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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.

Kidney Cancer: Treatments & Outlook

Kidney Cancer Overview

kidney-cancer-treatment-urologists-nyc-01Renal or kidney cancer stands for any cancer about the kidney or kidneys. We reiterate to our patients that hypertension, smoking, obesity, and aging constitute high-risk factors for the occurrence of kidney cancer. Kidney cancers chiefly develop in the renal pelvis and renal tubule-two vital sections of kidneys.

One out of every sixty-three individuals in their lifetime is diagnosed with kidney cancer. Of all the prevalent forms of cancers, kidney cancer happens to be one of them. Kidney cancer predominantly affects people in the 50-80 age brackets.

Treatment methods

The kidney cancer type and stage determine the appropriate treatment technique. We also consider the patient’s age, overall health, and his or her preferences before recommending an appropriate therapy. Unlike most other types of cancer, kidney cancer does not abate or heal with radiotherapy or chemotherapy.

Therefore surgery is the only option for dealing with cancers of the kidney.

The First Three Stages

kidney-cancer-stages-info-02In the first two stages, cancer remains inside the kidney. However, from the third stage onwards, the carcinogenic cells metastasize or spread to adjacent lymph nodes or arteries. The cancerous growth at stages I and II are removed surgically using two distinct processes-partial nephrectomy and radical nephrectomy.

Partial nephrectomy involves eliminating a specific section of the kidney. This method is usually resorted to for tumors with diameters up to 7cm. For tumors of larger size, radical nephrectomy (where the entire kidney is excised) is the way to go.

Sometimes, the lymph nodes lying close to the kidney are also removed, particularly if they’ve expanded and swollen. For stage III kidney cancers, the affected veins and lymph nodes need to be dissected for removing the entire affected part. There is a high likelihood of cancer recurring even after undergoing surgery.

However, starting patients on Sutent (a targeted medication) could help alleviate the risk to a great extent. We make it a point to discuss the risks and benefits of taking sunitinib (Sutent) as the drug usually has powerful side effects. Unfortunately, patients with grave medical issues cannot opt for surgical treatment.

Nevertheless, such patients can benefit from localized treatment techniques like arterial embolization, radiofrequency ablation, and cryotherapy.  However, the chances of cancer returning to the very same area remain very high with localized treatment methods.

Stage IV treatment options

Kidney cancer at stage IV emerges out to affect the adipose tissues surrounding the kidney, lymph nodes, and other nearby or distant organs. Treatment again depends upon cancer’s extensiveness and the patient’s general wellbeing. Surgery remains an option in the rare event of cancer staying localized to one specific area, and the patient is quite healthy.

In most cases of stage IV kidney cancers where the patient’s health deteriorates considerably, surgeons recommend immunotherapy (targeted therapy) along with surgery.

Outlook

The National Cancer Institute uses the ‘5-year survival rate’ as the standard for determining the proportion of people still alive, five years after treatment or diagnosis.

Fifth Avenue Urology

Our urologists, Dr. Michael Brodherson, Leonard Glickman, and Yaniv M. Larish are fully conversant with the urological system’s complications. At the same time, we’re adept in performing traditional as well as modern-day treatment procedures. Our urology practice, Fifth Avenue Urology, situated in Manhattan’s Upper East Side, furnishes a congenial and empathetic ambiance for consultation and treatment.   

We hold a frank discussion on every conceivable urological condition with our patients and recommend the appropriate treatment options. We strongly believe in offering valuable information about various urological problems to our patients based on diagnoses and treatment methods. Additionally, we always encourage our patients to follow our suggestions and recommendations to prevent/minimize the chances of recurrence of diseases.

Our urologists at Fifth Avenue Urology have long-term experience of handling kidney cancer cases.

Call us today at 212-675-3186 to schedule an appointment with our best kidney specialists in NYC today.

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References

  1. https://www.medicalnewstoday.com/articles/317978.php
  2. https://www.cancer.org/cancer/kidney-cancer/treating/by-stage.html
  3. https://www.cancer.org/cancer/kidney-cancer/detection-diagnosis-staging/survival-rates.html
  4. https://www.medicalnewstoday.com/articles/164659.php

Overactive bladder: Causes & Treatments

In this review, we inform our patients about the causes of and treatment options for overactive bladder.

Overactive bladder: Synopsis

overactive-bladder-causes-symptoms-treatment-urologists-nyc-01Innumerable men and women contact our urologists in East Upper Side (Manhattan) to know about ‘overactive bladder: causes & treatments.’ We make it clear that overactive bladder refers to their sudden and uncontrollable urge to rush to the toilet to urinate. With the passage of time, an overactive bladder could cause urinary incontinence or the inability to hold urine.

It is alleged that nearly 33 million Americans suffer from the overactive bladder, but the actual figure could be higher. A good number of men and women with overactive bladder feel embarrassed to talk about their problem to a specialist. OAB could prevent individuals from leading a normal lifestyle. Many OAB patients keep themselves indoors as they feel that they may not be able to access a bathroom they step out.

However, those diagnosed with OAB can take relief in the fact that the condition is very much treatable.

Causes

The involuntary contractions of urinary bladder muscles even when the organ hardly contains any urine lead to the occurrence of OAB. So an individual feels the urgency to urinate whenever the muscles of urinary bladder start to contract involuntarily.  There could be several reasons as to why the muscles contract automatically regardless of whether the bladder contains urine or is empty.

Some of the most common causes of OAB are:-

  • Excessive intake of alcohol or caffeinated beverages
  • Neurological disorders like multiple sclerosis, epilepsy, peripheral neuropathy, and Parkinson’s Disease
  • Diuretics (medicines that stimulate urine production)
  • Diabetes
  • Bladder stones or bladder tumor
  • UTIs (urinary tract infections)
  • Aging (which impedes cognition, resulting in the bladder’s reduced ability to pick up brain signals)
  • Constipation (which could hinder bladder outflow)
  • BPH (an enlarged prostate could also adversely affect bladder outflow)

The exact cause (or causes) behind OAB remain unidentified.

Treatment options

diagram-overactive-bladder-info-specialists-02Our urologists usually suggest a judicious blend of multiple therapeutic procedures for remedying OAB.

Medications

Many drugs help check involuntary muscular contractions and thereby alleviating urge incontinence. Some of the drugs that we prescribe to OAB patients include:-

  • Toviaz
  • Enablex
  • Sanctura
  • Vesicare
  • Oxytrol
  • Detrol
  • Detral LA

The above drugs have side effects, including dry mouth and eyes, and constipation.

Behavioral therapies

We always tell patients to make a few lifestyle changes and opt for some behavioral therapies as primary measures. We advise the patient to:-

  • Maintain a healthy weight
  • Perform Kegel (pelvic floor muscle exercises) workouts
  • Voiding at specific times in 24 hours
  • Use absorbent pads
  • Use a catheter frequently
  • Practicing to control the urge of urination on a gradual basis

Injections

We at Fifth Avenue Urology administer Botox injections into the urinary bladder which checks involuntary contractions. Botox is extremely effective in suppressing acute urge incontinence. Electrically stimulating the muscles using noninvasive and invasive methods also offer relief from OAB.

Surgery

We recommend surgery as a last resort for patients whose medications, injections, and behavioral therapies don’t work. We carry out surgeries to enhance bladder capacity, and sometimes we excise the bladder and install a neobladder (as a replacement).

Since we’ve handled many OAB patients, we know that living with the condition can be quite challenging. Therefore, we encourage all our patients to keep in touch with us for seeking help and support. You can schedule an appointment with the best Urologists in NYC for any consultation needed.

We’re a competent and seasoned team of urologists at Fifth Avenue Urology, offering high-quality treatment for nearly all urological problems. For instance, we’re capable of treating urinary tract infections, erectile dysfunction, benign prostatic hyperplasia, and so on. We have an excellent track record of performing successful surgeries about the urological system.

Schedule an appointment today:
212-675-3186

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References

  1. https://www.urologyhealth.org/urologic-conditions/overactive-bladder-(oab)
  2. https://www.mayoclinic.org/diseases-conditions/overactive-bladder/symptoms-causes/syc-20355715

Future Outlook for Prostate Cancer Treatment

future-prostate-cancer-treatment-outlook-01All patients diagnosed with prostate cancer who visit our urology clinic, inevitably ask ‘what is the future outlook for prostate cancer treatment?’ Prostate cancer, like any other type of cancer, can be life-threatening, especially when it is an advanced stage. However, even the most experienced cancer specialists and urologists may not be able to say exactly how long prostate cancer will live.

Basic factors affecting the outlook for prostate cancer

Though it may be impossible to make an accurate prediction, an expert may be able to guesstimate a prostate cancer patient’s lifespan, following treatment. We predict the lifetime based on specific factors including:-

  • Effectiveness of the treatment: Effectiveness of the treatment is evidenced by whether the therapy helps to get rid of cancer or prevent it from metastasizing
  • PSA level: PSA assays, following diagnosis, could help keep a strict watch on the state of cancer as well as review whether the treatment is proving effective
  • Overall health: Patients with health issues may not be in a position to undergo treatment.
  • Consequently, they’re at greater risk of dying from cancer or other diseases
  • Treatment options: Treatment options could help remove cancer or keep it from spreading further
  • The cancer stage: When a patient reports for diagnosis, his cancer could be an advanced stage, locally advanced or localized

Outlook for Advanced Prostate Cancer

top-prostate-cancer-urologists-nyc-02Research and studies indicate that advanced stage prostate cancer is by and large incurable. Additionally, we know from experience that patients diagnosed with advanced prostate cancer have only a few years to live. However, if such patients opt for treatment periodically, they can control their affliction, and prolong their lifetime.

Treatment could also go a long way in monitoring and controlling the prostate cancer symptoms when it comes to choosing a treatment process, one-size-does-not-fit-all.  In other words, what works for one patient may not work for another. In this context, if a patient does not respond well to a specific treatment procedure, he should not feel dejected.

He could opt for other therapies, and more often than not, one of these will surely prove effective.

Outlook for Locally Advanced Prostate Cancer

Men diagnosed with locally advanced prostate cancer could opt for treatment either to remove the tumor or keep it under wraps. We’ve observed that in many cases, cancer recurs within a few months after treatment. We recommend patients with recurrent patients to go for repeat treatments to prevent the malignancy from progressing.

Resorting to hormone therapy can be quite effective in controlling metastasis, often for many years. There are other therapeutic options in case hormone treatment does not work for some patients.

Outlook for Localized Prostate Cancer

nyc-top-urologist-prostate-cancer-treatment-03Localized prostate cancer pertains to the first stage of this type of cancer. At this stage, cancer progresses very slowly, and usually, the patient can do without any form of treatment. However, patients with localized prostate cancer can undergo treatment for getting rid of the carcinoma at the outset.

In rare cases, cancer can return, even after undergoing treatment. In such instances, choosing additional treatments seems to be the way to go.

Conclusion

Fortunately, if prostate cancer can be detected in the initial stages, the majority of patients could go on to live their normal lifespan.

At Fifth Avenue Urology, our urologists have the experience and capability to deal with all forms of prostate cancer. For a consultation, schedule an appointment with our specialists in NYC today.

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References

  1. https://www.webmd.com/prostate-cancer/prostate-cancer-survival-rates-what-they-mean#1
  2. https://prostatecanceruk.org/prostate-information/just-diagnosed/what-is-my-outlook

Causes, Symptoms, and Treatment of Prostatitis

prostatitis-causes-symptoms-treatment-urologist-nyc-01Prostatitis is an infection that exclusively affects males. A male is diagnosed with acute prostatitis when his prostate gland becomes infected, leading to the organ’s inflammation. The prostate is a small gland that surrounds a man’s urethra, the tube that takes urine and semen out of the body. The prostate supplies nutrients to semen, performing an important role in reproduction. Description of causes, symptoms, and treatment of prostatitis are enumerated in the following paragraphs.

Causes of Prostatitis

Below, we discuss the causes and symptoms of acute prostatitis, as well as possible complications and home remedies. A specific kind of bacterium which is responsible for causing STDs (sexually transmitted diseases) and urinary tract infections also causes prostatitis. Prostatitis is a common condition as approximately 50 percent of men are likely to experience it in their lifetimes. Acute prostatitis, on the other hand, is quite rare. Despite this, it is usually easy to diagnose because of some distinct characteristics.

Prostatitis Symptoms

An inflamed prostate gland exhibits symptoms that are somewhat similar to signs of a grave UTI. A weakened immune system and a clogged urethra are two fundamental causes of prostatitis. More often than not, acute prostatitis turns chronic or recurrent.

Common symptoms of Prostatitis include:

  • fever
  • pain in the pelvis
  • blood in the urine
  • chills
  • pain above the pelvic bone
  • pain in the rectum, testicles, or genitals
  • increased frequency of urination
  • pain during urination
  • bad-smelling urine
  • pain or discomfort during a bowel movement
  • a weakened urine stream
  • painful ejaculation
  • blood in the semen
  • trouble starting urination
  • difficulty voiding the bladder

Treatment

diagram-of-prostatitis-top-specialists-nyc-02We at Fifth Avenue Urology normally treat prostatitis with antibiotics. We recommend our patients to continue taking the prescribed antibiotics for at least 4-6 weeks. The class of antibiotics that we stipulate to a specific patient depends on the type of bacterium responsible for the infection.

Sometimes, we prescribe medicines that work towards easing acute prostatitis’ symptoms. For instance, we advise the patients to take OTC (over-the-counter) anti-inflammatory medications like acetaminophen or ibuprofen for getting relief from pain. We also suggest alpha-blockers that function as effective muscle relaxants, enabling the prostate’s and bladder’s muscle fibers to relax.

A relaxed prostate gland and urinary bladder enable a patient to release urine from the latter more comfortably. We only recommend hospitalization to a patient when antibiotics, beta-blockers, or anti-inflammatory medications do not help relieve acute prostatitis’ symptoms. A high dosage of antibiotics may have to be administered intravenously for the entire period of hospital stay.

We usually suggest patients try some home remedies besides taking medicines. For instance, we tell them to drink plenty of water, avoid alcohol, stay away from spicy foods, and so on. We tell patients to make a few lifestyle changes to minimize the risks of chronic or acute prostatitis.

Some of the changes include taking a balanced diet, alleviating stress, staying fit and trim, using contraceptives during intercourse, and so on.

Conclusion

Our urologists strongly believe that majority of acute prostatitis cases can be treated effectively with antibiotics. Nevertheless, some patients may need to stay in a hospital for a short duration. There’s every possibility of an acute form of the condition turning chronic.

The patient may have to make lifestyle changes for alleviating chronic prostatitis symptoms.  Those diagnosed with chronic or acute prostatitis can contact our urologists at Fifth Avenue Urology for an appointment and detailed consultation.

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References

  1. https://www.medicalnewstoday.com/articles/321027.php
  2. https://www.webmd.com/men/guide/prostatitis#1
  3. https://www.medicinenet.com/prostatitis_inflammation_of_the_prostate_gland/article.htm

The Doctor speaks about Urinary Tract Infections (UTI’s)

Urinary Tract Infections

urinary-tract-infections-uti-urologist-nyc-01

What our doctor speaks about urinary tract infections could go a long way in making patients aware about the same. UTIs affect kidneys, ureters (tubes carrying urine from kidneys to the urinary bladder), and urinary bladder. UTI is caused by bacteria infesting the urinary tract when they break through the body’s defense mechanism.

A microbial or bacterial infection could affect any section of the upper and lower urinary tract.  Our urological expert, Dr. Leonard mentions some interesting facts about UTI:

  • Women are more vulnerable to UTI than men owing to their shorter urethra
  • 20% of women will be diagnosed with UTI at least once in a life
  • Drinking cranberry juice and consuming cranberry extracts could help prevent urinary tract infections
  • Men diagnosed with oversized prostate glands and diabetics are also highly susceptible to UTI
  • One can get relief from UTI after undergoing treatment for 2-4 days
  • Ignoring or delaying treatment could aggravate the infection leading to adversely affecting the kidneys

UTI Causes

The E. coli (Escherichia coli) bacterium which lives in the gut is responsible for causing most of the UTIs. Mycoplasma and Chlamydia are two other types of bacteria that cause UTI, but they infect the urethra instead of the bladder. The name of the UTI indicates which section of the urinary tract is affected.

Cystitis is infection the bladder while a urethral infection is termed urethritis.

Symptoms

urologist-description-of-uti-causes-treatment-02

The symptoms could vary depending on an individual’s age and gender, the infected section of the urinary tract, and catheter presence. The most common UTI symptoms include:

  • Abdominal and muscular pain
  • Urge to urinate frequently
  • Vomiting and nausea
  • Urine has a bloody and hazy texture with a powerful smell
  • Experiencing a burning feeling and pain while urinating
  • Pain on the sides and upper back, fatigue, chills, and shaking could be symptomatic of acute pyelonephritis, a grave kidney infection

UTI Tests

We perform a urinalysis on patients if we suspect that they are suffering from a UTI. We take the patient’s urine sample for carrying out the urinalysis.

Treatment for UTIs & chronic UTIs

urinary-infection-symptoms-03Our urologists suggest an antibiotic course for patients diagnosed with UTIs. The antibiotic we prescribe depends upon the UTI type. Whether a patient has to take the medicinal course for a short time or a long period depends upon the antibiotic type.

We usually recommend powerful intravenous or oral antibiotics for serious UTI infections. They are also advised to complete the medicine course even if he or she starts feeling better. We also advise patients to drink enough water throughout the day for flushing out the microbes.

Conclusion

When the infection heals, we recommend the patients to follow certain tips for preventing recurrence of UTI. For instance, we tell them to have a shower instead of a bath.

About Fifth Avenue Urology

The urologists at Fifth Avenue Urology have gathered years of experience in making available detailed, exclusive, and empathetic urological services. We at Fifth Avenue Urology take good care of our patients and treat them with deference. Our urologists are quite adept in dealing with issues about the reproductive and urological systems of men and women.

We’ve been carrying out various surgical procedures for treating erectile dysfunction, prostatitis, BPH, incontinence, kidney cancer, and the like. Our urologists are also very efficient in treating simple and complicated cases of urinary tract infections. Our urologist, Dr. Leonard Glickman, a graduate of New York University Medical School, specializes in minimally-invasive surgical procedures for prostate and kidney problems.

Dr. Glickman also offers consultation for urological complications like kidney stones, male infertility, and urinary tract infections.

For more information and to schedule a professional consultation, contact us today to schedule an appointment with the best urologists in NYC.

FIFTH AVENUE UROLOGY
Dr. Michael Brodherson | 
Dr. Yaniv Larish | Dr. Leonard Glickman

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

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References

  1. https://www.webmd.com/women/guide/your-guide-urinary-tract-infections#1-4
  2. https://www.medicalnewstoday.com/articles/189953.php
  3. https://www.kidney.org/transplantation/transaction/TC/winter11/TCwinter11_UTI

Causes, Symptoms, and Treatment of Urinary Incontinence

urinary-incontinence-causes-symptoms-urologist-nyc-01Generally speaking, urinary incontinence is a grave health issue where an individual’s ability to hold urine weakens or is completely lost. It is prevalent in geriatric or old people, and is more predominant in women, compared to men.

Urinary incontinence: Causes

We at Fifth Avenue Urology have observed that urinary incontinence could adversely affect the normal life of the patient. Those diagnosed with UI tend to become depressed, and may avoid going out altogether. Whenever a UI patient steps out, he or she ensures that a bathroom is always available close by.

For dealing with the embarrassing problem, we always advise patients to restrict their fluid consumption, and always keep diapers handy. The chief causes of urinary incontinence include:-

  • Obesity
  • Aging
  • Surgical procedures like hysterectomy
  • Menopause
  • Childbirth
  • Pregnancy
  • Benign prostate hypertrophy (BPH) or an enlarged prostate
  • Idiopathic factors (unknown causes)
  • Diabetes
  • Stroke
  • Parkinson’s disease
  • Urinary tract infections including prostate infection and cystitis
  • Specific medicines
  • Compromised functioning of the urinary bladder due to aging

Symptoms of urinary incontinence

Uncontrolled urine leak is the most obvious symptom of urinary incontinence. The frequency and severity of the complication determines the type of UI. The most common form of UI is stress incontinence and usually is prevalent in menopausal women and women of child-bearing age. Involuntary urination happens due to sudden and excessive pressure (stress) on urinary bladder and sphincter muscles.

The other most widespread form of UI called ‘overactive bladder’ or urge incontinence. The severity or urge to urinate is so intense that patients do not even get the time to go to the bathroom. The other less common UI types include mixed incontinence, overflow incontinence, functional incontinence, and total incontinence. Other common symptoms of UI are:

  • Involuntary bed wetting
  • Going to the bathroom several times in a day
  • Constant release once the bladder is filled with urine

Urinary Incontinence Treatment

incontinence-men-women-nyc-urologist-02There are several treatment methods and options for urinary incontinence. The form of UI a patient has and also the person’s age, mental and physical wellbeing will determine the treatment type. The treatment methods for stress incontinence include:

  • Kegel exercises (pelvic floor workouts)
  • Bladder training (training to delay the event, double voiding, and maintaining a toilet schedule
  • Medications (topical estrogen, Anticholinergics, and Imipramine, and TCAs (tricyclic antidepressants)
  • Medical devices (sacral nerve stimulator, Botox, radiofrequency therapy, Pessary, urethral inserts, and bulking agents)

Surgery is the last option when the above treatments prove ineffective. The surgical procedures comprise:

  • Insertion of artificial sphincter
  • Colposuspension
  • Sling procedures
  • Prolapse surgery

Conclusion

We recommend UI patients who visit our chamber to make a few lifestyle changes. For instance, our urologists advise the patients to place a portable commode besides their bed. We also advise patients to stay at home as much as possible, carry extra clothes and wear absorbent pad when stepping out.

Fifth Avenue Urology, situated in the Upper East Side locality of NYC’s Manhattan Borough has cemented its goodwill as a specialty urological clinic. The urologists at our reputed urological care center have dedicated themselves to the cause of providing the entire gamut of urological services. Our expert physicians, Dr. Leonard Glickman, Dr. Larish, and Dr. Michael S. Brodherson take advantage of the latest treatment methods, and diagnostic tools and techniques for dealing with a wide range of urological complications.

Our specialists at Fifth Avenue Urology can deal with any type of UI problem. We encourage UI patients to visit our website for full information and to schedule a consultation

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References

  1. https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/diagnosis-treatment/drc-20352814
  2. https://www.medicalnewstoday.com/articles/165408.php
  3. https://www.urologicalcare.com/urinary-dysfunction/urinary-incontinence/#symptoms

How Does the Vasectomy Procedure Work?

info-about-vasectomies-04We at Fifth Avenue Urology have several years of experience in providing urological care to individuals of all age groups. As highly experienced urologists, we offer various urological services including but not limited to vasectomy, prostate cancer, and erectile dysfunction treatments. Our medical specialists, Drs. Michael S. Brodherson, Leonard Glickman, and Yaniv M. Larish are well versed in performing the vasectomy procedure.

Before we perform a vasectomy on a patient, we take an undertaking from him that he doesn’t wish to become a father henceforth. We carry out the surgery in the operation theater or the office using local anesthesia or under sedation. Our urologists take all the necessary steps to ensure that the vasectomy is fully effective, maintaining a near 100% successful track record.

How does it work?

We recommend vasectomy to all men who have decided not to become a father in the future. At the same time, we suggest the surgical procedure to males looking for an efficient and secure birth control option. We can assure you that the surgery proves effective in checking pregnancy in nearly ten out of ten cases.

Our specialists conduct the operation as an outpatient process, and the risks of side effects or problems are almost zero. Once we complete the surgery, we can guarantee that the patient will never have to use a condom or any other contraceptive device or method before having sex.

What are the Steps in a vasectomy procedure?

The vasectomy procedure is usually complete in 15-30 minutes. To carry out the procedure, our urologists take the following steps:

  • We first inject a local anesthetic in an area around the scrotum for numbing the region
  • After the area becomes numb, we make two tiny incisions on either side of the scrotum
  • After that, we identify the tube (vas deferens) which transfers the semen from the testicles to your penis
  • Next, we pull out a section of the vas deferens via the incisions
  • Subsequently, we sever that section of the tube that we’ve withdrawn
  • We tie up the vas deference (for capping it) using the cauterization (heat) technique
  • Finally, we seal the incisions on the scrotum by suturing (stitch) or gluing. Sometimes, we leave the slits open to enable the incisions to heal and close on their own

vasectomy-procedure-info-urology-nyc-03From time to time, we resort to the non-scalpel vasectomy, where we make only one small puncture in the scrotal sac. This technique does away with the need to stitch the wound. The patient will experience a degree of pain, swelling, and contusion after the surgery.

Nevertheless, the pain will go away within 4-5 days, and the swelling will improve as well. We advise all our vasectomy patients to contact immediately if they notice any indication of infection on the operated area. The usual infection signs include bleeding, swelling, acute pain, and a body temperature is exceeding 38˚C (100.4F).

We give instructions to the patient on what to do and what not to if and when he notices a sign of infection. We recommend patients not to indulge in sexual intercourse for about a week following the vasectomy.

Conclusion

Our urologists make it clear to those undergoing vasectomy that the surgery will not offer immediate immunity against pregnancy. In the meantime, patients can use other birth control options for staying out of harm’s way until we conduct a semen analysis 2-3 months after the procedure.

You can get in touch with us for scheduling a vasectomy operation with the most acclaimed urologists in NYC.

212-675-3186

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References

  1. https://www.mayoclinic.org/tests-procedures/vasectomy/about/pac-20384580
  2. https://www.webmd.com/sex/birth-control/vasectomy-overview#1

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