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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


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.

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.

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

Kidney Stones: Causes, Prevention, and Treatment

What are kidney stones causes, prevention, and treatment? Kidney stones can be an excruciatingly painful condition that affects millions of people worldwide. These small, hard deposits that form in the kidneys can cause intense pain and discomfort, affecting your quality of life. Understanding the causes, prevention strategies, and available treatments for kidney stones is crucial for anyone looking to manage this condition effectively.

Kidney Stones Causes Prevention and Treatment

Causes of Kidney Stones

Kidney stones can form due to various factors, including:

  1. Dehydration: Insufficient fluid intake can lead to concentrated urine, increasing the risk of stone formation.
  2. Dietary Factors: Consuming a diet high in sodium, oxalate, and animal protein can contribute to stone formation.
  3. Family History: A family history of kidney stones increases your susceptibility to developing them.
  4. Medical Conditions: Certain medical conditions like urinary tract infections, gout, and inflammatory bowel disease can increase the risk of stone formation.
  5. Obesity: Being overweight or obese can raise the likelihood of developing kidney stones.

Preventing Kidney Stones

Fortunately, several lifestyle modifications can help prevent the formation of kidney stones:

  1. Stay Hydrated: Drinking an adequate amount of water throughout the day helps dilute urine, reducing the risk of stone formation.
  2. Follow a Balanced Diet: Limit your intake of sodium, oxalate-rich foods (such as spinach, beets, and rhubarb), and animal protein. Instead, include more fruits, vegetables, and whole grains in your diet.
  3. Watch Your Calcium Intake: Contrary to popular belief, calcium-rich foods do not increase the risk of kidney stones. In fact, adequate calcium intake can help prevent stone formation.
  4. Avoid Excessive Vitamin C: Large doses of vitamin C can be converted into oxalate in the body, so moderation is key.
  5. Limit Caffeine and Alcohol: Excessive caffeine and alcohol consumption can dehydrate the body, increasing the risk of stone formation.

Treatment Options

Top Kidney Stones Treatment New YorkIf you are experiencing symptoms of kidney stones or have been diagnosed with them, various treatment options are available:

  1. Medications: Depending on the type and size of the stones, your doctor may prescribe medications to help dissolve the stones or manage pain and discomfort.
  2. Extracorporeal Shock Wave Lithotripsy (ESWL): This non-invasive procedure uses shock waves to break the stones into smaller pieces, making them easier to pass through the urinary tract.
  3. Ureteroscopy: This procedure involves the use of a thin tube to remove or break up stones located in the ureter or kidney.
  4. Percutaneous Nephrolithotomy: In more severe cases, where the stones are larger or causing significant obstruction, a minimally invasive surgical procedure may be required to remove or break up the stones.
  5. Preventive Measures: Your urologist will provide guidance on lifestyle modifications to prevent future stone formation, such as dietary changes and fluid intake recommendations.

Kidney Stones Causes, Prevention, and Treatment: Contact Fifth Avenue Urology

If you or someone you know is struggling with kidney stones, the team of experienced urologists at Fifth Avenue Urology is here to help. Led by Dr. Yaniv Larish, a renowned New York City urologist, Fifth Avenue Urology offers comprehensive urological treatment services. With a commitment to patient care and cutting-edge medical expertise, Dr. Larish and his team specialize in the diagnosis, prevention, and treatment of kidney stones.

Remember, managing kidney stones involves a holistic approach that includes understanding the causes, implementing preventive measures, and seeking appropriate treatment. By taking proactive steps, you can alleviate the discomfort caused by kidney stones and regain control over your health and well-being.

Don’t let kidney stones disrupt your life any longer. Contact Fifth Avenue Urology today to schedule an appointment:

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

Understanding Urinary Tract Infections: Symptoms, Causes, and Treatment Options

Understanding urinary Tract Infections (UTIs) is important, as they are a common issue that affects millions of people worldwide. In this comprehensive guide, we will explore the symptoms, causes, and treatment options for UTIs. With the expert guidance of Dr. Yaniv Larish, a successful Urologist in New York City, and the team at Fifth Avenue Urology, you’ll be well-equipped to handle any urinary tract infections that may come your way.

Understanding Urinary Tract Infections 2023

What are Urinary Tract Infections (UTIs)?

Urinary Tract Infections are bacterial infections that occur in any part of the urinary system, which includes the kidneys, bladder, ureters, and urethra. UTIs are more common in women than men, with nearly half of all women experiencing at least one UTI in their lifetime. Although UTIs are not typically life threatening, they can be extremely uncomfortable and, if left untreated, may lead to severe complications.

Symptoms of UTIs

It’s essential to be aware of the common symptoms of UTIs so you can seek treatment promptly. The most common symptoms include:

  • A strong, persistent urge to urinate
  • A burning sensation during urination
  • Passing small amounts of urine frequently
  • Cloudy, dark, bloody, or strong-smelling urine
  • Pain or pressure in the lower abdomen
  • Feeling tired or shaky
  • Fever or chills (a sign that the infection may have reached the kidneys)

Causes of UTIs

Urinary Tract Infections are usually caused by bacteria entering the urethra and multiplying in the urinary tract. The most common cause of UTIs is the bacterium Escherichia coli (E. coli), which is typically found in the intestines. Other bacteria, such as Staphylococcus saprophyticus, can also cause UTIs.

Risk Factors for UTIs

Some factors can increase your risk of developing a UTI. These include:

  • Being a woman: Women have a shorter urethra than men, making it easier for bacteria to reach the bladder.
  • Sexual activity: Sexual activity can introduce bacteria into the urethra.
  • Menopause: Decreased estrogen levels can lead to changes in the urinary tract, making it more susceptible to infection.
  • Urinary tract abnormalities: Structural abnormalities can cause urine to pool in the urinary tract, increasing the risk of infection.
  • Urinary catheters: Long-term use of urinary catheters can introduce bacteria into the urinary tract.
  • Immune system suppression: A weakened immune system can increase the risk of UTIs.

Treatment Options for UTIs

Best UTI Urologist NYC 2023Effective treatment for UTIs typically involves the use of antibiotics to kill the bacteria causing the infection. The specific antibiotic prescribed depends on the type of bacteria involved, and the duration of treatment may vary from a few days to several weeks. It is crucial to complete the full course of antibiotics prescribed by your healthcare provider, even if your symptoms improve before finishing the medication.

Preventing UTIs

There are several steps you can take to help prevent UTIs:

  • Drink plenty of water to help flush bacteria from the urinary tract.
  • Wipe from front to back after using the toilet to prevent the spread of bacteria.
  • Urinate after sexual activity to help flush out any bacteria that may have entered the urethra.
  • Avoid using irritating feminine hygiene products, such as douches and powders.
  • Wear cotton underwear and avoid tight-fitting pants to promote air circulation and reduce moisture.

Understanding Urinary Tract Infections: Get Expert Urological Treatment at Fifth Avenue Urology

If you suspect that you have a Urinary Tract Infection or are experiencing any related symptoms, it is essential to seek professional medical help as soon as possible. Dr. Yaniv Larish and the team of expert urologists at Fifth Avenue Urology are here to provide you with the highest quality care and treatment options for UTIs and other urological conditions. Don’t let a UTI disrupt your life; contact us today to schedule an appointment.

For comprehensive and compassionate urological care, trust Dr. Yaniv Larish and the team at Fifth Avenue Urology. Contact us today to schedule your appointment and experience the difference our expert care can make.

4 East 76th Street
New York, NY 10021

Urological Problems in Men: Trending Conditions

Urological problems are quite common in men. More often than not, these issues occur when people age. In some cases, urological diseases can cause complications, affecting your quality of life. A well-functioning urinary system is vital for men’s health. This system consists of the bladder, reproductive organs, and urethra.

Urological Problems in Men

Some people suffer from urinary disorders because of aging, illness, trauma, congenital disabilities, etc. If you notice symptoms like blood in your urine, difficulty urinating, the pungent smell in your urine, urine leakage, too much pain in your abdomen, etc., consult with a urologist who specializes in treating and diagnosing urological disorders.

Older men are more likely to suffer from urological problems than younger ones. Mentioned below are some urological diseases that affect many males.

  • Urinary incontinence
  • Phimosis
  • Erectile dysfunction
  • Urinary bladder stones
  • Kidney stones
  • Urinary tract infection
  • Benign prostatic hyperplasia

Urinary Incontinence

Involuntary or sudden leakage of urine is referred to as urinary incontinence. Common symptoms of this condition include losing control of the urinary bladder. One of the biggest reasons behind urinary incontinence in men is an enlarged prostate, neurological disorders, or an obstructed urinary tract.


The condition is called phimosis when the penis’ foreskin can’t be pulled or retractable. It often results in various foreskin related issues like pain while passing urine, inflammation, and infections. In uncircumcised men, phimosis can be painful and prevent you from doing numerous activities.

Erectile Dysfunction

This urological condition can greatly impact men’s sexual life. Numerous reasons can result in erectile dysfunction, like low testosterone, excessive smoking, too many drugs, diabetes, nerve damage, blood pressure, etc. Besides these physical causes, emotional causes of erectile dysfunction include anxiety, depression, and stress.

Urinary Bladder Stones

This urological condition mostly happens when your bladder doesn’t empty itself properly. Men over the age of fifty often face this issue. Swelling inside the bladder, kidney stones, enlarged prostate, poor diet, lack of hydration, etc., are among the most common reasons behind bladder stones. Most people with bladder stones notice painful symptoms like pain while urinating, dark colored urine, discomfort when peeing, etc.

Kidney Stones

It is arguably the most common type of urological disorder and usually occurs because of stones forming due to salt in mineral crystallization in an individual’s kidney. Lack of hydration, obesity, and poor diet are among the most common reasons behind kidney stones. Here are some common signs and symptoms that highlight the presence of stones in your kidney:

  • Brown or red colored urine
  • Feeling feverish
  • Feeling nauseated
  • Sharp pain on the sides or back

Urinary Tract Infection

The urinary tract consists of the lower tract and the upper tract. The former consists of the prostate, urethra, and bladder, while the latter consists of the ureters or kidneys. The buildup of bacteria or germs in your urinary tract can result in certain symptoms like:

  • Frequent need to empty your bladder
  • Excessive pain in your stomach
  • Dark yellow or cloudy urine

Benign Prostatic Hyperplasia

Benign prostatic hyperplasia is essentially when one’s prostate becomes too enlarged. This condition is most common in older males aged fifty or above. Common BPH symptoms include:

  • Inconsistent urinary stream
  • Not being able to empty your bladder
  • Bloody urine

Trending Urological Problems in Men BPH NYC

Urological Problems in Men: Final Thoughts

Urological problems can be quite painful and may even cause mental health issues. Being unable to control the bladder often causes people to isolate themselves to prevent embarrassment. If you want to steer clear of such issues, consider contacting a urology specialist right away. At Fifth Avenue Urology, our experts can check your medical history in detail to determine your ideal treatment.

Contact us to reserve an appointment, and you will be one step closer to living a happy and stress free life.

4 East 76th Street
New York, NY 10021


Top Urological Problems in Females

What are the most common urological problems in females? Urological problems can prevent you from enjoying simple everyday activities. While these issues are most common in men, women face them too. Fortunately, most urological conditions are curable and treatable. All you need to do is get help from a seasoned professional. In this piece, we will talk about urological issues faced by most women. If you notice any of the conditions and their symptoms mentioned in this piece, consider discussing them with your doctor.

Top Urological Problems in Females

Overactive Bladder

Contrary to popular belief, OAB or overactive bladder isn’t a disease. Instead, it is a combination of different urinary symptoms, the most common being an uncontrolled and sudden need to pass urine. In most cases, getting an overactive bladder is merely a side effect of becoming older. However, lifestyle factors like drinking alcohol excessively, not getting enough sleep, drinking too much caffeine, etc., can also result in OAB.

Your urologist may ask you to make certain changes in your lifestyle, like lowering alcohol and caffeine intake. If these don’t work, they might prescribe you some medicine and physical therapy. Doctors sometimes suggest invasive procedures like implanting a bladder pacemaker or administering botox injections.

Pelvic Organ Prolapse

This condition usually occurs when the bladder or any other pelvic organ prolapses or drops from its place. In most cases, this happens because of weakened muscles holding the organ. Generally, these organs become weak because of surgery or childbirth.

The falling organ usually pushes against the vagina’s wells, which causes women to feel or see a bulge within the vagina. Sometimes, this causes them much discomfort when trying to sit. Worse, simple things like coughing or standing can worsen pelvic pressure.

If you notice these issues and discuss them with a urologist, they may suggest a surgical procedure to fix them. However, surgery isn’t necessary for every case, and your doctor will suggest ways to manage your condition depending on your particular symptoms.

Urinary Tract Infection

This problem can occur in almost any part of your urinary system. However, the most common UTI cases happen in the urethra and the bladder, which is the lower area of the urinary tract. While this issue impacts both women and men, the former are usually at a higher risk of facing it. If you think you have a urinary tract infection, make sure you address it right away. Not managing and treating this condition on time can result in serious issues, especially if the infection goes to your kidneys.

Urologists usually diagnose this issue by identifying lifestyle factors like constipation or fluid intake. Then, they look for certain anatomic problems and suggest vaginal creams if they spot any issues with your anatomy. Creams can be especially helpful for postmenopausal women as it helps them adjust pH levels to promote healthy bacterial growth.

Postpartum Urinary Incontinence

Involuntary leakage of urine is often referred to as postpartum urinary incontinence. This issue is common among new mothers and causes them to leak urine when performing strenuous activities, sneezing, coughing, or laughing.

Urological Problems in Females Women

Urological Problems in Females: Final Thoughts

The conditions mentioned in this piece can become a massive obstacle and prevent you from performing certain activities. For this reason, it is important to consult with professional urologists like those at Fifth Avenue Urology.

Contact us to book an appointment, and we will provide our best urologists to evaluate your condition and suggest the best possible treatment. Remember, treatments and medicines for urological conditions often vary, depending on an individual’s condition. Once our doctors thoroughly check your medical history, they will create a well thought out recovery plan suited especially for you.

4 East 76th Street
New York, NY 10021


Understanding Benign Prostatic Hyperplasia (BPH)

As men grow older, they are likely to experience certain health issues due to their body aging. BPH, or Benign Prostatic Hyperplasia, is one such condition resulting from the prostate and its surrounding area expanding.

To properly understand Benign Prostatic Hyperplasia (BPH), it is worth looking at how the prostate grows throughout a man’s life. The prostate will grow during two major stages of a man’s life: one, during puberty, and two, after the age of 25.

During puberty, the prostate will always double in size. Furthermore, after age 25, a man’s prostate will continue growing for most of their life. In Benign Prostatic Hyperplasia specifically, the prostate starts to grow beyond a certain point that it can start causing problems.

Benign Prostatic Hyperplasia BPH

A better way to visualize a prostate is by comparing it to the size of a walnut or golf ball in most adult men. However, as men continue to age, the prostate could grow as big as an orange, which can affect the other organs in the body. More specifically, it could add pressure on the urethra, affecting an individual’s ability to empty their bladder effectively.

Symptoms of Benign Prostatic Hyperplasia (BPH)

An enlarged prostate can significantly affect the bladder and its ability to produce, store, and remove urine. Some of the most common symptoms of BPH is having to pass urine often. In certain situations, you may want to pass urine as often as every one or two hours, often at night.

It’s the most common symptom of BPH, but it is not the only one. Other serious symptoms can include:

  • Feeling the need to pass urine more than twice every night, also known as Nocturia.
  • Having trouble passing urine without straining or pushing.
  • A weak flow of urine.
  • Suddenly having the urge to pass urine while feeling like you cannot wait.
  • Needing to pass urine every one or two hours.
  • Feeling like your bladder is full despite passing urine.

The BPH could sometimes become so severe that you cannot pass urine. In this specific case, you must meet with a professional

How Does Benign Prostatic Hyperplasia (BPH) Affect Men?

Besides a general uncomfortable feeling when passing urine, it can significantly disturb sleep cycles and only worsen with age. As it increases in size, it could damage the bladder or cause an infection. If it gets big enough, it can damage the kidneys and lead to blood flowing through the urine.

What Causes Benign Prostatic Hyperplasia (BPH)?

Despite extensive field studies, researchers still need to find out what causes BPH. The common factor among most patients is that they are older men, which is why some have even concluded that hormonal changes contribute to the condition.

Some believe that dropping testosterone levels in the body leads to BPH, as estrogen levels stay the same. Regardless, what factors lead to people developing BPH needs to be clarified.

Are You at a Higher Risk BPH?

While it is not obvious what causes BPH, certain types of men are at a higher risk of developing the condition. These include:

  • Men with erectile dysfunction
  • Men who are not active
  • Men with obesity
  • Men with fathers who had BPH
  • Men who are over the age of 50

Diagram of bladder & prostate with BPH

Treatment Options for BPH

Treatment will often differ depending on the severity of the issue, which is why there is no one specific treatment option. The most common treatments include:

Benign Prostatic Hyperplasia (BPH): Conclusion

At Fifth Avenue Urology, Dr. Yaniv Larish has the skill, experience, and technology to effectively treat BPH.

Call today to schedule a consultation.


4 East 76th Street
New York, NY 10021


Treatment Options for a Prolapsed Uterus

What are the treatment options for a prolapsed uterus? This is a condition where the uterus muscles become weaker. This is a common condition in women and it’s likelyhood increases as the woman ages. Having multiple vaginal deliveries puts women at risk of this condition. Because there are fewer muscles in a women’s uterus, it can easily become weak. When the ligaments and muscles working as a support system fail, the uterus moves from its position. Urologists refer to this condition as uterine prolapse.

Treatment Options for a Prolapsed Uterus

Causes of Prolapsed Uterus

A group of ligaments and muscles hold your uterus in the pelvis. You can refer to this group of muscles as pelvic floor muscles. When your pelvic floor muscles grow weaker, your uterus falls from the position and turns saggy. Many factors can cause uterine prolapse. Here are some of these factors:

  • Obesity
  • Chronic constipation
  • Aging
  • Injury while giving birth
  • Chronic straining or coughing

Diagnosis for Prolapsed Uterus

A urologist will diagnose your condition during a pelvic examination. The doctor will ask you to:

  • Take the bowel movement position. That way, your urologist will evaluate your uterus and check the severity of the vaginal slippage.
  • Tighten the muscles as if you are stopping the urination pressure. This will help them to check their muscle strength.

They might also ask you to fill out a questionnaire so they can better understand your condition. This questionnaire will help them understand the effects of uterine prolapsed in your quality of life. Depending on the severity of your condition, the doctor might recommend tests, so they can assess the bladder functions.

Treatment for Prolapsed Uterus

The doctor will recommend treatment according to the severity of your uterine prolapse. Here are some treatments that your doctor may suggest:

1.     Self Care Measures

If your condition does not include any symptoms, the doctor will suggest simple self care. That way they can prevent the increase in the severity and provide relief. Common self care measures include treating constipation, losing weight, and kegel exercises. These treatments will help strengthen the pelvic muscles.

2.     Pessary

The surgeon will ask you to insert a rubber or plastic ring into the vagina. This will support your tissues and keep them in position. You need to remove the pessary regularly for cleaning.

3.     Surgery

The doctor may also recommend surgery for repairing your uterine prolapse. They may suggest less invasive surgery such as laparoscopic or vaginal surgery as treatment. Here are some options for surgery:

  • You need to undergo a hysterectomy to remove your uterus. This is a safe treatment, but any surgery comes with a little or more risk of complications.
  • The surgeon will graft your tissue and repair the pelvic floor tissues. They may also use synthetic material to support the pelvic floor.

4.     Lifestyle and Home Remedies

You can also try these home remedies to treat your uterine prolapse:

  • Consume healthy food and avoid constipation
  • Increase the fluid consumption
  • Avoid heavyweights
  • Do not bear down for bowel movement
  • Control coughing
  • Reduce your weight

5.     Kegel Exercises

You can strengthen the pelvic floor muscles through kegel exercises. When your pelvic floor is strong, it will prevent prolapse and support your pelvic organs. Furthermore, it also reduces the symptoms and offers instant relief. Follow this technique to perform kegel exercises:

  • Keep your muscles tight as if you are passing gas.
  • Contract the vagina and hold it for five seconds. Now relax your muscles for five seconds. If contraction and relaxation are difficult for you, you can contract for two seconds and relax for three.
  • Now increase the duration of contractions for up to 10 seconds.
  • Your aim should be at least three sets a day with 10 repetitions.

Top Treatment Options for a Prolapsed Uterus

Kegel exercise can be hard to properly perform. Nevertheless, visit your urologist and seek their help. They can teach you effective techniques for this procedure. They might also use biofeedback to check if you are correctly tightening muscles while contracting. This device also monitors the length of each contraction and relaxation.

After you master the correct technique to perform kegel exercises, practice it every time you are free. You can even perform this exercise while at work as you sit in your chair, or on the couch while at home.

Treatment Options for a Prolapsed Uterus: Conclusion

A prolapsed uterus can be a severe condition and cause dislocation of your uterus. Therefore, you need to visit a professional urologist for proper treatment options. Our experienced urologist Dr. Larish will diagnose your condition and suggest the best treatment plan. 

Call today for a consultation.


4 East 76th Street
New York, NY 10021


Symptoms and Causes of Overactive Bladder

An Overactive Bladder (OAB) is not a disease. One of the most common misconceptions about OAB is that it is a disease when it is a group of symptoms. These symptoms affect the bladder or the urinary tract in some way and are often indicators of different conditions.

The most common symptom people will correlate with OAB is a sudden and uncontrollable need to urinate. The need to urinate can be so strong that people may even leak some before they reach the bathroom.

Overactive Bladder Causes Symptoms | Urologist NYC

Another infamous symptom associated with an overactive bladder is the need to urinate multiple times a day. This symptom can be especially bad when you might have to go to the bathroom multiple times in a single night (nocturia), often disturbing your sleep schedule.

A good generalization of OAB and its most common symptoms is the need to go to the bathroom often and urgently. While not all of OAB’s symptoms are associated with an urgent need to go to the bathroom, enough of them are that this generalization is not inaccurate.

How Does Overactive Bladder Affect an Individual’s Life?

While it may not sound as serious, OAB can be a very complex set of symptoms to live with since it can affect almost every aspect of your life. The most common aspect of an individual’s life that OAB can affect is their sleep, as the need to urinate multiple times during the night can hurt their mental health physical health and can even lead to serious mental health issues.

Furthermore, people with OAB can also feel very embarrassed about their condition, which is why they often avoid friends and family. People with the condition will often try to meet friends close to home or will always try to look for the nearest bathroom.

Common Misconceptions and Myths About OAB

OAB is unfortunately common, with as many as 40% of women and 30% of men living with one or more symptoms of OAB. However, as people develop symptoms of OAB, they will also have different misconceptions about what is happening to them. It is important to address all misconceptions early on, as some can be expensive, and others can be very dangerous. Some of the most common misconceptions include the following:

OAB is a Normal Part of Growing Old

OAB is not a normal part of growing old. It is a sign that you have a condition that needs immediate attention.

OAB is a Sign that Something is Wrong with Your Prostate

While OAB could result from an individual’s prostate swelling, it is not the only reason. Issues with the bladder or kidneys could also result in symptoms of OAB. Therefore, the only way to find out what is wrong with your prostate is by visiting a urologist.

OAB Treatments are Either too Expensive or not Effective

OAB is not a single condition but a general term for various symptoms. And while some symptoms can be expensive to treat, others can get better with therapy, OTC medication, or minimally invasive therapy.

Top Overactive Bladder Treatment | Urologist NYC

Causes of Overactive Bladder

When the bladder is full, the brain will send signals to the bladder. The bladder will squeeze the relevant muscles, releasing the urine stored inside. Therefore, when your bladder is empty, it will be relaxed.

During OAB, the bladder will often send signals to the brain, creating the urge to go to the bathroom. OAB can be caused because of overactive muscles in the bladder or damaged nerve signals.

Overactive Bladder: Conclusion

An overactive bladder can be a very painful condition to deal with and often requires the help of an expert. At Fifth Avenue Urology, Dr. Yaniv Larish has the skill, experience, and technology to effectively treat this condition.

For a consultation or to book an appointment, call today.

4 East 76th Street
New York, NY 10021


Most Common Urological Conditions

What are some of the most common urological conditions? Our urinary system puts in a great deal of effort for managing, regulating, and eliminating the waste in our urine. It includes several moving parts like your bladder, ureters, urethra, and kidneys. Like other organs inside our bodies, the urinary system can also encounter various issues. These conditions or problems are usually known as urologic diseases or urologic problems. You can encounter these problems regardless of ethnicity, gender, or age.

It directly impacts your urinary tract, whether you are a man or a woman. Urological diseases can also cause problems in the reproductive organs of men. In this piece, we will talk about common urological conditions that affect women and men and possible ways to treat them.

Most Common Urological Conditions Male

Stress Incontinence

Stress incontinence can result in leakage, and both men and women can encounter this problem. However, women face this issue more commonly, and it happens whenever the muscles supporting your bladder become weak. Most doctors suggest their patients make massive lifestyle changes to avoid or treat this issue. In women, a process called urethral balking can also improve the bladder’s functioning.

Overactive Bladder

People get an overactive bladder when their bladder is unable to hold urine. People who suffer from this condition lose their urine involuntarily because of a sudden and intense need to urinate. Your bladder’s muscles may begin contracting involuntarily. While there are several reasons why people may develop this condition, some common ones include tumors, bladder stones, UTIs, diabetes, and neurological disorders.

Some of the best ways to avoid this issue include staying at a healthy weight, staying active, and being proactive when managing diabetes and other chronic conditions. Doctors usually work with their patients to establish a bathroom schedule to train their bladders effectively. Additionally, certain medicines can also help people control their overactive bladder.

Urinary Tract Infections

It’s the most common urologic condition and often happens in women. Believe it or not, about sixty percent of women experience a urinary tract infection at some point. Meanwhile, the total percentage of men affected by this condition is around twelve percent. One of the main symptoms of a urinary tract infection is a frequent need to empty your bladder or a burning sensation.

Your doctor will likely ask you for a urine culture to properly diagnose this infection. Fortunately, treating this issue is relatively straightforward, as antibiotic treatments usually do the trick. Remember, treating this infection as soon as possible is vital to steer clear of further issues. It will also help you eliminate any complications later.

Most Common Urological Conditions Female

Prostate Cancer

This condition is among the top causes of cancer related deaths in men. Prostate cancer usually starts developing when your prostate cells start growing abnormally. The most effective way to successfully treat this form of cancer is by detecting it early, which is a major reason men must consider checking their prostate regularly.

Common Urological Conditions: Final Thoughts

If you or someone you know is experiencing the conditions mentioned above, consider consulting with a urological expert immediately. Fifth Avenue Urology can help you out. We have a team of seasoned urologists familiar with various treatments and procedures to treat different urological conditions. Once you book an appointment with us, our experts will take a detailed look at your medical history and determine the ideal treatment.

Then, they will advise you on how to proceed and if you need to make any lifestyle changes. Once you follow our expert advice, you will have a high likelihood of resuming your life without worrying about your condition exacerbating.

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New York, NY 10021

History of Urology

What is the history of urology? The word urology essentially originates from the Greek word “ouron” and “logia” which mean “urine” and “study of,” respectively. That said, this word’s original meaning doesn’t give any clues that it is arguably one of the most important areas of the medicinal field. Urology is vital because it encompasses the entire external and internal therapy and pathology of the urinary and genital tract. Plus, it touches upon other critical fields like internal medicine, dermatology, surgery, etc., extending in their domain.

The term urology indicates that this branch’s development, with its incredible achievements and complex method, comes from uroscopy. For those wondering, thousands of physicians worldwide have practiced uroscopy for millions of years, and this branch of science has evolved significantly recently.

History of Urology

When did it all start?

Doctors have recognized genitourinary tract diseases for thousands of years. Experts discovered a child’s mummified body in Egypt and found a massive bladder stone. According to many, one of the first urological procedures performed by surgeons in the old days was a circumcision. Eventually, the Greek Physician Hippocrates recognized bladder stones and worked on methods for removing them.

Traveling lithotomists, better known as stone cutters, practiced bladder stone removal during the 17th century. Samuel Pepys, a popular diarist, described how a lithotomist removed his stone. It was a gory ordeal, but he lived to tell the tale. Unfortunately, many others weren’t so lucky and often lost their lives or developed debilitating diseases because of simple surgical procedures.

Urology eventually became a specialty and was instituted during the 1890s after Felix Guyon’s appointment, who became the 1st professor of urology.

Critical Developments in the Field

Equipment companies made massive contributions to the development of the urological field. The urinary tract’s telescopic tests were a mainstay in this field until people voiced their concerns about it. Many thought that these tests were quite crude and painful. Plus, they were possibly the reason why so many patients didn’t survive the surgery.

Because of all the criticism, doctors started transmitting light with the help of rigid telescopes. They used various items like battery driven lamps and candles to see the urinary tract. Later, however, they doubted this method’s reliability and eventually ditched it.

The mid and late 1950s was an important period for the urology field as several breakthroughs helped take it to unprecedented heights. The rod lens system’s introduction was particularly handy for urology professionals and encouraged equipment manufacturers to create useful items like light sources and reliable endoscopic equipment. These items gave experts a clearer view of the urinary tract and minimized confusion.

The Current State of Urology

This field has evolved significantly over the years because of revolutionary inventions and improvements in the medical field. Because of this, various effective ways exist to treat different urological conditions and possibly even eliminate them. Most importantly, doctors have gained a great deal of knowledge on diagnosing urological diseases before they worsen, allowing people to get the right treatment on time.

History of Urology

Final Thoughts

Do you have a urological condition that prevents you from living your life to the fullest? If that is the case, it would be best to get help from seasoned urology professionals. At Fifth Avenue Urology, we have loads of experience treating different urology related diseases. Once you book an appointment with us, our experts will study your medical history to determine which treatment best suits you.

After that, they will use their expertise to create a plan for helping you manage your condition while suggesting medicine or surgery if necessary. Call today.

4 East 76th Street
New York, NY 10021

All About Kidney Stones and Treatment Options

What are kidney stones and treatment options? An individual’s urine can contain various minerals and salts that pass through the urinary tract and exit the body. However, if the minerals and salts in a person’s urine exceed normal levels, these minerals will have trouble dissolving, leading to kidney stones. But even though kidney stones can… Continue Reading

Erectile Dysfunction: Causes & Treatment

One of the most common sex problems that men seek the causes and treatment for is erectile dysfunction. The condition is so widespread that it affects as many as 30 million people. The medical term refers to an individual’s inability to either get or maintain an erection during sex. It is important to understand that… Continue Reading

Enlarged Prostate Symptoms and Treatment

The male reproductive system has a small sized muscular gland known as the prostate. This gland essentially surrounds the urethra, making the most of the fluid present in the semen. Our prostates propel the semen and fluid through the penis when we have a sexual climax. Unfortunately, many men get an enlarged prostate. Sometimes, this… Continue Reading

Best Urologist: Prostatitis

Men suffer from various urological conditions, especially during the latter part of their lives. However, prostatitis is the most common and can affect young and old males. In this condition, the prostate becomes inflamed. Sometimes, prostatitis is asymptomatic, but you must still show it to a reliable urologist to learn whether you need to follow… Continue Reading

An Overview of Cystitis

Cystitis refers to a condition where the bladder starts to inflame, which can result in a burning sensation and pain. Inflammation is when specific body parts start to swell and is often followed by a burning sensation. Cystitis is often the result of an infection in the urinary tract, which results from bacteria building up… Continue Reading

Types and Symptoms of Urinary Incontinence

Incontinence, better known as Urinary Incontinence, is a condition where you have trouble controlling your urine flow. People with incontinence often cannot tell when they need to urinate, which often leads to unwanted leaks. Many people struggle with incontinence, and most have trouble talking about it. Due to the stigma associated with urination, people can… Continue Reading

Vasectomies and Vasectomy Reversals

How do vasectomies and vasectomy reversals work? A vasectomy is a surgical procedure that prevents males from getting their partner pregnant. After this surgery, the sperms won’t mix with the semen. This indicates that the body will produce sperms, but it won’t leave the male body. By eliminating sperms from semen, men can prevent pregnancy.… Continue Reading

Overactive Bladder & Urge Incontinence

Overactive bladder is a common condition that affects millions of people every year in the US and causes changes in their lifestyle. The changes in their lives can be devastating, depending on the severity of the condition. An overactive bladder or OAB causes the patient to feel sudden and frequent urges to urinate. The urge… Continue Reading

Common Male Urological Problems

What are the most common male urological problems? As men age, they develop various urological problems that disrupt with quality of life. People especially around the age of 40 develop these conditions. However, this doesn’t mean that young people can’t have these problems. Many people complain that they suffer from building a relationship because of… Continue Reading

UPJ Obstruction (Adult Ureteropelvic Junction)

Ureteropelvic junction or UPJ obstruction refers to blockage inside the kidneys. Blockage occurs specifically at the upper end of the ureters, where the renal pelvis is located. It’s the tube that drains urine out of the kidney and moves it towards the bladder. The renal pelvis looks like a funnel. However, its main function is… Continue Reading

Male Factor Infertility

What is male factor infertility and what can be done to reverse this condition? Infertility is a condition that affects both men and women in the United States and other parts of the world. It’s a reproductive organ disease that reduces a patient’s ability to have children with their partner. Male infertility refers to the… Continue Reading

Urge Incontinence

What is urge incontinence? If you’re aware of what it means to have an overactive bladder and a frequent urge to urinate, then you probably know about urge incontinence. There are many types of incontinence that affect both men and women. Incontinence affects women the most due to weak pelvic and vaginal muscles. This can… Continue Reading

The Prostate Gland & Urinary Problems

What is the relationship between the prostate gland & urinary problems? The prostate gland is a walnut sized male organ. It is found at the base of the bladder and produces fluid to protect sperm. The gland sends fluid into the urethra, through seminal vesicles and the ejaculatory duct. The urethra is a thin tube… Continue Reading

The Current State of Erectile Dysfunction & Treatment

What is the current state of erectile dysfunction and treatment? More than 30 million men complain about the inability to keep and even get an erection. People who encounter such issues often have erectile dysfunction. ED is a common condition that men develop for many reasons. You don’t necessarily have erectile dysfunction if you develop… Continue Reading

Male Infertility Causes & Treatments

Male infertility is any condition when a person loses their ability to produce or ejaculate sperm. Infertility occurs in both males and females. About 13 out of 100 couples can’t have a baby. In most of these cases, infertility is the reason behind the issue. The common cause for male infertility is lack of sperm… Continue Reading

Overactive Bladder Urology

In simple words, OAB, short for “overactive bladder” in urology refers to experiencing the frequent urge to urinate. It can trigger urine loss (involuntary) and cause urinary incontinence in an individual. The condition affects millions of people around the world and in the US as well. However, most experts believe that women are more prone… Continue Reading

Kidney Stones & Removal

What are kidney stones and what is the process of removal? Doctors and scientists refer to kidney stones by multiple names. Some of the most commonly used phrases include renal calculi, urolithiasis, and nephrolithiasis. Kidney stones refer to mineral and salt deposits that solidify inside the kidneys and obstruct the urine flow leading to kidney… Continue Reading

Common Female Urological Problems

What are the most common female urological problems? The urinary system consists of the urethra, kidneys, bladders, and ureters. The system stores, produces, and eliminates urine from the body. Kidneys create urine and transfer it to bladders. Ureters are the tubes that carry urine to the bladders from the kidney. When the bladder fills with… Continue Reading

How Does the Vasectomy Procedure Work?

A doctor may recommend the vasectomy procedure when you decide that you’re not looking to have children anymore. In this procedure, the urologist will block sperm cells from mixing with semen. Consequently, a vasectomy results in an ejaculation that is free of sperms to avoid pregnancy. You may also undergo treatment for various health diseases,… Continue Reading

Causes and Treatment of Urinary Tract Infection

A urinary tract infection is an infection of the bladder, kidney, and urethra. You may develop this condition because of the bacteria in your urine. Usually, urine does not contain germs and bacteria, but they can enter the body from an external source. Your urinary system filters the waste products and excessive water from the… Continue Reading

Causes & Treatment for Incontinence

What are the causes and treatment for urinary incontinence? Urinary incontinence is a condition involving the loss of urine. This is a common condition, but many people experience humiliation while talking about it. Therefore, they do not consult a doctor if they notice any symptoms. Remember, treating urinary incompetence is not a big deal. You… Continue Reading

Causes & Treatments for Swollen Prostate

Swollen prostate or benign prostatic hyperplasia is a common condition in men wherein the prostate glands enlarge, growing much bigger than their normal size. If you experience prostate swelling, your chances of developing urinary symptoms increase. Uncomfortable and painful symptoms, such as difficulty in passing urine from the bladder, can ensue. This can potentially lead… Continue Reading

What are the Symptoms of Benign Prostatic Hyperplasia (BPH)?

What is Benign Prostatic Hyperplasia and what are the symptoms of BPH? The prostate is a walnut-shaped gland present in front of the rectum and under the bladder. It comprises the urethra, which is the tube that carries semen and urine into the penis. Prostate glands cause mild to severe complications when they grow in… Continue Reading