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Putting Patients First


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

Dr. Larish served as the former chief resident of Urology at Lenox Hill Hospital. Drs. Larish is focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. At Fifth Avenue Urology, we view the ability to practice medicine as a privilege, not a right. They treat their patients with respect, professionalism and compassion.


Schedule an appointment today

212-675-3186


Yaniv M. Larish, M.D.

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

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


Male Infertility: Causes, Diagnosis, and Treatment Options

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

Male Infertility Causes Diagnosis Treatment

Male Infertility: Causes, Diagnosis & Treatment

Causes of Male Infertility

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

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

Diagnosis of Male Infertility

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

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

Treatment Options for Male Infertility

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

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

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

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

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

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

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

BPH: Symptoms, Diagnosis, and Treatment

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

urinary problems in men

BPH Symptoms, Diagnosis, and Treatment

Symptoms of BPH

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

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

Diagnosis of BPH

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

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

Treatment Options for BPH

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

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

Contact Fifth Avenue Urology for Expert Urological Treatment

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

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

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

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

Chronic Testicular Pain: Exploring Microscopic Denervation of the Spermatic Cord

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

Chronic Testicular Pain urologist NYC

Understanding Testicular Pain

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

The Microscopic Denervation Procedure

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

1) Preparation

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

2) Anesthesia

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

3) Microscopic Dissection

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

4) Nerve Removal

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

5) Closure and Recovery

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

Chronic Testicular Pain: Benefits of Microscopic Denervation

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

Pain Relief

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

Minimally Invasive

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

Precise and Targeted

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

Improved Quality of Life

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

Contact Fifth Avenue Urology for Expert Urological Treatment

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

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

FIFTH AVENUE UROLOGY

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

Sacral Neuromodulation: A Revolutionary Treatment for Bladder and Bowel Control

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

Understanding Sacral Neuromodulation

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

The Treatment Process

The process of sacral neuromodulation typically involves the following steps:

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

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Benefits of Sacral Neuromodulation

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

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

Contact Fifth Avenue Urology for Expert Urological Treatment

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

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

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

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

urinary incontinence and treatment

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

Understanding Urinary Incontinence

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

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Introducing Bladder Botox as Urinary Incontinence Treatment

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

The Bladder Botox Treatment Process

The procedure involves the following steps:

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

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Benefits of Bladder Botox

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

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

Contact Fifth Avenue Urology: Bladder Botox for Urinary Incontinence

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

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

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

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

Testicular Cancer: Symptoms, Diagnosis, and Treatment

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

Testicular Cancer info nyc urologist

Symptoms of Testicular Cancer

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

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

Diagnosis of Testicular Cancer

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

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

Symptoms of Testicular CancerTreatment Options

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

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

Contact Fifth Avenue Urology for Expert Urological Treatment

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

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

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

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

Urologist for Incontinence: Causes, Diagnosis, and Treatment Options

willbeTop Urologist for Incontinence Male

Do you need a urologist for incontinence? The common and often distressing condition incontinence affects people of all ages. It refers to the involuntary loss of urine or feces, leading to social, emotional, and physical challenges. If you or a loved one is experiencing incontinence, it’s important to understand the causes, seek proper diagnosis, and explore the available treatment options. In this article, we will delve into the causes, diagnosis, and treatment options for incontinence.

Causes of Incontinence

Incontinence can occur due to various factors, including:

  1. Weak Pelvic Floor Muscles: Weakened or damaged pelvic floor muscles, often caused by pregnancy, childbirth, or aging, can lead to urinary or fecal incontinence.
  2. Urinary Tract Infections (UTIs): Infections in the urinary tract can cause temporary incontinence, especially in women.
  3. Neurological Disorders: Conditions such as multiple sclerosis, Parkinson’s disease, and stroke can disrupt nerve signals between the brain and the bladder, resulting in incontinence.
  4. Prostate Problems: In men, an enlarged prostate or prostate cancer can contribute to urinary incontinence.
  5. Medications: Certain medications, such as diuretics or muscle relaxants, can affect bladder control and lead to incontinence.

Diagnosis of Incontinence

To determine the underlying cause of incontinence, a healthcare professional may conduct the following evaluations:

  1. Medical History: The doctor will review your medical history, including any previous surgeries, childbirth, or conditions that may contribute to incontinence.
  2. Physical Examination: A physical examination will be performed to check for any physical abnormalities or signs of muscle weakness.
  3. Urinalysis: A urine sample is analyzed to check for signs of infection or other abnormalities.
  4. Bladder Diary: Keeping a record of your fluid intake, bathroom visits, and episodes of incontinence can provide valuable information about your symptoms.
  5. Specialized Tests: Additional tests, such as urodynamic testing or cystoscopy, may be performed to evaluate bladder function and rule out other underlying conditions.

Best Urologist for Incontinence NYC 2023

Treatment Options for Incontinence

Fortunately, there are several treatment options available to manage and treat incontinence, including:

  1. Lifestyle Changes: Making dietary modifications, maintaining a healthy weight, and practicing pelvic floor exercises can improve bladder control.
  2. Bladder Training: Techniques such as scheduled bathroom visits, delayed urination, and urge suppression exercises can help retrain the bladder.
  3. Medications: In some cases, medications may be prescribed to relax the bladder, reduce urinary frequency, or treat underlying infections.
  4. Physical Therapy: Working with a physical therapist who specializes in pelvic floor rehabilitation can help strengthen the pelvic floor muscles and improve bladder control.
  5. Surgical Interventions: In severe cases, surgical options, such as slings, bladder neck suspension, or artificial urinary sphincter implantation, may be considered.

Contact Fifth Avenue Urology for Expert Urological Treatment for Incontinence

If you or a loved one is struggling with incontinence, the team of experienced urologists at Fifth Avenue Urology is dedicated to providing comprehensive and personalized care for patients dealing with incontinence. Led by Dr. Yaniv Larish, Fifth Avenue Urology offers advanced diagnostic techniques and a range of treatment options to address your specific needs.

Don’t let incontinence control your life any longer. Take the first step towards finding relief and improving your quality of life by contacting Fifth Avenue Urology:

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

Prostate Cancer: Risk Factors, Screening, and Top Treatment Options

In this article, we will delve into the risk factors associated with prostate cancer, the importance of screening, and the various top prostate cancer treatment options available. Prostate cancer is a significant health concern for men worldwide. As the second most common cancer in men, understanding the risk factors, importance of screening, and available treatment options is crucial for early detection and effective management.

prostate problems

Risk Factors for Prostate Cancer

Several factors can contribute to an increased risk of developing prostate cancer, including:

1) Age

Prostate cancer risk increases with age, particularly after the age of 50.

2) Family History

Having a close relative, such as a father or brother, with prostate cancer increases the risk.

3) Ethnicity

African-American men have a higher incidence of prostate cancer compared to men of other ethnic backgrounds.

4) Diet

A diet high in red meat and high-fat dairy products and low in fruits and vegetables may contribute to an increased risk.

5) Obesity

Obesity has been linked to a higher risk of aggressive prostate cancer.

Screening for Prostate Cancer

Screening for prostate cancer involves regular evaluations to detect any abnormalities in the prostate gland. The two primary methods of screening include:

1) Digital Rectal Exam (DRE)

During a DRE, a urologist examines the prostate gland by inserting a gloved, lubricated finger into the rectum to feel for any irregularities or abnormalities in the size, shape, or texture of the gland.

2) Prostate-Specific Antigen (PSA) Test

The PSA blood test measures the levels of a protein called prostate-specific antigen in the blood. Elevated PSA levels may indicate the presence of prostate cancer, although further testing is required to confirm the diagnosis.

Top Treatment Options for Prostate Cancer

Top prostate cancer treatment NYC 2023Treatment for prostate cancer depends on various factors, including the stage and aggressiveness of the cancer. Common treatment options include:

1) Active Surveillance

For slow-growing or early-stage prostate cancer, closely monitoring the cancer through regular check-ups may be appropriate.

2) Surgery

Surgical removal of the prostate gland, known as a prostatectomy, may be recommended to remove the cancerous tissue.

3) Radiation Therapy

High-energy X-rays or other forms of radiation are used to target and destroy cancer cells.

4) Hormone Therapy

This treatment aims to suppress the production of hormones that fuel the growth of prostate cancer cells.

5) Chemotherapy

In advanced cases, chemotherapy may be used to kill cancer cells or slow their growth.

Contact Fifth Avenue Urology for Top Prostate Cancer Treatment

If you or a loved one has been diagnosed with prostate cancer or is concerned about the risk factors, the experienced team of urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, is here to provide comprehensive and compassionate care.
Our dedicated team will work with you to develop a personalized treatment plan based on your specific needs and the stage of prostate cancer. We understand the importance of early detection and are committed to providing you with the highest level of care and support throughout your journey.

Don’t face prostate cancer alone. Our compassionate team is here to support you every step of the way. Reach out to Fifth Avenue Urology now and take control of your prostate health.

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

Overactive Bladder: Symptoms, Causes, and Treatment Options

Overactive bladder (OAB) is a common urological condition that can significantly impact one’s quality of life. It is characterized by a sudden and uncontrollable urge to urinate, often accompanied by frequent urination and nocturia (waking up at night to urinate). If you are experiencing symptoms of OAB, it’s essential to understand the causes and explore available treatment options. In this article, we will delve into the symptoms, causes, and treatment options for overactive bladder.

Overactive Bladder symptoms and treatment nyc 2023

Symptoms of Overactive Bladder

Overactive bladder is typically associated with the following symptoms:

  1. Urinary Urgency: Feeling a strong, sudden urge to urinate that is difficult to control.
  2. Frequent Urination: Needing to urinate more often than usual, usually more than eight times in a 24-hour period.
  3. Nocturia: Waking up from sleep to urinate one or more times during the night.
  4. Urge Incontinence: Experiencing involuntary leakage of urine due to an inability to reach the bathroom in time.

Causes of Overactive Bladder

Several factors can contribute to the development of overactive bladder, including:

  1. Age: OAB is more prevalent in older adults, as the muscles of the bladder can weaken over time.
  2. Bladder Abnormalities: Conditions such as bladder stones, bladder infections, or bladder tumors can cause OAB symptoms.
  3. Neurological Disorders: Diseases like Parkinson’s disease, multiple sclerosis, or stroke can disrupt nerve signals between the brain and the bladder, leading to OAB.
  4. Medications: Certain medications, such as diuretics or drugs that stimulate the bladder, may contribute to OAB symptoms.
  5. Excessive Fluid Intake or Irritants: Consuming large amounts of fluids, particularly caffeine or alcohol, can irritate the bladder and worsen OAB symptoms.

Treatment Options for Overactive Bladder

Fortunately, there are various treatment options available to manage overactive bladder and improve your quality of life. These include:

  1. Lifestyle Modifications: Making changes to your lifestyle can help alleviate OAB symptoms. This may involve avoiding bladder irritants, managing fluid intake, and practicing bladder training techniques.
  2. Behavioral Therapies: Techniques such as bladder retraining, pelvic floor muscle exercises (Kegel exercises), and biofeedback can help regain control over the bladder and reduce urgency and frequency.
  3. Medications: Your urologist may prescribe medications that relax the bladder muscles or decrease nerve signals to the bladder to manage OAB symptoms.
  4. Botulinum Toxin Injections: In cases where other treatments have not been effective, injections of botulinum toxin into the bladder muscle can help reduce overactive contractions.
  5. Interstim Therapy: This therapy involves implanting a small device that delivers mild electrical impulses to the sacral nerves, helping to control the bladder’s function.

bladder urination issues

Contact Fifth Avenue Urology for Expert Urological Treatment

If you are struggling with overactive bladder symptoms, the team of experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, can provide comprehensive and personalized care to address your needs. We understand the impact that overactive bladder can have on your daily life, and our goal is to help you regain control and find relief.

Our urology specialists will conduct a thorough evaluation to determine the underlying causes of your overactive bladder symptoms. From there, we will work with you to develop a personalized treatment plan tailored to your unique needs and goals.

Take the first step towards managing your overactive bladder by contacting Fifth Avenue Urology:

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

Erectile Dysfunction (ED): Causes, Diagnosis, and Treatment Options

Erectile dysfunction ED 2023

Erectile dysfunction (ED) is a common condition that affects millions of men worldwide. It refers to the inability to achieve or maintain an erection sufficient for sexual intercourse. While ED can be a sensitive topic, it is important to address it openly and seek appropriate medical care. In this article, we will explore the causes, diagnosis, and available treatment options for erectile dysfunction.

Causes of Erectile Dysfunction

ED can stem from a variety of physical and psychological factors, including:

  1. Physical Causes: Conditions such as diabetes, high blood pressure, heart disease, obesity, hormonal imbalances, and certain medications can contribute to erectile dysfunction.
  2. Psychological Causes: Stress, anxiety, depression, relationship issues, and performance anxiety can all affect sexual function.
  3. Lifestyle Factors: Unhealthy habits like smoking, excessive alcohol consumption, drug use, and a sedentary lifestyle can increase the risk of developing ED.

Diagnosis of Erectile Dysfunction

If you are experiencing symptoms of erectile dysfunction, it is important to consult with a qualified urologist for a thorough evaluation. The diagnosis may involve:

  1. Medical History: Your urologist will discuss your symptoms, medical history, and lifestyle factors to understand the potential causes of your ED.
  2. Physical Examination: A physical examination will be conducted to assess your overall health and identify any underlying physical conditions.
  3. Diagnostic Tests: Your urologist may order specific tests. Blood tests to measure hormone levels, check for diabetes or other underlying medical conditions are common. Additional tests, such as a penile ultrasound or nocturnal erection test, may be performed to evaluate blood flow and the quality of nighttime erections.

Best urologist for ED NYC 2023

Treatment Options for Erectile Dysfunction

The treatment approach for erectile dysfunction depends on the underlying causes and individual patient needs. Some common treatment options include:

  1. Lifestyle Changes: Adopting a healthier lifestyle can have a positive impact on ED. This may include regular exercise, a balanced diet, stress management techniques, and reducing or eliminating smoking and alcohol consumption.
  2. Medications: Oral medications, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), can help improve blood flow to the penis and facilitate erections. These medications should be taken under the guidance of a healthcare professional.
  3. Psychological Counseling: In cases where psychological factors contribute to ED, counseling or therapy may be beneficial to address underlying issues and improve sexual function.
  4. Hormone Replacement Therapy: If hormone imbalances are identified as the cause of ED, hormone replacement therapy may be recommended to restore hormonal levels and improve sexual function.
  5. Penile Implants: For severe cases of ED that do not respond to other treatments, surgical placement of penile implants may be considered. This involves inserting inflatable or semi-rigid devices into the penis to achieve an erection.

Contact Fifth Avenue Urology for Expert Urological Treatment

If you are struggling with erectile dysfunction, the experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, are dedicated to providing comprehensive and personalized care. They understand the sensitive nature of this condition and offer a supportive and discreet environment for evaluation and treatment.

Don’t let erectile dysfunction affect your quality of life any longer. Take the first step towards reclaiming your sexual health by scheduling an appointment with Dr. Yaniv Larish and the team at Fifth Avenue Urology.

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

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