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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.

top-urologist-nyc-larishDr. 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.

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.

Urologist for Urinary Incontinence in Females

What Causes Urinary Incontinence in Females?

urologist-for-female-urinary-incontinence-nyc-01 Urinary incontinence is a problem that can affect women of all ages. While many associated this condition with older women, it can affect women who are middle-aged and even women in their 20s and 30s. It is also important to remember that urinary incontinence can be short term or long terms, as there are various causes. If you suffer from urinary incontinence, there is little doubt that you will find yourself in various awkward and difficult situations. This is a problem that can cause a lot of stress for women as well as embarrassment.

Some of the causes of this problem

 If you do suffer from urinary incontinence, it is well worth arranging an appointment with your urologist. The underlying cause of the problem can then be looked into and appropriate treatment can be administered or arranged. Some of the possible causes of this problem include:

  • best-urologist-female-incontinence-treatment-cure-nyc-02What you drink: There are various drinks and foods that can have diuretic effects and can cause you to become incontinent temporarily. Of course, this temporary incontinence is not something you will need to have treatment for. However, it is advisable to be careful about what you are consuming if you want to avoid being in this situation.
  • UTIs: Another possible cause of temporary urinary incontinence is a UTI or urinary tract infection. These infections can result in all sorts of undesirable effects such as pain when you urinate, burning and itching, and temporary urinary incontinence which can continue until the infection is cleared up. If you do think you may have a UTI, you should see your urologist so that a diagnosis can be made and appropriate treatment given.
  • Procedures and conditions: There are various procedures and conditions that can result in the onset of urinary incontinence. However, this tends to be long term incontinence rather than the short term variation outlined above. Some of the possible causes of longer term incontinence include menopause, neurological problems, various forms of cancer, and obstructions. In addition, procedures such as hysterectomies can result in incontinence over the long term.

Seeking help from a professional

 Whether you have short term incontinence due to a UTI or whether you are suffering from long term urinary incontinence, it is important to seek help and treatment from a professional. You can do this by getting in touch with the best urologist in Manhattan.

Urinary Tract Infections

What Causes Urinary Tract Infections?

urinary-tract-infection-nyc-urology-specialists-01 UTIs or Urinary Tract Infections are very common amongst adults and can also affect children. These infections affect both men and women and they can cause a lot of pain and discomfort. In addition, they can lead to more serious problems if they are not treated in a timely manner, which is why anyone suffering from a UTI needs to see an experienced urologist as early on as possible. It is also worth noting that although UTIs in children are far less common than in adults, they can also be much more serious.

Some of the key causes of these infections

 A type of bacteria known as E.coli is the most common cause of urinary tract infections. These infections can fall under two main categories. This includes:

  • Bladder infection: This type of bacterial infection often affects women and is also known as cystitis. It can result from sexual intercourse but it can also affect those who are not sexually active. The fact that the urethra is so close to the anus and the bladder opening means that all women are at risk of contracting this type of infection whether or not they are sexually active.
  • Urethra infection: Another type of UTI is where bacteria spread to the urethra from the anus. An infection of the urethra can also be caused by STIs in women. Again, this is because the urethra in women is very close to the vagina.

Other factors that can increase the risk of UTIs

 There are various factors that can increase the risk of UTIs. This includes:

  • The shortness of the urethra in women compared to men
  • The level of sexual activity a woman engages in
  • Estrogen changes in the urinary tract during menopause in women
  • The use of birth control methods such as diaphragms

Additional factors that can heighten the risk of UTIs include:

  • Abnormalities with the urinary tract
  • Urinary tract blockages
  • An impaired immune system
  • The use of catheters
  • Recent surgery or examinations of the urinary tract

Some key symptoms

There are also a number of key symptoms associated with UTIs. This includes:

  • symptoms-uti-infection-urologist-02Feeling as though you want to urinate all the time
  • A burning feeling when you urinate
  • Urinating frequently but passing only small amounts
  • The presence of cloudiness in your urine
  • Signs of blood in the urine
  • Urine that has a very strong smell
  • Pain around the pelvic region

Speak to an expert today

 If you believe you may be suffering from a UTI, you can speak to the best urologist in Manhattan by getting in touch with us today.

NYC Best Urologists Discuss When to See a Urologist.

When is it Wise to See Your Urologist

when-to-see-nyc-urologist-01Urologists are specialists in the medical field and are able to deal with a wide range of issues relating to the bladder and related areas. There are many reasons why people go to see their urologist and it is important for everyone to be aware of when they should make an appointment to see one of these professionals. By knowing when it is wise to see a urologist, you can minimize on the risk of certain health problems that could otherwise spiral out of control and lead to more serious issues.

Times when you should book in to see the urologist

pain-during-urination-urologist-02There are certain times when you should arrange an appointment to see the urologist to get advice, information, checks, or treatment. Some of these include:

If it hurts to urinate: Many people know what it feels like to experience pain when urinating. This could be a sign of infection and needs to be sorted out sooner rather than later. If you do experience any pain or a burning sensation when you urinate, it is a good time to book in to see a urologist.

If there is blood in your urine: If you see blood in your urine, it is very important to see your urologist as soon as possible as it could indicate a serious underlying problem. While this is not always the case, blood in the urine could be an indicator of the early signs of cancer so it is imperative to go for a checkup with the urologist as soon as possible.

When you suffer from incontinence: If you suffer from incontinence, it can make life very difficult and put you in some very embarrassing situations. Being unable to control the bladder can be extremely debilitating in day to day life, which is why this is a good time to get in touch with an experienced urologist for advice and treatment.

If you are suffering from ED: Erectile Dysfunction, or ED, is very common in men over a certain age. If you believe that you may be suffering with ED, it is important not to be embarrassed and to seek advice from your urologist. This can help you to get your life, health, and relationships back on track.

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Get in touch with an experienced and reputable urologist

If you need advice and assistance from an experienced and reputable professional, get in touch with the best urologist in Manhattan today.

Call us at 212-675-3186 to schedule an appointment:

NYC Top Urologists Discuss When Should you Start Getting Prostate Exams.

When Should You Start Getting Prostate Checks?

when-get-prostate-exam-nyc-top-urologist-01Many men suffer from prostate problems at some point in their lives and prostate issues are very common, particularly in older men. There are various health issues that can occur ranging from an enlarged prostate through to prostate cancer. In order to reduce the risks of prostate problems, it is important to know when you should start getting your prostate check by a professional, experienced urologist.

When To Visit The Urologist

If you want to know when you should start visiting the urologist to have your prostate checked, here are some tips:

At a Certain Age

how-old-get-prostate-checked-exam-nyc-top-urologist-02Problems with the prostate tend to be more common in men in their senior years or the latter part of middle-age. These problems are most common in men aged around 50 and over. However, this does not mean that they cannot strike at an earlier age. If you’ve been lucky enough to escape prostate problems up until the age of 50, you should definitely still visit a urologist to have checks carried out when you hit the age of 50. Of course, you can start getting it checked earlier than this if you want to be extra careful. However, once you are 50 you need to remember the heightened risks and, as such, go for regular checks.

If there is a Family History of Prostate Problems

If you have a family history of prostate problems, you may be at increased risk. You should, therefore, make sure you have regular checks in your 30s or 40sw upwards to reduce the risk of any problems arising. Make sure your doctor is aware of this family history so that he or she can provide advice and tips on getting your prostate checked. Many men do have a family history of prostate problems but they fail to go for regular checks, which then puts them at risk of developing issues that could otherwise have been avoided or tackled at an early stage.

When You Experienced Symptoms

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Although prostate issues are more common in older men, they can strike at any age. You should, therefore, look out for symptoms of prostate problems. If you do notice any, you need to make an appointment to have your prostate checked. One of the common symptoms that could indicate a prostate issue is frequent urination.

Make an Appointment with the Best Urologist in Manhattan

If you would like to arrange a prostate checkup with an experienced professional, get in touch with the best urologist in Manhattan today.

Is Low Testosterone the Likely Cause of Your Erectile Dysfunction?

Erectile dysfunction Erectile dysfunction is a problem that affects a lot of men and is something that most men will experience at some point in their lives. While it is usually something that goes away by itself and is just related to your mood and other factors on the day, you should not be experiencing erectile dysfunction on a chronic basis. If you do find that you have a persistent problem with erectile dysfunction, then it is definitely worth trying to identify what is causing it and getting some treatment.

A lot of the commercials on TV that talk about erectile dysfunction tend to attribute it to low testosterone. Low testosterone is a problem for a lot of men over a certain age, however, it is not the only thing that can cause erectile dysfunction.

Causes of Erectile Dysfunction

Erectile dysfunction There are dozens of reasons why you may be experiencing erectile dysfunction. It can be a side effect of other health conditions such as diabetes, including mental health issues such as depression or anxiety. However, low testosterone is often the reason why men over the age of around 35 experience more regular erectile dysfunction, especially when it is accompanied by things like a loss of libido.

What Other Effects Does Low Testosterone Have on Men?

Erectile dysfunction As well as being one of the primary causes of erectile dysfunction, low testosterone in men can cause other problems. Men who find that they are gaining weight as they age and losing muscle mass are usually experiencing this as a result of a fall in testosterone as they get older. This is a normal part of aging, but when it happens too drastically, it can be a big health problem, one that is easily resolved by seeing a doctor and taking some testosterone supplements. Having a lower sex drive is another thing that is common as people get older, but if it is affecting your life in a negative way, or you think that it is indicative of a wider health problem, you should see a doctor about getting some treatment for low testosterone.

If you have been experiencing erectile dysfunction recently and this is a new development for you, then it is always worth seeking the help of a professional rather than hoping that the problem will go away by itself. You may find that you do have low testosterone, which is easily treated with a supplement of hormones, or that you have some other underlying health condition that needs to be attended to.

For more information, speak to the best urologist in NYC today.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.