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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.

Suffering from Erectile Dysfunction? Causes and Treatment

What are the causes and treatment for Erectile Dysfunction (ED)? ED simply refers to the inability of getting or maintaining an erection. This happens to men as they age, but may sometimes happen to younger men. There are a variety of reasons for erectile dysfunction.

Causes of Erectile Dysfunction

Stress, anxiety, or fatigue often leads to men losing sexual drive resulting in impotency (erectile dysfunction). These and other mental problems can occur due to work, social or even personal life issues with your spouse.

Health conditions such as diabetes, heart diseases, weakening of arteries and veins, or weakening of the heart muscles, etc are among a few issues that can cause or worsen ED in men.

Drugs can also weaken the arteries and veins, causing erectile dysfunction. Sometimes, the medications used for treating various health conditions such as prostate conditions, high BP or even pain can cause ED.

Damage and/or injuries to arteries or veins responsible for carrying blood to the penis for firm erection can lead to erectile dysfunction. Damage can be severe or minor. However, minor injuries reciprocate through proper medication and even surgeries.

As for as older men go, most of them tendency to remain sexually functional till their 60s or even their 80s. Therefore, old age isn’t necessarily the only reason behind ED.

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Here are some common symptoms that people with ED face:

  • Trouble maintaining an erection during sex
  • Trouble getting an erection due to lack of blood flow to the penis (chronic)
  • Soft erection throughout the sex
  • Reduced sex drive

These common symptoms of ED are persistent throughout men who experience ED. Nonetheless, there are natural as well as traditional medicines that can help you treat erectile dysfunction. Depending on the state of ED you can contact a doctor or urology expert like Dr. Larish at Fifth Avenue Urology who can help you through the treatment and provide you with the best measures to prevent ED. Visit Fifth Avenue Urology’s website here for more info on Urology by Dr. Larish.

Treatments & Prevention of Erectile Dysfunction

ED treatments generally depend on its causes. Therefore, you might have to start with a combination of treatments which might consist of physical and mental therapy. You can work with a professional like Dr. Larish at Fifth Avenue Urology to help identify the cause of ED and choose the proper treatments.

As mentioned before, emotional treatments could be vital for men suffering from ED due to emotional or mental effects. Emotional problems can consist of anxiety, stress, depression, or lack of mental stimuli during sex.  Many professionals prefer talk therapies and counseling to work out any mental issues such as fatigue, stress, or anxiety.

Other problems such as conflict in relationships or the lack of stimulation in certain sexual criteria are also the point of discussion during these therapies. With a healthy relationship with your spouse and by resolving mental and emotional issues causing strain on the sexual performance, you can move past the barriers of erectile dysfunction and enjoy a happy and satisfying sexual life.

Top Erectile Dysfunction ED Treatment NY

Many physical treatments are restricted to oral medications, injections and some checkups at your doctor’s. Your doctor could also ask you to stop taking your old medications that affect your sexual performance. Instead, he or she might prescribe you to take medicines such as Viagra, Cialis or Stendra. These medications promote healthy blood flow to your penis by relaxing hardened arteries and veins that leads to a firm erection.

Moreover, your doctor might prescribe you Alprostadil to inject to the base or side of the penis. This will also enable a firm erection through healthy blood flow. Further, there are various other techniques to overcome the difficulties of ED:

  • You can use penile implants
  • Vacuums to pump blood into the penis for firm erection
  • Surgeries (laser) to vaporize excess tissue on the prostates
  • Vascular repair inside the penis that will prevent blockage to blood flow

There are also some preventative measures you can take to avoid going “down” the ED road.

  • Stop alcohol consumption
  • Stop smoking
  • Do cardio exercises
  • Maintain a healthy sleep routine and diet
  • Avoid taking unnecessary stress
  • Avoid conflicts with your spouse

Consult Fifth Avenue Urology for Problems with Erectile Dysfunction

Dr. Larish at Fifth Avenue Urology can help you with ED. With years of expertise in urology, he provides compassionate and effective care to his patients.

Book an Appointment: 212-675-3186

Fifth Avenue Urology
4 East 76th Street
New York, NY

Visit our main website for more information.


  1. https://www.medicalnewstoday.com/articles/5702#treatment
  2. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment
  3. https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776
  4. https://www.urologyhealth.org/urology-a-z/e/erectile-dysfunction-(ed)
  5. https://www.healthline.com/health/erectile-dysfunction#_noHeaderPrefixedContent

Urology: Prostate Cancer Treatment

The prostate gland is present in the pelvis area behind the bladder. It is responsible for producing seminal fluid, which nourishes and helps transport sperm. The urethra in the middle of the prostate gland, and it’s responsible for carrying sperm out of the penis during ejaculation. Prostate cancer can occur when cells grow abnormally inside the prostate gland.

Urologist for prostate cancer treatment NYC

However, there are few incidents of prostate cancer being fatal. In fact, in many cases, patients of prostate cancer and their doctors might even be unaware.

Types of Prostate Cancer

The most common prostate cancer is Adenocarcinoma. Others include:

  • Sarcoma
  • Small Cell Sarcoma
  • Neuroendocrine Tumors
  • Transitional Cell Carcinoma (TCC)

Prostate Cancer: Symptoms

It is advisable that you visit your doctor or have contact with Dr. Larish at Fifth Avenue Urology to work out the diagnosis and find out if you have prostate cancer or not. Initially, there are no significant symptoms of Prostate cancer. Nevertheless, some symptoms do develop at later stages of prostate cancer.

  • Frequent urge to urinate
  • Straining during urination
  • Pain in urination
  • Blood in urine or semen
  • Pain in the pelvic and lower abdominal area
  • Back pain
  • Infertility, in chronic cases
  • Swelling of one or two testicles

Although swelling of a testicle appears as a symptom of prostate cancer, it is not always the case. On the contrary, some men experience testicle enlargement due to their physical growth.

  • Erectile Dysfunction may occur due to prostate cancer or its treatment.
  • Prostate Cancer can metastasize. This means the spreading of cancer cells to other organs and parts of the body. It can spread to bones through lymph nodes and even affect the urinary tract system or the bladder.

Risk Factors

  • Family history- cancerous diseases, especially in close relatives such as siblings or parents, pose the probability of getting prostate cancer
  • Aging
  • Smoking and drugs
  • STDs
  • Various research is underway to confirm that after vasectomy, a man increases the chances of getting prostate cancer


If you have experienced any of the symptoms above or feel that you might have prostate cancer, it is a good idea to visit a professional Urologist. Dr.Larish at Fifth Avenue Urology is a top nyc urologist with immense expertise in the field. Some of the diagnostic procedures are as mentioned below.

  • Urologist will assess your previous cancer history if there is any
  • He might also assess your family’s history of cancerous diseases
  • Urine sample for lab tests
  • Sperm samples for lab tests
  • Blood sample test to check the level of Prostate-Specific Antigen (PSA)

Under a high PSA level in your blood, the urologist may also advise MRI scans.

Best NYC Urologist | Prostate Cancer

Prostate Cancer: Treatment

Your urologist will work with you to produce various combinations of treatment techniques and methods depending on the stage of your prostate cancer. Some common treatment methods of prostate cancer are as below.

  • Radiation Therapy; involves the use of high-energy x-rays to vaporize and cauterize the excess and abnormal cancerous cells present in the prostate gland or around it.
  • Chemotherapy; involves administering a drug that disperses throughout the body to prevent the progression and further spread of the cancerous cells.
  • Surgery; Safe surgical procedures also take place in order to remove the tumor(s) of the prostate gland entirely.
  • Hormone therapies; involve the urologist administering drugs that lower the testosterone levels in the body. Testosterone might serve as a fuel for cancerous cell development in the prostate gland. Therefore, reducing levels of testosterone can prevent the further progression of cancer.

Prevention of Prostate Cancer

Researchers and urologists advise certain prevention techniques to reduce the risk of prostate cancer. These areas are mentioned below.

  • A healthy diet involving a variety of colorful fruits and vegetables to provide anti-oxidants, which prevent the production of cancerous cells in the body
  • Exercising regularly or frequently every week to sustain a healthy blood flow
  • Avoiding sedentary lifestyles (excessive sitting, obesity, or unnecessary cycling)

Conclusion: Consult with an Urologist

At Fifth Avenue Urology, Dr. Larish provides extremely professional and compassionate care to his patients. He can diagnose prostate cancer and find suitable treatments.

Fifth Avenue Urology
4 East 76th Street
New York, NY 10021

Book an appointment: 212-675-3186

Or Contact us on our main website.


  1. https://www.nhs.uk/conditions/prostate-cancer/diagnosis/#:~:text=The%20GP%20is%20likely%20to,bottom%20%E2%80%93%20called%20digital%20rectal%20examination
  2. https://www.cancer.gov/types/prostate
  3. https://www.cancercenter.com/cancer-types/prostate-cancer/symptoms?invsrc=non_branded_natural_search_google
  4. https://www.medicalnewstoday.com/articles/150086
  5. https://www.nhs.uk/conditions/prostate-cancer/
  6. https://www.uclahealth.org/urology/prostate-cancer/what-is-prostate-cancer
  7. https://www.pcf.org/about-prostate-cancer/prostate-cancer-treatment/hormone-therapy-prostate-cancer/
  8. https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/how-diagnosed.html
  9. https://www.cancer.org/cancer/prostate-cancer/about.html
  10. https://www.cancer.org/cancer/prostate-cancer/causes-risks-prevention/risk-factors.html
  11. https://www.urologyhealth.org/urology-a-z/p/prostate-cancer
  12. https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087

Urethral Stricture Causes & Treatment

What is a urethral stricture? The urethra is a tube that transfers urine from the bladder to the penis. This hollow tube starts from the lower bladder opening, stretching throughout the length of the penis. In women, the length of the tube is around 2.5 to 4 cm in length. The opening of this tube is short in contrast to men’s, stretching from the lower bladder. The urethral sphincter is a muscle surrounding the urethra in both women and men. This muscle keeps the urine inside the bladder by closing the urethra. The muscle relaxes before urination, allowing the urine to pass through the urethra from the bladder.

Urethral Stricture | Causes & Treatment NYC

Causes of a Urethral Stricture

The urethral stricture shrinks the opening of the urethra. This usually happens when the tissue starts to swell because of scar tissue. The tissue might scar for numerous reasons and factors. Men with penile implants and young boys with hypospadias surgery have a higher risk of developing urethral strictures.

A common type of trauma, straddle injury, may lead to urethral stricture. For instance, if you fall on fences and hit the area near your scrotum, you might develop a straddle injury. Here are some other causes of urethral stricture:

  • Catheter insertion
  • Pelvic fractures
  • Radiation
  • Benign prostatic hyperplasia
  • Prostate surgery

Here are some rare causes of urethral stricture:

  • Chlamydia, gonorrhea, or other sexually transmitted infections
  • Repetitive or untreated urinary tract infections
  • A tumor developing near your urethra

Symptoms of Urethral Stricture

The most common symptom of urethral stricture is a weak urinary system. Here are some symptoms of urethral stricture:

  • Pain while urinating
  • Straining when urinating
  • Prostatitis
  • Urinary tract infection

People who are unable to develop severe urethral strictures lose their ability to urinate. This is a medical emergency, and you can refer to it as urinary retention. Renal failure and hydronephrosis might occur due to poor drainage of your bladder, and it fills in the kidney.

The urethral stricture will lead to inflammation in the prostate region. The prostate surrounds the urethra under your bladder. You can refer to this condition as prostatitis. You might develop a urinary tract infection due to urinary backup. You can manage this condition using antibiotics and treating the urethral stricture. More importantly, you should visit a urologist for diagnosis and suitable treatment options.

Diagnosis of Urethral Stricture

Your doctor will use different approaches for the diagnosis of urethral stricture:

·       Understanding the Symptoms

When you visit the doctor, they will ask various questions to identify the symptoms you are experiencing. You can also self-report the symptoms if they are prominent. Furthermore, the doctor will ask about your medical history to recognize the risk factors of the condition.

Urethral Stricture Treatment | Top Urologist NYC

·       Undergoing Physical Examination

The urologist will perform a simple physical examination and try to identify the urinary stricture. For instance, the possible symptoms that the doctor will observe while the physical inspection is redness, swell, and harness on the penile region.

·       Conducting Tests

To identify the condition and diagnosing the urethral stricture, the urologist will also perform these tests:

  • Gonorrhea or chlamydia
  • Measuring urethral opening’s size
  • Measuring flow rate while urinating
  • Analysis of chemical and physical urinary properties and determine the presence of bacteria.
  • In this diagnosis process, the urologist will insert a small tube containing a camera. This device helps the doctor to view the urethra and bladder. This way, they can ensure the presence of the condition.

Treatment of Urethral Strictures

The treatment process will depend on your condition’s severity:

·       Nonsurgical

Dilator – The urologist will use a dilator to widen the urethra. The dilator is a medical instrument and helps with the primary treatment mode. This procedure is outpatient, and you can return home after the treatment. The doctor will pass a small wire in the bladder through the urethra and start dilating. After some time, the urologist will start using the larger dilators to increase the urethra’s width.

Catheter – In another nonsurgical option, the urologist will insert a urinary catheter permanently. Doctors only opt for this treatment in severe cases. This procedure has risks such as urinary tract infection and bladder irritation.

·       Surgery

If nonsurgical treatment does not work, the urologist will perform surgery to remove the affected tissue. For severe and longer stricture, you can go through open urethroplasty. The urologist will remove the tissue and reconstruct the urethra.

·      Urine Flow Diversion

In severe cases, the urologist will use the procedure for complete urinary diversion. The surgeon will reroute the urine to the abdomen’s opening. They will use the intestines and connect the opening to the ureters. The surgeon will perform this treatment when they find the need to remove the damaged bladder.

Other Surgical Options for Urethral Stricture

The surgeon will recommend you, anyone, out of these surgical options, depending on your condition:

  • DVIU or direct vision internal urethrotomy
  • Urethral dilation
  • Open urethral reconstruction
  • Urethral stent placement

Urethral Strictures: Conclusion

If you experience pain or strain while urinating, consult with one of the best urologists in New York City, Dr. Yaniv Larish. You can set-up an appointment with the urologist by contacting us at 212-675-3186 or visit our main website to learn more: Fifth Avenue Urology.

Urologist for Kidney Stones

Do you need a urologist for kidney stones? The kidney’s function is to purify your blood by removing wastes and excess fluid from your blood. They are responsible for the essential forming of urine and keep our blood free of toxic and foreign material. However, sometimes the toxicity inside our blood becomes too much for our kidneys to handle, and this leads to complications.

Urologist for Kidney Stones NYC

Kidney Stones

You can also refer to kidney stones as renal calculi. In terms of physical shape, kidney stones look like small crystals. Most often, these stones will form inside a patient’s kidney. However, their formation can occur anywhere between the urinary tract. This involves the ureters, bladder, and urethra. Their creation inside the body is usually due to the excessive intake of particular substances. These substances may include many things, and thus, you find different types of kidney stones inside a person.


Below are some of the examples of Kidney stones. You can find different deposits in a person with impure blood.

Calcium Stones

This type of stone deposit or creation occurs from having food that is rich in oxalates. This type of condition is most common for people. The foods that most commonly put you at risk of this condition are the following:

  • Spinach
  • Potatoes
  • Chocolate
  • Beets
  • Peanuts

You must be wary of over-consuming the foods mentioned above if you want to ensure that you do not develop the symptoms of calcium stones.


You can find these stones developing mostly in women that suffer from urinary tract infections. They can be large and obstruct the urinary tract, making it hard for the patient to pass urine. Since they are mostly a result of a kidney infection, treating this condition involves anti-inflammatory measures to mitigate the infection’s effects.


Unlike other stones, this condition is rare. They can be present in both men and women. However, one has to have the rare disorder of cystinuria. When a person suffers from this condition, an acid forms their kidneys and starts leaking into the urine, causing undeniable complications.

Uric Acid

Uric acid shows its presence mostly in patients suffering from gout. On the other hand, people going through chemotherapy may also develop uric acid. Moreover, you will notice that men most commonly go through this condition.

Best NYC Urologist for Kidney Stones

A person will start facing troubles once their urine starts to become acidic. Usually, eating a purine-rich diet will increase the acidity of your urine. You can find purines in animal proteins such as fish, meats, and shellfish. In its physical form, it is a colorless substance.

Risks and Indications of Kidney Stones

The biggest indication of kidney stones occurs when you start producing less than one liter of urine each day. For this reason, you will find that kidney stones are most common in infants with kidney problems. They are also common occurrences for people between the age of 20 and 50.

You need to be wary of many factors that lead to kidney stone problems. These risk factors include:

  • Dehydration (water is essential for the health of the kidney)
  • Obesity (a person who is obese is more likely to have toxins – excessive substances in their blood that will become toxic)
  • Eating a diet that is rich in proteins, glucose, or salts
  • Intake of certain medications such as anti-seizure drugs and calcium-based antacids
  • Hyperthyroid Conditions
  • Inflammatory bowel diseases( in this condition, a person begins to over-absorb calcium)
  • Certain Surgeries

Symptoms of Kidney Stones

The most evident symptom of a kidney stone includes severe pain. The symptoms of a kidney stone begin to amplify once the stone starts to enter the ureters. Doctors refer to this pain as renal colic. Patients who suffer from this condition feel excruciating pain in the abdominal regions of their body. This pain can also travel to the back and groin areas of the bodies. Other symptoms of the kidney stone include:

  • Small amounts of urine streams when urinating
  • Blood in urine
  • Frequent urges to urinate
  • Vomiting
  • Fever
  • Nausea
  • Chills
  • The bad coloration of urine and foul smell

You must urgently visit a urologist if you come across these problems. Prolonging the visit to the doctor will increase the severity of the kidney stone condition. Avoiding treatment and checkups will lead to stone deposits entering the urinary tract. This will not only cause spasms in your ureters but also block the flow of the urine.


If you or anyone you know suffers from urinary tract infections or kidney stones, then you should get treatment from the best urologists in New York. We at Fifth Avenue Urology provide you with the best urologists in the city. Contact us at 212-675-3186, or visit our website for more information.

Prolapsed Uterus Causes & Treatment

Uterine prolapse is a disorder that relates to stretched and weakened pelvic ligaments and muscles. When this condition occurs, the muscles no longer provide support to the uterus. Consequently, the uterus swells out of the vagina or slips down. This condition may occur at any age in women. However, it mostly occurs in women who had vaginal deliveries. If you have mild uterine prolapse, you won’t require any treatment. You can seek help via treatment if you experience uncomfortable consequences due to this disorder.

Prolapsed uterus treatment NYC

Symptoms of Prolapsed Uterus

With minor uterine prolapse, you won’t experience any symptoms. Conversely, moderate and severe prolapse might include these symptoms:

  • Vaginal bleeding
  • Problems during sexual intercourse
  • Strange feelings, as if you are sitting on a ball
  • Increased discharge
  • Heavy or pulling feeling inside your pelvis
  • The cervix or uterus sinking out of the vagina because of swelling
  • Problem emptying the bladder or developing bladder infections
  • Constipation or difficulty in passing stool

You should immediately visit an experienced doctor if you experience any of these symptoms. The doctor will diagnose you and treat the condition. Failure to seek timely medical attention might impair bladder, bowel, and sexual functions.

Causes of Prolapsed Uterus

You might develop this condition due to weakened muscles in the pelvic region. Here are some of the reasons for weak muscles:

  • Consistently lifting heavyweight
  • Pregnancy
  • Trauma during delivery, giving birth to a large baby or undergoing vaginal delivery
  • Chronic coughing
  • Straining during bowel movements
  • Pelvic surgeries
  • Weak connective tissues due to genetic factors
  • Drop in the levels of estrogen due to age factor. This mostly happens after menopause.

Risk Factors for Prolapsed Uterus

Uterine prolapse occurs in the following situations:

  • When you are post-menopausal
  • When you go through vaginal deliveries
  • If your family members had a prolapse

Menopause is when the ovaries lose their ability to produce hormones that trigger your monthly menstrual cycle. You are in a menopausal condition if you haven’t had a period of 12 months. During menopause, you stop producing estrogen, which helps in strengthening the pelvic muscles. When this happens, you are at a higher risk of developing prolapsed uterus.

Diagnosis for Prolapsed Uterus

Pelvic examination

You need to go through a pelvic exam to diagnose the disorder. The doctor will ask you to:

  • Sit down as if you have a bowel movement. This will help the doctor examine the uterus and estimate how much the uterus slips inside the vagina.
  • Tighten the pelvic muscles as you are stopping the stream of urine. This will help your doctor to test the strength of the pelvic muscles.

The doctor will ask you to fill out a questionnaire. This is to assess how the condition affects your life quality. After going through the diagnosis, the doctor will decide the best treatment option. After that, you will undergo urodynamic testing so the doctor can examine how your bladder is functioning.

Treatment for Prolapsed Uterus

The need for treatment depends on the severity of your condition. If you feel the prolapse is getting worse, you need to discuss it with your doctor. They will help you choose the best treatment option:

1.    Non-surgical Treatments

Here are some non-surgical treatment options:

  • Avoid lifting heavy objects
  • Decreasing stress from your pelvic structure by losing weight
  • You can use a pessary to stabilize your cervix and uterus. You need to insert this device into your vagina.
  • Perform Kegel exercises for strengthening your vaginal muscles.

According to some studies, you can use vaginal estrogen to strengthen and regenerate the vaginal tissue. Vaginal estrogen will help improve the results of various treatments. In contrast, it does not reverse the prolapsed itself.

2.    Surgical Treatments

The doctor might suggest various treatments to repair the prolapsed uterus. Vaginal or laparoscopic surgeries might help with the condition. Here are some surgeries that might help:

  • Hysterectomy or Removal of the Uterus

Hysterectomy is a safe treatment option but includes various complications. A doctor will recommend this surgery for uterine prolapse in various cases.

  • Repairing Weakened Tissues in Pelvic Region

The doctor will perform this surgery through the abdomen or vagina. In this treatment option, the surgeon will support the pelvic floor’s structure through synthetic material, donor tissue, or your tissue. This way, your pelvic organ gains crucial support.

Surgery options for prolapsed uterus are very effective but not suitable for women planning to have children. Childbirth and pregnancy exert a strain on your pelvic muscles, which affects the support for the uterus.

Urologist for prolapsed uterus NY

Preventions for Prolapsed Uterus

There is no technique to prevent uterine prolapse, but you can reduce your risk of developing the conditions by incorporating these activities into your routine:

  • Maintaining your weight
  • Performing physical exercises daily
  • Practicing Kegel exercises
  • Undergoing treatments for disorders that increase the pressure in your pelvis, such as coughing or constipation

Conclusion: Consult an Expert Urologist

If you encounter any symptoms of a prolapsed uterus, you need to discuss with the urologist for treatment options. You can consult with Dr. Larish by calling at 212-675-3186 if you live in New York City. He will understand your disorder and guide you through the risk factors and benefits of the treatment. You can visit our clinic, Fifth Avenue Urology, for further information about the condition.

Overactive Bladder: Causes & Treatments

Overactive Bladder

An overactive bladder is a condition that triggers the sudden urge to urinate in unpredictable instances. It also causes involuntary accidents to happen in which people undergo the unexpected loss of urine. This condition causes millions in the world to suffer and is very difficult to manage.

The unpredictability of this condition makes it one of the toughest illnesses to treat and overcome. Women tend to suffer from it more than men. Apart from the physical toll, this condition has drastic psychological effects on a person. Since a person is vulnerable to urinating at any given moment, they tend to avoid social gatherings and stay isolated.

The psychological impact that this condition has causes a person to go into severe emotional distress. Bad mental health will also lead to other conditions that make a person’s overall health even worse. However, with the help of a few treatments, a person can manage to control their symptoms and improve their condition to quite an extent.

Overactive Bladder Causes & Treatment

Overactive Bladder: Symptoms

Urine leakage is an occurrence that can happen regardless if you have a bladder problem. The excessive leakage of urine is an indication that you have an overactive bladder. Some people will also produce little leakage because of laughing too vigorously. Others produce slight leakage after holding urine inside the bladder for too long. However, this is not an indication that you have an overactive bladder.

You can find many indications that point to an overactive bladder. One of the most identifiable indications is the frequency of the urine. The most common symptoms of an uncontrollable bladder include:

  • Urgent need to urinate
  • Frequent loss of urine
  • Urge to urinate more than eight times on a given day
  • Frequently waking up during sleep to urinate

The symptoms of an overactive bladder vary depending on the person. Each individual with an overactive bladder can experience different symptoms depending on the circumstances. Therefore, it is very difficult to self-diagnose whether you have a bladder issue. For this reason, you must visit the doctor if you are undergoing the symptoms mentioned above.

How does it Happen?

Normally, a person urinates when their bladder is full. Once your kidneys finish purifying your blood, and the urine collects into the bladder, your pelvic muscles begin to contract. Then the brain sends a signal to your body, and you relax your pelvic muscles so that the urine can pass through your penis.

A patient suffering from an overactive bladder will experience bladder contraction even when the bladder is not full. Due to this, they feel a frequent urge to urinate regardless of whether they have a full bladder.

Factors That Put you at Risk

In some instances, the cause of an overactive bladder is faulty genetics. However, some habits are more likely reasons that lead a person to suffer from this condition. The factors that cause these symptoms include:

  • Drinking an excessive amount of fluid
  • Intake of certain medications that have side effects, which cause bladder issues
  • Abnormalities in the bladder
  • Overconsumption of caffeine
  • Alcoholism

Nonetheless, experts cannot point to the exact cause of an overactive bladder. The people with the highest risk are ones that fall in the age group of fifty and above. This shows that there is a strong correlation between aging and bladder problems. However, you should not undermine the symptoms even if you do not fall into the particular age group. This is because an overactive bladder is not an inevitable symptom of aging.

Diagnosis for Overactive Bladder

Initially, doctors diagnose the bladder and kidneys for abnormal urination to see if there is an infection. A doctor may ask you to provide them with a urine sample. This helps doctors confirm whether the urine has traces of blood in it. Another diagnosis that proves bladder abnormality is examining the bladder to see it completely empties after urination.

Overactive Bladder Treatment

Doctors make these diagnoses with the help of certain tests. To check whether you have residual urine after urination, the doctor will make you undergo an ultrasound. In this process, they use the sound waves to encapsulate an image of the urine inside of the bladder.

Measuring the quantity of the urine, they can tell whether your bladder is indeed overactive. Other methods involve testing the urine flow rate in comparison to a person’s fluid intake and the use of thin tubes or catheters.

To Conclude: Consult A Professional Urologist

Bladder issues are more common than people may believe. Having an overactive bladder is an embarrassing condition for the average person. If you or any of your loved ones are having a difficult time coming to terms with an overactive bladder, you must consult a specialist.

Fifth Avenue Urology offers you a chance to get professional help from experienced specialists. Contact them now to schedule an in person or tele-appointment at 212-675-3186.

5 Common Urological Problems Women Face

Although many women experience urological conditions and diseases, very few seek proper medical care. Studies suggest that this is often because of the ratio of women doctors and specialists in the Urology departments.

Urology deals with problems pertaining to the urinary tract system. This includes organs such as the ureter, urethra, kidneys, bladder, and other reproductive parts in men and women alike. These organs are vital to manage and eliminate urinal waste from the body.

top 5 Urological Problems Women face

Our medical care agency can help you get in touch with professional and compassionate urological experts. Visit our website here. Below are some of the most common and general urological problems that women experience due to several reasons during their lifetime.

5 Urological Problems Women Face

Women often face the following urological problems, each of which can vary in severity.

1.     UTIs

Urinary Tract Infections occur due to the accumulation of bacterium in the urinary tract or urinary organs (such as the bladder). The bacterium causes infections that cause disruptions in routines, leading to unhealthy symptoms. If left untreated, symptoms can reach chronic levels.

  • Unusual smell in the urine
  • Difficulty urinating
  • Starting and stopping trouble in urination
  • Burning and irritating sensations while urinating

These symptoms disturb your mind and body equally. The urge to urinate frequently bothers your routine. Moreover, mental stress can develop when you fail to control urination.

2.     Pelvic Issues

Pelvic muscles support the vagina, bladder, and rectum. These are bowl shape groups of muscles present in the lower body. Post-childbirth can cause issues in pelvic muscles’ working. Pelvic floor therapies help reprimand these issues. Symptoms of this urological problem include:

  • Pain during intercourse
  • Pain in the lower back and between hips
  • Trouble in starting and stopping urination
  • Dripping at the end of urination

Common causes of this include not relaxing the pelvic muscles enough post-childbirth, and in severe cases, it may be due to a serious injury or an accident.

3.     Incontinence Postpartum

This condition is also persistent in many women after childbirth. Sudden leakage of urine occurs due to certain actions such as coughing, sneezing, jumping, etc. Immense weight gain is an additional factor in unintentional leakages. This makes it harder to control the urge to urinate and may lead to embarrassment and disruptions in your daily life.

In such a scenario, you can consult with female urologists at our urology agency. Check them out here. Treatments include pelvic floor therapies and medications on the advice of your medical specialist.

4.     Overactive Bladder and Bladder Syndrome

This is most common in women of old age. However, it can occur in young women also. This causes a woman to urinate more than often. Sometimes, women may feel the urge to urinate during most parts of the night, as well as several hours of the day. This is completely similar to Incontinence.

However, Bladder Syndrome is relatively painful for some women. They may feel a full bladder all the time, so a need to urinate frequently occurs. This uncomfortable and depressing condition can also cause pain during urination and intercourse.

5.     Prolapsed Vagina

This condition is post-childbirth. During childbirth, the walls and muscles of a woman’s vagina stretch, causing these muscles to grow thin. Thinning remains for long periods of time due to insufficient relaxation in the pelvic and vaginal area of the body.

Due to weak vaginal muscles, the organs around become displaced. This causes swelling or bulging in the vagina. This swelling can cause discomforts to the woman sitting or even standing in a specific posture. Intercourse activities also feel painful.

Top Urological Problems for Women

Urologists at Fifth Avenue Urology can help you if you have the condition of a prolapsed vagina. So give contact us here to learn out about appointment scheduling.

Top Urological Problems Women Face: Consult An Expert

Fifth Avenue Urology employs various professional and certified urologists who have bested their careers in the field of urology. At Fifth Avenue Urology, doctors feel privileged to practice medicinal care. With compassionate, respectable, and patient experts of urology, you can begin the treatment process right away.

Health of the urological areas of the body is vital to a healthy life. Give us a call at 212-675-3186. You can also visit us in person at

Fifth Avenue Urology
4 East 76th Street
New York, NY 10021


  1. https://www.timesnownews.com/health/article/4-most-common-urological-problems-in-women-how-to-treat-and-prevent-them-incontinence-after-pregnancy-blood-in-urine-utis-kidney-stones/380576
  2. https://www.academic-urology.com/female-bladder-vagina.html
  3. https://www.advancedurologyinstitute.com/the-two-most-common-female-urology-problems/
  4. https://www.healthgrades.com/right-care/womens-health/6-reasons-for-women-to-see-a-urologist
  5. https://pubmed.ncbi.nlm.nih.gov/9919732/

What Makes The Best Urologists?

There are many diseases that a person can develop or contract today. You should know who to look for when it comes to a specific disease. For instance, if you are going through a severe heart condition, you would need to consult a heart specialist. But who would you consult if you face any problem associated with the urinary tract system? The answer is a urologist.

What Makes The Best Urologists?
Today, we will discuss what urology is and why it is important to find the right urologist. Urology is mostly known as genitourinary surgery and is the field of medicine that concentrates on surgical and medical diseases of both male and female urinary tract system and the reproductive system of males.

Urologists are among the most important healthcare professionals. But how do you know if you are consulting the best urologist?

Who is a Urologist?

They are medical professionals who specialize in specific diseases associated with urinary healthcare in both males and females. They are specialists who diagnose and treat these specific problems through different procedures such as surgeries.

What Makes a Urologist Successful

First, urologists must have the required qualification, training, and expertise. However, they must also have command over soft skills. In order to become a successful urologist, they must be very attentive, be able to process strong details, and have the ability to solve problems.

These particular set of skills help a urologist to understand what the patient is saying and can underline the type of diseases the patient might be going through. Having proper analyzing skills can help urologists determine what type of examination or diagnosis, a patient must consider.


A urologist must be present not only physically but also even mentally and emotionally around the patients. This is the only way they can fully understand the patient’s situation. Time management is another aspect a urologist must have as the relationship between patient and urologist can vary. Some might go through a long process, while some might have a shorter one. In each case, a urologist should be able to give each patient time relatively.

Strong Personality/ adaptability

A good urologist is one who is willing and determined to learn and become a urologist. This is because urologists never stop learning. The process of learning keeps on continuing as the years go by. Not only do they have to go through medical school and other training programs, but they must stay up to date with the trends and technological advancements that may change treatment procedures.

What Makes The Best Urologists in NYC?

Other than being keen to learn, a urologist needs to have the ability to offer compassion and allow patients to feel relaxed, especially when they are talking about issues that they might deem as embarrassing.

Hard Working

Urologists must be not only compassionate but also hardworking, as the job of a urologist requires them to work irregular and long hours, sometimes two to four days per week. On average, urologists cater to the needs of 50 to 100 patients per week.

Besides, in cases where they need to be in the operating room can result in longer hours of work. Most urologists spend half of their days in the operating room treating all sorts of conditions. Sometimes they are only able to treat one patient or perform one surgery if the patient’s condition is complex or severe.

They must be hardworking and willing to spend a lot of time working to become a good urologist.

What Should You Seek In Your Urologist

The conditions related to your urological system and reproductive organs tend to stay around for a longer period. Thus, this means a patient may have to seek advice and regular checkups from their chosen urologist quite often, building a long relationship between the patient and urologist.

Therefore, the question arises what makes a urologist good for you. Well, the answer is simple. If you find a urologist who is always asking questions about how you feel and shows signs of sympathy, they are the best for you. You do not want someone who just looks at your results and gives you the relevant news.

Urologists become your primary care doctor. Thus, they must understand your condition and give you personal attention.

Conclusion: What Makes the Best Urologists?

Urinary tract infection, enlarged prostate gland, kidney stones, overactive bladder, etc. are painful conditions that can lead to other complications. Urologists have become important medical professionals for both men and women dealing with urological issues. If you are looking for the best urologist, Fifth Avenue Urology has you covered.

Our urologists have the qualification, expertise, and skills to treat all your problems. Plus, they offer compassion and utmost care to each patient individually. You can visit our website and contact us today to schedule an appointment.

What Do Urologists Treat In Women?

There are certain conditions that women go through, which require them to consult a specific specialist to get treatment. Just like men have conditions such as erectile dysfunction or impotence, women also experience conditions related to the urinary tract system.

However, in both cases where the women or man faces a concern regarding the urinary tract or reproduction system, a urologist will be the one they need to seek advice.

What Do Urologists Treat In Women?

While urologists treat both men and women, this post focuses on when a woman should see a urologist and what conditions and diseases do they treat in women. We’ll be covering everything you need to know, so invest a few minutes and continue reading.

Who Is A Urologist?

First, we must cover what urology is. It is the branch of medicine that concentrates on surgical and medical diseases that both men and women face with their urinary tract system. This system produces, stores, and excretes urine from the human body.

Urologists treat all related diseases and conditions, including conditions with the bladder, adrenal glands, and kidney-related issues.

They use their expertise and knowledge of urology to find a solution and proper treatment for the patient. All treatments and examinations may vary depending on the severity of the case.

Types Of Urolgical Treatments for Women

The following are the specific diseases of the urinary tract system that a woman may encounter and must visit a urologist for medical help.

Urinary Tract Conditions

It is common among women to encounter a urinary tract infection at some stage in life. This infection occurs only when the bacteria enter the urinary tract. It can cause a burning sensation while urinating, which is also a symptom of an infection in their urinary tract.

Urinary tract infection in the bladder can be painful; you may feel a sudden need to urinate and go to the bathroom constantly. However, they will also have trouble when it times to urinate. If the infection spreads to your kidneys, it can lead to complications.

A common method urologists use to treat this infection is using antibiotics.

Trouble Controlling The Bladder

This trouble of controlling the bladder occurs in women of all ages but is most common when they are older. Women are more prone than men to go through this problem. The loss of control on the bladder is also known as urinary incontinence.

What happens when women have this condition is that they face problems while holding back the urine. Urinary incontinence may result in leakage in circumstances where the body is under stress and makes sudden or rapid movements such as sneezing or even coughing.

It is also quite common to have a persistent urge to urinate during and post-pregnancy. This problem usually occurs when the bladder does not have any strong support from the muscles surrounding them. Urologists can simply look into the severity of your situation and proceed with the relative treatment.

The most common method of preventing this problem from occurring or treating it when it does happen is to exercise. It is good to work on your pelvic floor muscles as they support the bladder. Besides, if the case is too severe, the urologist may prescribe medication or opt for surgery.

Cancer In The Parts Of The Urinary Tract

A very severe condition that develops in multiple parts of the urinary tract is cancer in the bladder, kidneys, and the urethra. This condition may result in pain while urinating and even blood in the urine.

What Problems do Urologists Treat In Women?

Other than this, a patient may feel intense pain in the lower back area and will have the urge to constantly go to the bathroom. You may feel pelvic pressure, painful urination, and discomfort in the lower abdomen.

The urologist may perform a cystoscopy to see inside your bladder and urethra. They might do biopsies and perform cystectomy to remove the bladder. Urologists may also treat this disease through chemotherapy, surgery, and radiation.

Bladder Falls From Original Position (Bladder Prolapse)

This is condition happens when the muscles or walls that are in the middle of the vagina and bladder lose strength. This results in the bladder to fall from its original position into the vagina. Women who have recently gone through pregnancy are more prone to develop this condition.

Other than this, women who tend to lift heavy things, whether related to home chores or heavyweight lifting may also be prone to this condition. Obesity is another reason for this to happen, and growing age may also result in this condition to occur in some women. This is mostly due to hormonal changes as women grow older.

Surgery is the main treatment for this particular condition. The urologist would do the necessary research and devise the right procedure to get the bladder back to its original position.

Fifth Avenue Urology: Experts In Female Urological Conditions

As you can see, preceding were some of the urological conditions and diseases that affect women. If you ever go through any of these conditions or face early symptoms of a particular condition, do not hesitate to visit a urologist. Whether you feel the persistent need to urinate, pelvic pain, or other issues, contact Fifth Avenue Urology today. We have a dedicated team of urologists to help you with your conditions.


What Conditions Do Urologists Treat in Men?

What conditions do urologists treat in men? Many people are not aware of what a urologist does. Well, a brief explanation would be that they are specialists in treating disorders of the urinary system in both men and women. They treat all diseases related to the male and female urinary tract system and reproduction system in males.

What conditions do urologists treat in men?

It is essential for patients who have severe conditions such as issues related to kidney, bladder, adrenal glands, and prostate to seek advice and the attention of a urologist.

Today we will discuss further when you should see a urologist and what diseases do they treat in men.

Urology: Its definition

We think we should first briefly discuss what urology is. Some people know urology as genitourinary surgery. It is fair to say that urology is a branch of medicine that concentrates on surgical and medical diseases commonly related to the female urinary tract and the reproductive organs of males.

Continue reading to know when you should consider visiting a urologist.

When should you see a Urologist?

There are specific reasons for when a patient should consider seeing a urologist. If you are facing any condition related to the urinary tract, including your kidneys, adrenal glands, or ureters, you must visit a urologist.

Besides, men who face disorders with their penis, prostate, and the testes should head to the best urologist they know.

What Diseases Does Urologist Look After?

There are many medical and surgical diseases a urologist treats. While some urologists treat common diseases related to the urinary tract, others specialize in a specific type of urology, including urologic oncology.

The Urinary Tract Infections

This is a disease that commonly arises when certain bacteria moves all the way from the digestive system into the urethra. In case you are not sure if you are going through this condition, look out for these symptoms.

  • Unusual urination
  • Pain
  • Leakage of urine
  • Vomiting
  • Fever and feeling cold ( getting the shivers)


This is related to a problem that occurs in the male reproductive system. Reasons for the cause of this condition are as follows

  • A low sperm count
  • The mobility of the sperm isn’t strong and cannot reach the egg
  • Unusual sperm, this means the sperm has an unusual shape.
  • An enlarged vein in testes

There is no way you can find out this problem by yourself unless you get it checked.

Kidney Disease

Any sort of damage to the kidney can be fatal. Usually, people who suffer from this condition have bad eating habits and other conditions such as diabetes. Symptoms may include the following

  • Swelled hands and ankles
  • Blood pressure is high

Therefore, a visit to a urologist would be the best option for early diagnosis and treatment of this condition. Urologists also conduct kidney transplants in cases of kidney failure.


Urologists also have expertise in treating various cancers in men. For instance, in cases where the patient develops cancer in the bladder, prostate glands, testes, or kidneys, they must get the treatment from a urologist.

Enlarged Prostate

This is a condition that affects many men as they grow older. Due to prostate gland enlargement, also called Benign Prostatic Hyperplasia (BPH), you may experience problems with urination. Frequent need to urinate, difficulty starting urination, bladder, kidney, and urinary tract problems are a few symptoms.

Other Conditions

Besides the diseases mentioned above, urologists also treat some other conditions in men, including

  • Erectile dysfunction (if you face trouble keeping or getting an erection)
  • Prostatitis, i.e., inflammation of the prostate gland
  • Painful bladder syndrome
  • Kidney stones
  • Enlarged veins in the scrotum (varicoceles)

Why Is It Important To See a Urologist?

Well, as you can see, there are so many diseases that urologist treats. Make sure to consult the best urologist in town if you identify the symptoms that may relate to a severe or even minor condition of the urinary tract or reproductive system.

By avoiding a visit to a urologist, you would only make yourself prone to worsening your condition even more. Therefore, make sure to visit a urologist in any of these cases mentioned above for early diagnosis and treatment.

Urologists: Conclusion

Urologist plays an important role in helping us get through such severe diseases. They have all the necessary knowledge and training of years to treat such complex urinary tract and reproductive system issues. Most of the problems can lead to other health complications if not treated timely.

Call Fifth Avenue Urology for a Consultation

If you observe any symptoms related to the urinary tract, make sure to visit the best urologists in NYC. We at Fifth Avenue Urology have highly qualified urologists to help you with all these conditions. Visit our website for more information or to book an in person or telemedicine appointment with our urologists.


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