnose the bladder and kidneys for abnormal urination to see if there is an infection. A doctor may ask you to provide them with a urine sample. This helps doctors confirm whether the urine has traces of blood in it. Another diagnosis that proves bladder abnormality is examining the bladder to see it completely empties after urination.

Overactive Bladder Treatment
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Doctors make these diagnoses with the help of certain tests. To check whether you have residual urine after urination, the doctor will make you undergo an ultrasound. In this process, they use the sound waves to encapsulate an image of the urine inside of the bladder.

Measuring the quantity of the urine, they can tell whether your bladder is indeed overactive. Other methods involve testing the urine flow rate in comparison to a person’s fluid intake and the use of thin tubes or catheters.

To Conclude: Consult A Professional Urologist

Bladder issues are more common than people may believe. Having an overactive bladder is an embarrassing condition for the average person. If you or any of your loved ones are having a difficult time coming to terms with an overactive bladder, you must consult a specialist.

Fifth Avenue Urology offers you a chance to get professional help from experienced specialists. Contact them now to schedule an in person or tele-appointment at 212-675-3186.

5 Common Urological Problems Women Face

Although many women experience urological conditions and diseases, very few seek proper medical care. Studies suggest that this is often because of the ratio of women doctors and specialists in the Urology departments.

Urology deals with problems pertaining to the urinary tract system. This includes organs such as the ureter, urethra, kidneys, bladder, and other reproductive parts in men and women alike. These organs are vital to manage and eliminate urinal waste from the body.

top 5 Urological Problems Women face
(Source)

Our medical care agency can help you get in touch with professional and compassionate urological experts. Visit our website here. Below are some of the most common and general urological problems that women experience due to several reasons during their lifetime.

5 Urological Problems Women Face

Women often face the following urological problems, each of which can vary in severity.

1.     UTIs

Urinary Tract Infections occur due to the accumulation of bacterium in the urinary tract or urinary organs (such as the bladder). The bacterium causes infections that cause disruptions in routines, leading to unhealthy symptoms. If left untreated, symptoms can reach chronic levels.

  • Unusual smell in the urine
  • Difficulty urinating
  • Starting and stopping trouble in urination
  • Burning and irritating sensations while urinating

These symptoms disturb your mind and body equally. The urge to urinate frequently bothers your routine. Moreover, mental stress can develop when you fail to control urination.

2.     Pelvic Issues

Pelvic muscles support the vagina, bladder, and rectum. These are bowl shape groups of muscles present in the lower body. Post-childbirth can cause issues in pelvic muscles’ working. Pelvic floor therapies help reprimand these issues. Symptoms of this urological problem include:

  • Pain during intercourse
  • Pain in the lower back and between hips
  • Trouble in starting and stopping urination
  • Dripping at the end of urination

Common causes of this include not relaxing the pelvic muscles enough post-childbirth, and in severe cases, it may be due to a serious injury or an accident.

3.     Incontinence Postpartum

This condition is also persistent in many women after childbirth. Sudden leakage of urine occurs due to certain actions such as coughing, sneezing, jumping, etc. Immense weight gain is an additional factor in unintentional leakages. This makes it harder to control the urge to urinate and may lead to embarrassment and disruptions in your daily life.

In such a scenario, you can consult with female urologists at our urology agency. Check them out here. Treatments include pelvic floor therapies and medications on the advice of your medical specialist.

4.     Overactive Bladder and Bladder Syndrome

This is most common in women of old age. However, it can occur in young women also. This causes a woman to urinate more than often. Sometimes, women may feel the urge to urinate during most parts of the night, as well as several hours of the day. This is completely similar to Incontinence.

However, Bladder Syndrome is relatively painful for some women. They may feel a full bladder all the time, so a need to urinate frequently occurs. This uncomfortable and depressing condition can also cause pain during urination and intercourse.

5.     Prolapsed Vagina

This condition is post-childbirth. During childbirth, the walls and muscles of a woman’s vagina stretch, causing these muscles to grow thin. Thinning remains for long periods of time due to insufficient relaxation in the pelvic and vaginal area of the body.

Due to weak vaginal muscles, the organs around become displaced. This causes swelling or bulging in the vagina. This swelling can cause discomforts to the woman sitting or even standing in a specific posture. Intercourse activities also feel painful.

Top Urological Problems for Women
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Urologists at Fifth Avenue Urology can help you if you have the condition of a prolapsed vagina. So give contact us here to learn out about appointment scheduling.

Top Urological Problems Women Face: Consult An Expert

Fifth Avenue Urology employs various professional and certified urologists who have bested their careers in the field of urology. At Fifth Avenue Urology, doctors feel privileged to practice medicinal care. With compassionate, respectable, and patient experts of urology, you can begin the treatment process right away.

Health of the urological areas of the body is vital to a healthy life. Give us a call at 212-675-3186. You can also visit us in person at

Fifth Avenue Urology
4 East 76th Street
New York, NY 10021


References:

  1. https://www.timesnownews.com/health/article/4-most-common-urological-problems-in-women-how-to-treat-and-prevent-them-incontinence-after-pregnancy-blood-in-urine-utis-kidney-stones/380576
  2. https://www.academic-urology.com/female-bladder-vagina.html
  3. https://www.advancedurologyinstitute.com/the-two-most-common-female-urology-problems/
  4. https://www.healthgrades.com/right-care/womens-health/6-reasons-for-women-to-see-a-urologist
  5. https://pubmed.ncbi.nlm.nih.gov/9919732/

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