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Putting Patients First


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

Dr. Brodherson has been the Interim Chief of Urology at Lenox Hill Hospital and Dr. Larish served as the former chief resident in the same department. They are both focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. Both physicians view the ability to practice medicine as a privilege, not a right. They treat their patients with respect, professionalism and compassion.


Schedule an appointment today

212-675-3186


Michael S. Brodherson, M.D.

dr-michael-brodherson-top-urologist-nycDr. Brodherson has been in the private practice of urology on New York’s Upper East Side since 1979 when he finished his training at Lenox Hill Hospital. He is known throughout the New York metropolitan area as a senior, highly skilled, capable and compassionate general urologist with vast expertise in his field.

Besides a full office practice, he has a special interest in the urologic care and treatment of complex surgical and gynecological operative procedures involving urology secondarily. Since Dr. Brodherson has extensive experience in open urologic procedures he is an ideal expert consultant for these complicated cases of other specialties and is well known to be available on an emergency basis for immediate consultation in such matters.


Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2Dr. Larish is a urologist and surgeon treating women and men with a variety of urological conditions. His expertise is in treating complex kidney stones, enlarged prostates (BPH), incontinence, erectile dysfunction, infertility, and urological oncology (prostate, bladder, kidney, and adrenal cancers). He is an expert in general urology and is often consulted for second opinions.

Dr. Larish’s dedication to patients and their families drives his belief in prompt evaluation and care. He treats all his patients like family. As such, same day appointments are available for urgent issues and house calls can be made in select cases.


Leonard Glickman, M.D.

top-urologist-nyc-glickmanDr. Glickman is specialty-trained in robotic and minimally invasive surgery for treatment of a variety of kidney and prostate conditions including kidney and prostate cancer. He also sees patients for a variety of other urologic conditions including general urology consultations, kidney stones, urinary tract infections, anti-aging treatments, vasectomy, and male infertility.

Dr. Glickman is committed to providing his patients with the best care possible while maintaining a warm and comforting bedside manner. He is up to date on the latest treatments and technologies.

The Effects of Erectile Dysfunction on the Lives of Men 

erectile-dysfunction-infographic-top-specialists-nyc-01The branch of medicine known as urology deals with a range of health problems and diseases, one of which is erectile dysfunction, also known simply as ED. This is a very common condition in men but, naturally, men that suffer from ED feel very alone and it can feel like they are the online ones going through the problem. The condition can have a huge negative impact on the lives of men, which is why it is important to seek assistance from experts if you do develop ED.

This is a condition that can affect any age group but is most common in men that are aged forty and over. For some men, the condition becomes so embarrassing that they refuse to talk about it or seek any treatment. Instead, they simply steer clear of potential or existing partners and keep the problem to themselves. However, this can lead to men becoming withdrawn and depressed, so taking action is very important for sufferers of ED.

What are the causes of ED?

causes-for-ed-in-younger-men-info-urologist-consultation-03Erectile Dysfunction can be caused by one or a combination of things. Some men think that if they fail to achieve an erection now and again they must have ED but this is not the case. In order to determine whether you actually do have the condition, a proper diagnosis needs to be made. Some of the possible causes of ED include:

  • Certain diseases such as kidney disease and diabetes
  • Your lifestyle choices, including excessive drinking and smoking
  • Surgery, including bladder and prostate surgery
  • Certain medications including antidepressants and appetite suppressants
  • Psychological issues such as stress, depression, and anxiety
  • Hormonal issues, such as low levels of testosterone

When you see an expert about your concerns over having ED, a diagnosis will need to be made. This involves going through your medical and sexual history, carrying out a physical examination, running laboratory tests, carrying out monitoring tests in relation to erectile function, and carrying out psychosocial tests.

Speak to an expert about your ED today

pills-for-ed-treatment-medical-expert-urologist-new-york-02

Men should never feel embarrassed about seeking help for their ED, as this is a common problem and action does need to be taken. For those that fail to seek help, the issue will simply continue and will carry on affecting your life.

If you would like to speak to an expert in confidence about your ED problems, get in touch with the best urologist in Manhattan today to arrange an initial consultation.

For more information, please visit our main website at: www.FifthAvenueUrology.com

How to Choose the Best Urologist

how-choose-best-nyc-urologist-01If you suffer from problems relating to the bladder, kidneys, and related areas, the usual professional that can provide expert help and treatment is a urologist. In this article we will discuss how to choose the best Urologist. These medical specialists have expert knowledge and training to deal with issues such as these. This is why they can deal with a variety of issues and arrange swift, effective treatment as well as providing expert advice and information.

Tips on making your choice 

urology-urologists-general-information-new-york-02In order to gain maximum benefit, it is important to choose the right urologist for your needs. There are various tips that can help you to make the right choice.

Some of the key ones include:

Qualifications and Credentials

You should make sure you check the qualifications and credentials of the urologist you are considering. You can get information about their specialist qualifications and training by going on to the website. However, if there is not enough information on there or you have other questions, it is worth ringing and speaking with someone in person.

Their Reputation

It is vital to check on the reputation of the urologist before you make your decision. This is something you can do by checking the testimonials on the website. However, in addition to this you should also look at online reviews from other consumers that may have used the same urologist. This will enable you to benefit from unbiased reviews from those that have personal experience with the urologist.

Experience in the Field

Another important factor to look at is how much experience the professional has in the field of urology. Finding someone with plenty of experience will provide you with peace of mind as well as ensuring you get quality care from someone that is well versed in the field of urology.

The Location of the Urologist

If you are looking for convenience as well as a reputable, experienced urologist, you may want to take location into consideration. This will enable you to get to your urologist with speed and ease as and when the need arises rather than being stuck in traffic for hours on end.

physical-areas-treated-by-urologists-03Speak to one of our experts 

If you would like to find a urologist with experience, a great reputation, and expertise, you can speak to the best urologist in Manhattan today. We will be happy to provide you with more information about our services as well as arrange a consultation.

For more information, please visit our main website atwww.FifthAvenueUrology.com

How Premature Ejaculation Problems can Affect Men

top-nyc-urologist-for-premature-ejaculation-issues-01When it comes to their sexual performance, men can be extremely embarrassed in terms of discussing premature ejaculation problems. While those that feel they perform well generally have no problem talking about these matters, those that experience issues tend to hide them away and steer clear of the subject even with their own partner. One very common problem amongst men is premature ejaculation. For some men, this is not a major issue because it only happens now and again. However, for others it is something that occurs all the time, leaving them feeling embarrassed. The embarrassment is one of the key things that stop many men from seeking expert advice.

Why You Need to Seek Advice

improve-premature-ejaculation-nyc-specialists-general-info-02If you suffer from premature ejaculation on a regular basis, it is important to seek advice from an expert such as a urologist. These specialists deal with issues such as this all the time, so you don’t need to feel embarrassed or shy about discussing the issue with them or seeking treatment and advice. If you fail to take any action, there are a number of repercussions that you could be left to face. This includes:

  • Becoming depressed and anxious
  • Losing your sex drive or being too embarrassed to attempt sex
  • Affecting your relationship with your partner – particularly if you do not discuss it with her
  • Losing focus in other areas of your life because you are too worried about this issue
  • Feeling distressed and frustrated
  • Being unable to enjoy a satisfying sexual experience with your partner

cure-male-premature-ejaculation-orgasm-urologist-03You need to remember that this is a common problem and you are certainly not the only one that experiences this issue. By seeking help and getting treatment or counseling, you can help to rectify the problem and get back to enjoying a satisfying sex life with your partner. Your urologist may suggest a range of options to help with premature ejaculation but you will first need to engage in discussion and see an expert so that they can go through all of the necessary details. Once your urologist has the information required to properly assess you it will be possible to look at the best solution or treatment to help.

Discuss Your Problem Confidentially with an Expert

If you suffer from premature ejaculation and you would like to discuss your problem with an expert in total confidentiality, get in touch with the best urologists in Manhattan today. Call us at 212-675-3186 or email us at Fifthavenueurology.com/contact

Do You Experience a Burning Sensation When Urinating? 

nyc-urologist-for-urinary-issues-faq-info-burning-01Many people know the discomfort and pain of a burning sensation when urinating. For some people, the sensation is so severe it puts them off going to the toilet when they need to urinate because they don’t want to have to go through the pain. However, this can then lead to other issues such as bladder infections, so it is important to get the matter sorted out as quickly as possible so that the root problem of the burning can be identified and addressed.

The possible causes of this burning sensation

burning-while-urinating-top-nyc-urologist-contact-consultation-02There are various things that can result in a burning sensation when you urinate. However, the reasons behind the problem are not always obvious. This is why it is important to see a specialist urologist so that the exact cause of the problem can be identified as soon as possible before it spirals out of control. Some of the possible causes of this burning are:

  • Bacterial urinary tract infections in men and women
  • Inflammation of the urethra resulting from trauma or surgical procedures
  • Prostate problems in men
  • Certain variations of cancer
  • Sexually Transmitted Diseases
  • Cystitis caused by infection

UTIs are the most common reason behind pain and burning when urinating but it is important to remember that it could be down to one of the other possible causes. By making sure you see an expert as early on as possible, you can get the problem sorted out as quickly as possible. This means you can benefit from relief from the pain and burning as well as get the underlying cause of the burning sorted out.

treat-urinary-infection-top-urologists-nyc-03The treatment that is given for this type of issue will obviously depend on what comes to light during examinations. If it is a simple infection, a course of antibiotics will generally be enough to get the problem sorted out. However, in some cases, further investigation may be required so that a firm diagnosis can be made and appropriate treatment can be arranged. If you notice the burning sensation continued over an extended period, it is best to see a urologist as quickly as possible.

Speak to the best urologist in Manhattan

If you have been experiencing pain and burning when urinating, you should make an appointment to see an experienced and reputable urologist as soon as possible. You can do this by getting in touch with the best urologist in Manhattan today. 

For more information, please visit our main website at: FifthAvenueUrology.com

What is Prostate Cancer and How Is It Treated?

urologist-for-prostate-cancer-specialist-nyc-01Prostate cancer is one of the most widespread cancers in men and it is estimated that about 1 in 9 men will be diagnosed at one point or the other in their lives. But still so much is unknown about this form of cancer. Without proper knowledge, the chances of catching symptoms early and successfully recovering are significantly lower. Let’s look at what prostate cancer is, what the symptoms are, and what type of treatments you can expect.

What is Prostate Cancer?

Before you can understand what prostate cancer is, it’s important to understand what the prostate and its functions are. The prostate is one of the most important glands in the male reproductive system and is responsible for the production of the semen.

The gland, which is about the size of a walnut, is located right under the bladder and partly surrounds the urethra. Cancer develops when cells in the prostate start behaving abnormally. This can eventually lead to benign conditions like benign prostatic hyperplasia or prostatitis.

However, in some other cases, it could lead to precancerous conditions such as proliferative inflammatory atrophy or prostatic intraepithelial neoplasia. Cancer usually starts forming in the prostate’s gland cell and spreads to other areas when left untreated.

What are some of the Symptoms of Prostate Cancer?

info-on-prostate-cancer-talk-to-nyc-urologists-02Since your prostate is close to your urethra and bladder, you might feel some urinary symptoms. You might experience pain or burning during urination, have trouble urinating or controlling the flow, have less control over your bladder, or notice blood in your urine.

Other symptoms of prostate cancer may include erectile dysfunction, blood in your semen, painful ejaculation, swelling in the pelvic area, numbness in the legs, hips or feet or chronic bone pain.

What Kind of Treatment is used to Treat Prostate Cancer?

prostate-concer-prognosis-surgery-diagnosis-03Depending on your health status and the cancer stage, you might be recommended various types of surgery. In most cases, you will have to have your prostate completely removed. In other cases, you will undergo what is commonly referred to as Transurethral resection of your prostate where only parts of the prostate are removed through the urethra. This is often performed before other treatments. Cryosurgery is another option that might be considered. With Cryosurgery, liquid carbon dioxide or liquid nitrogen is used to destroy the abnormal cells through extreme cold.

Other than surgery, you might be required to go under hormonal therapy. This is often prescribed for cancer that keeps coming back. Radiation and chemotherapy are also common options.

Prostate cancer is a serious condition that shouldn’t be taken lightly. The good news is that the chances of recovery are very high if you seek treatment immediately. If you think you may have signs of prostate cancer or simply want to get screened, contact us today to schedule an appointment with the best urologist doctor in NYC.

5 Medical Conditions treated by NYC Urologists

top-conditions-treated-by-urologist-nyc-01There are many specialist branches of medicine, one of which is the field of urology. This article will discuss conditions treated by NYC urologists. Experts in urinary tract conditions, NYC urologists can deal with a variety of conditions and have the expertise and training to make speedy diagnoses and administer relevant treatment. People go to see urologists for a wide range of reasons, as there are many conditions that these specialists are trained to diagnose and deal with.

Some of the main issues dealt with by these experts

issues-to-see-urologist-about-02The range of conditions dealt with by urologists is varied and even includes consultations with men suffering from fertility issues. When you are experiencing urinary tract problems or related conditions, seeing a specialist urologist can ensure you get swift treatment and early relief from the problem you are experiencing. Some of the common conditions dealt with by these specialists include:

 

Incontinence issues:

Both men and women can suffer from incontinence issues and this is the result of problems with the urinary system. Those that suffer from incontinence are unable to control their bladder, which means that they can experience leakage or even full urination involuntarily.

Kidney problems:

If you suffer from kidney problems, it is important that steps are taken to seek advice as early on as possible. Kidney issues can become dangerous so the earlier the issue is diagnosed the better. Symptoms such as swollen ankles and hands as well as high blood pressure levels can indicate the presence of kidney issues.

Kidney stones:

Anyone that has ever suffered from kidney stones will know just how much pain this can cause. Once the stones have formed in the kidney, they can then enter the urethra, which is why early intervention is crucial from an experienced urologist. The presence of stones can then be confirmed and surgery arranged accordingly.

UTIs:

Urinary Tract Infections, or UTIs, are one of the most common types of problem dealt with by urologists. These are bacterial infections that can cause a lot of pain and discomfort as well as symptoms such as burning sensation when you urinate. These infections can also lead to incontinence, so you should make sure you see an expert as soon as possible.top-urologist-nyc-treatment-conditions-specialist-03

Enlarged prostate:

Many older men suffer with an enlarged prostate, which can lead to a variety of problems if it is not addressed. A urologist will be able to check and ensure that the prostate is enlarged before arranging appropriate treatment.

Contact the Urology expert today 

If you are experiencing these or other urinary tract problems, contact the best urologists in Manhattan today to arrange a consultation.

Cancer of the Bladder

Cancer of the Bladder: The Risk Factors

urologist-for-bladder-cancer-diagnosis-treatment-nyc-ny-01As is the case with other types of cancer, there are a number of key risk factors linked to cancer of the bladder. This is a form of cancer that can affect men and women, and diagnosis and treatment can be dealt with by a qualified urologist. There are various things that can increase your risk of contracting this type of cancer, so it is advisable to be aware of these. This will enable you to seek immediate help from a professional in the event you are concerned about developing bladder cancer.

What are the risk factors for Bladder Cancer?

There are a number of common risk factors that are associated with cancer of the bladder. Of course, not everyone that has these risk factors

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will go on to develop this or any other form of cancer. However, they do increase the risk of getting bladder cancer so you need to be aware of them. Some of the risk factors include:

  • Those that smoke: People that smoke are at increased risk of a variety of different types of cancer including bladder cancer. Many people associate smoking with lung cancer, as this is one of the most common types amongst smokers. However, smokers are at increased risk of developing any cancer, so this is something to bear in mind. If you are able to give up smoking, you can quickly reduce the risks of developing cancer.
  • Physical factors: There are a number of physical factors that can place you at increased risk of developing cancer of the bladder. One of these is your age, with people that are aged 40 and above being at increased risk of developing bladder cancer. In addition, if you are male you are more likely to develop this form of cancer. Bladder cancer is also more prevalent in those that are white. So, the higher risk groups are white males that are aged 40 and over.
  • Exposure to certain chemicals: There are certain chemicals that are known carcinogens and these can also increase the risk of bladder cancer as well as other forms of cancer. If you have repeated or long-term exposure to these chemicals, they can make a big difference to your risk of developing cancer. When you are exposed to such chemicals the kidneys attempt to remove them from the body but to do this they have to send the chemical deposits to the bladder. This then puts the bladder at risk.

Speak to an expert about bladder cancer

 If you have any concerns about developing bladder cancer, you can speak to the best urologist in Manhattan for further advice.

The Most Common Causes of Erectile Dysfunction

What Are The Most Common Causes of Erectile Dysfunction?

causes-of-ed-men-nyc-urologist-specialists-01Erectile dysfunction is a problem that affects most men from time to time, however, if it becomes an ongoing problem then it can be something that needs medical attention. Erectile dysfunction can be a symptom of a number of different conditions. In some cases, it should be taken seriously as an indicator that there may be a severe health problem such as diabetes.

So, what are the main causes of erectile dysfunction in men? Here we will look at some of them, but if you are experiencing erectile dysfunction that is occurring on a regular basis, then you should definitely see your doctor or urologist for a proper diagnosis.

Low Testosterone

One of the most common causes of erectile dysfunction in men is lowered testosterone levels as men age. This can begin to happen as early as 30, but men in their 40s tend to be the ones who experience the biggest drops in testosterone levels. Testosterone is very important for men as it promotes muscular growth and also sexual virulence. If you are experiencing other symptoms of low testosterone then this may well be the cause of your erectile dysfunction. To treat this, doctors usually prescribe testosterone supplements, which can usually help with the problem fairly quickly.

Depression

treatment-for-erectile-dysfunction-new-york-best-doctors-02Some causes of erectile dysfunction are psychological rather than physical. This can mean that you need to treat the underlying problem rather than look to things like Viagra to address your erectile dysfunction. If you have depression or anxiety, they can cause you to have issues with getting or maintaining an erection. They can also affect your libido. It is a good idea to speak to your doctor or urologist and be open about other symptoms you may have had that might relate to a psychological rather than physical reason for your condition.

Urological Problems

Some urinary tract infections and other urological problems with, for example, the prostate can cause you to have erectile dysfunction too. If you are experiencing painful symptoms or other things that suggest that the urinary tract is the problem, for example, burning or pain when urinating, then this could well be something to do with why you are experiencing erectile dysfunction at this time. If you have any of these symptoms, it is always a good idea to contact a urologist.

Erectile dysfunction can also be attributed to other problems with your health in general. Some kinds of cancer, as well as chronic problems like diabetes, can give you erectile dysfunction as a secondary symptom. If you feel that your erectile dysfunction is linked to another health condition, then the course of treatment may be different.

Whatever your situation, it is always best to go and discuss it with a urologist rather than hope that it will go away by itself. Make an appointment today to see the best urologist in NYC.

Enlarged Prostate Information

Seeking Advice for an Enlarged Prostate

 urologist-for-enlarged-prostate-image-01There are many men that suffer with various problems with their prostate gland and for some it can cause a lot of issues. This gland is one that is only found in men and as men get older, the risk of prostate problems can increase. One of the issues that can affect men is an enlarged prostate and this problem is very common in middle-aged and older men. For those that do develop an enlarged prostate, seeking expert help as early on as possible is important so that the problem can be addressed without delay.

Some of the symptoms and signs of an enlarged prostate

 While an enlarged prostate is most common in older men, it is important to note that it can also affect some younger men as well, so it is a problem that you shouldn’t rule out just because you are in your twenties or thirties. Some of the signs and symptoms that are associated with this medical issue include:

  • Difficulties when trying to urinate
  • Urinating more regularly
  • Takes longer for the urine to come out
  • Difficult sleeping due to a sensation of wanting to urinate
  • Possible lower back pain
  • Possibility of erectile dysfunction

A combination of these signs and symptoms could indicate you have an enlarged prostate and that you need to see a specialist so that a form diagnosis can be made.

Diagnosis and Treatment of Enlarged Prostate

treatment-for-enlarged-prostate-best-urologist-nyc-02 In order to get an enlarge prostate firmly diagnosed, you need to go and see a urologist as they specialize in this type of medical issue. A range of tests are then performed so that the condition can be confirmed and this includes an examination of the prostate.

The causes of an enlarged prostate can vary and as a result so can the treatments. Once the urologist has examined your prostate and confirmed that it is enlarged, further tests will be carried out to determine the cause. Treatment is then arranged according to the cause of the problem. The earlier you get in touch with a urologist with regards to a possible enlarged prostate, the more quickly a diagnosis can be made and treatment arranged.

Come and see the best urologist in Manhattan for your Enlarged Prostate

If you are experiencing some or all of the symptoms of an enlarged prostate, you should make arrangements to see a urologist as soon as possible. Get in touch with the best urologist in Manhattan today and we will be happy to schedule a consultation.

Signs and Symptoms of Erectile Dysfunction (ED)

What are the Signs and Symptoms of ED?

signs-of-erectile-dysfunction-top-nyc-specialists-01 Many men become hugely concerned and stressed because they think they are suffering from ED or erectile dysfunction. This is a common condition in men, particularly those that are over the age of around 40 years. However, it is important to remember that failing to achieve an erection now and again does not mean you have ED, which is what some men start to worry about. If you are unsure as to whether you may be suffering from erectile dysfunction, it is worth familiarizing yourself with the signs and symptoms, as this can give you a better idea of whether your erection issue is a short-term one or a one-off or whether it may be a longer term problem.

Some of the signs to look out for

 It is important not to panic and assume you have ED if you fail to achieve an erection now and again. However, it is also important not to bury your head in the sand if you feel you may have erectile dysfunction. Many men simply refuse to get treatment or advice because they feel embarrassed or even ashamed in some cases. However, this condition is not a cause for embarrassment and shame. In fact, it is a very common condition. Some of the common signs to look out for include:

  • Trouble achieving an erection even when sexually aroused
  • An erection that is very weak
  • Difficulties when it comes to maintaining an erection long enough to have sex
  • A reduction in libido
  • Problems when it comes to ejaculating

top-nyc-experts-for-erectile-dysfunction-treatment-02It is also worth noting that there are various conditions that can increase the risk of developing erectile dysfunction, although it can simply result from getting older and hormonal changes. Certain medications can also have an impact when it comes to the development of erectile dysfunction.

Some men may experience some of the above symptoms on occasion or for a short period of time but this does not necessarily mean that you have erectile dysfunction. However, if the problem persists over a longer period, it is important to seek advice from an expert so that checks can be carried out to determine whether it is ED.

Speak to the best urologist in Manhattan

 You should never feel embarrassed about seeking help for erectile dysfunction. If you want to speak to someone in complete confidence, get in touch with the best urologist in Manhattan today.