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Putting Patients First


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

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


Schedule an appointment today

212-675-3186


Yaniv M. Larish, M.D.

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

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


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
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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
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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.

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

https://www.fifthavenueurology.com/

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
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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.

FIFTH AVENUE UROLOGY
DR. YANIV LARISH

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

https://www.fifthavenueurology.com/

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
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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
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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.

FIFTH AVENUE UROLOGY
DR. YANIV LARISH

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

https://www.fifthavenueurology.com/

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
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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
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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.

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

https://www.fifthavenueurology.com/

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
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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
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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.

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

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
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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
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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.

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

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 be very small, they can eventually grow much larger, so they could likely block the urinary tract. Some of the stones can even grow so big that they can fill out the hollow spaces of a kidney, leading to a slew of health concerns.

Kidney Stones and Treatment Options
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Some smaller stones can easily pass through the ureter and reach the bladder. If the stone manages to make it to the bladder, it will easily pass through the urine.

However, if the stone is too big, it could lodge inside the ureter, stopping the urine flow in the body. Therefore, stopping urine can cause serious pain in the body.

What Functions do the Kidneys Serve

The kidneys are a vital organ in the body that is responsible for cleaning blood from impurities. Along with purifying the blood, the kidneys are also responsible for maintaining the body’s calcium, potassium, and sodium levels.

If any of these levels rise, stones will start forming in the kidneys. Assisting the kidneys in purifying the blood is the bladder, which combined makes up the urinary tract. The bladder is responsible for storing, transporting, and making urine, which will eventually exit the body.

The Different Types of Kidneys Stones

Kidney stones can be of different types, each treating them differently. The four major types of stones include:

Cystine Stones

These occur because people have too much cystine in their bodies, which is one of the main building blocks of proteins. People who form cystine stones do so because of a rare metabolic disorder where the kidneys cannot absorb cystine.

Struvite Stones

It is also a rare kidney stone resulting from a chronic urinary tract infection. Only people who use tubes in their kidneys as a long term solution or who struggle to empty their bladders because of neurological disorders are at risk of developing this condition.

Uric Acid Stones

Uric acid stones form when a waste product (uric acid) reacts with acidic urine to create uric acid stones. People with acidic urine are often individuals with Chronic diarrhea, type 2 diabetes, high blood pressure, etc.

Calcium Stones

These are the most common types of kidney stones that an individual can develop. While these stones can develop due to an excess of calcium in the body, even people with normal calcium levels can develop stones.

Kidney Stone Treatments

Treating kidney stones often comes down to either breaking down the stones or removing them completely. All of these procedures happen under anesthesia.

Percutaneous Nephrolithotomy

A quick procedure where the surgeon locates the stones and removes them through an incision.

Kidney Stones and Treatment Options NYC
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Cystoscopy and Ureteroscopy

A urologist will use a cystoscope or a ureteroscope to travel up the urinary tract, find the stones, break them, and remove them.

Shock Wave Lithotripsy

A Urologist will use a device to blast the stones into smaller pieces, allowing them to pass through the urine.

Kidney Stones and Treatment Options: Conclusion

Kidney stones 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 and painlessly remove kidney stones.

Call today for a consultation and to book an appointment.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
212-675-3186

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 sometimes having trouble getting an erection is not a cause for concern. However, regularly struggling to get or maintain an erect penis could cause concern and need immediate help from a professional.

Erectile Dysfunction Causes Treatment
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Some of the reasons why someone can have erectile dysfunction include the following:

  • A possible warning sign of a more serious health condition such as high blood sugar or high blood pressure
  • Stress or confusion
  • Blood flow into the penis is affected in some way

Understanding How an Erection Happens

The causes of erectile dysfunction can broadly fall into two categories: physical or emotional/mental. While the mental aspect of erectile dysfunction requires intervention from a therapist, the physical aspect of erectile dysfunction will require you to go to a urologist. And unless you understand how an erection happens, you will not be able to understand your treatment.

When your brain sees something sexually arousing, it releases certain chemicals that can increase the blood flow to the penis. As blood starts to flow into the penis, it will go into two erection chambers (corpus cavernosum) that consist of spongy muscle tissue. Of course, these chambers are not hollow but full of spongy tissue that can trap the blood rushing into the penis.

The spongy tissue can absorb the blood coming to it, creating an erection. Similarly, after a man orgasms, a different signal is sent through the same set of nerves which allows the spongy tissue to release the blood, allowing the penis to return to a relaxed state.

Causes of Erectile Dysfunction

As we mentioned earlier, the causes of ED can often boil down to physical and mental conditions. Sometimes, an individual could struggle with both factors, which is why certain causes can differ. These include:

  • Lack of exercise
  • Obesity
  • Alcoholism or drug addiction
  • Smoking
  • High cholesterol
  • High blood pressure
  • High blood sugar

Other than these more general reasons for an individual’s erectile dysfunction, others can be physically exclusive.

Certain Drugs to Treat Different Conditions

People often take drugs for other health conditions can also contribute to ED. One of the most popular ones is antidepressants, which can significantly affect an individual’s ability to get an erection.

Vessel Damage due to Diabetes

People who struggle with Diabetes will often suffer from small vessel damage due to the condition.

The penis is Unable to Trap blood.

Another popular cause of ED in men is that the spongy tissue in the penis cannot trap the blood. Or there is insufficient blood flow to the penis to trap blood effectively.

Treatments for Erectile Dysfunction

Erectile dysfunction has multiple treatment options, which are non invasive and effective, especially depending on the type of ED you have.

These treatments will often differ depending on the cause of erectile dysfunction. Therefore, you should visit your urologist before deciding on a treatment plan.

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Erectile Dysfunction: Causes & Treatment Conclusion

At Fifth Avenue Urology, Dr. Yaniv Larish has the skill, experience, and technology to help you combat ED. For a consultation, call us today.

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

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 results in certain symptoms and complications. Fortunately, however, certain treatments can help.

Enlarged Prostate Symptoms and Treatment
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Symptoms and Causes of Enlarged Prostate

Also referred to as benign prostatic hyperplasia, an enlarged prostate often occurs whenever the prostate gland’s cells multiply. It may cause swelling in the prostate gland, squeezing the urethra, which limits urine flow. Contrary to popular belief, enlarged prostate or benign prostate hyperplasia is not a form of prostate cancer. That said, it can result in painful symptoms, which may impact your quality of life. This issue is especially common among in aged fifty or more.

Causes of Enlarged Prostate

Men often get an enlarged prostate as they grow older. While the exact reason this happens is still a mystery, certain changes in sex hormones could be one of the reasons. A family history of testicular abnormalities or prostate problems could greatly increase your chances of getting benign prostatic hyperplasia.

What are the Symptoms

Enlarged prostate symptoms tend to be quite mild initially. However, they start getting serious if you do not seek treatment. Some of the most common symptoms of an enlarged prostate include the following:

  • Finding blood in your urine
  • Feeling pain while urinating
  • A delayed or slow urinary stream
  • A weakened urinary system
  • Having difficulty emptying your bladder
  • The need to go to empty your bladder multiple times at night
  • Dribbling once your urinary stream ends
  • Finding blood in your urine

How Do Doctors Diagnose an Enlarged Prostate?

When doctors check their patients for benign prostatic hyperplasia, they usually start by performing a physical examination. A detailed rectal examination is a prominent part of this test as it helps doctors determine your prostate’s shape and size. Here are some other tests doctors perform to diagnose an enlarged prostate:

Cystoscopy: A cystoscopy is a test to examine your bladder or urethra with the help of a small scope instead of in the urethra.

Post void residual: A post void residual helps doctors determine how much urine is in your bladder.

Prostate specific antigen test: Examiners perform this blood test to check prostate cancer symptoms.

Urodynamic test: In a urodynamic test, the doctor will fill your bladder with a liquid through a catheter to measure bladder pressure.

Enlarged Prostate Symptoms and Treatment

While there are plenty of ways to treat BPH, doctors usually advise their patients to start by making certain lifestyle adjustments. If your symptoms do not subside, your doctor may prescribe medication or surgery. Your general health and age are also important factors that influence your doctor’s treatment. Mentioned below are some natural treatments for individuals with an enlarged prostate:

  • Avoiding caffeine and alcohol, particularly after dinner
  • Working out regularly
  • Working on stress reduction
  • Performing kegel exercises to strengthen the pelvic muscles

If these natural treatments don’t work, your doctor may prescribe you certain medications like hormone reduction pills, alpha 1 blockers, antibiotics, etc. if the medicines fail to work, there is a high likelihood that you will need to undergo a surgical procedure.

Enlarged Prostate Symptoms and Treatment
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Enlarged Prostate Symptoms and Treatment: Final Thoughts

An enlarged prostate can be a massive pain and prevent you from doing regular everyday things. Believe it or not, people with this issue often become depressed or anti social because of their inability to control their bladder. If you face such an issue, contact Fifth Avenue Urology, and our experts will help you resolve this condition.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
212-675-3186

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 any preventive measures.

In most cases, people with prostatitis notice symptoms like painful or frequent urination. Issues like these can hinder their life, so you must go to the best urologist to treat your condition.

Common Treatment Options Used by the Best Urologists for Prostatitis

Urologists utilize a variety of treatments to help alleviate prostatitis symptoms or possibly eliminate them. Your age, medical history, condition severity, and other factors influence your doctor’s treatment options. Now, let us talk about the best forms of treatment to manage or cure prostatitis.

Best urologist Prostatitis NYC
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Dietary Changes

You may want to minimize or eliminate items like coffee or alcohol from your diet. Doing so will help you prevent irritating your prostate and aggravating any symptoms. Your doctor may also advise you to stop consuming sodas and other sugary drinks as they can increase your prostate’s inflammation.

Smoking is also a big no no when suffering from a urological condition. Like sodas, products with tobacco can also cause inflammation in your prostate. Consider hydrating regularly and avoiding oily and spicy foods to manage your condition.

Changes in Your Lifestyle

Making certain changes in your lifestyle could help you manage prostatitis. Incorporating exercise in your daily routine (except bicycling) can be helpful. Some experts may also suggest you try an alternative therapy called biofeedback. This therapy may alleviate some of your symptoms and help you take control of your body.

Surgical Procedures

Usually, doctors reserve surgical procedures for people with severe urological diseases. You may not need to undergo surgery if your prostatitis is nonbacterial. However, your urologist may require surgery if you have a blocked urethra. Problems like this can occur in severe bacterial prostatitis and can be life threatening. Doctors also suggest surgery if the antibiotic treatments they prescribed fail to provide you any relief from your symptoms.

Medication

Doctors often prescribe medicines to help alleviate prostatitis symptoms. Medication does not work with every patient; some may only benefit from invasive procedures. Here are common medications prescribed by urologists:

Pain Medication: If you experience too much pain because of prostatitis, your doctor may provide you with pain meds to provide some relief from the symptoms.

Anti Inflammatory Medicine: Anti inflammatory medicine can relieve prostate inflammation and other symptoms.

Alpha Blockers: Taking alpha blockers could make your bladder feel relaxed, providing some symptom relief in the process.

Remember, taking medicines will most likely not be enough to manage prostatitis. While antibiotics have an excellent track record of treating inflammation, you must adopt certain lifestyle changes to recover effectively.

Best urologist prostatitis about
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Best Urologist: Prostatitis Final Thoughts

Suffering from prostatitis can be quite a painful predicament, especially if you are older. Letting this condition linger and not seeking immediate help can only worsen things. That’s why it is important to consult with the best urologist. At Fifth Avenue Urology, we have seasoned professionals to check your prostatitis.

Get in touch with us to book an appointment. Once our experts evaluate your medical history and current condition, they will counsel you on effectively managing your condition. Remember, the time to recover from or manage urological diseases often varies. So be patient and follow your doctor’s advice for a swift recovery.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
212-675-3186

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

What is PSA and PSA Screening?

What is PSA screening? PSA is a protein that the prostate cells produce. Prostate-specific antigen (PSA) keeps the semen in a liquid state, which is necessary for the nourishment and transportation of the sperm. PSA is easily measurable; in fact, a simple blood test can reveal the level and concentration of PSA in a male’s… Continue Reading

What are the Main Causes of Erectile Dysfunction?

What are the main causes of erectile dysfunction? ED refers to not being able to hold, maintain, or form a penile erection. Sometimes, a person may feel unable to maintain the erection firm enough to have sex. The condition erectile dysfunction (impotence) is a serious concern that can be devastating for a male’s personal life and… Continue Reading

What is a Reversible Vasectomy?

What is a reversible vasectomy? First, let’s start with what a vasectomy is.  A vasectomy is a minor surgical procedure that involves a urologist making incisions and closing the vas deferens of a male to prevent the sperm from traveling to form a fertile ejaculate. Hence, the tube that connects the male reproductive glands, i.e.,… Continue Reading

All About Vasectomies

Do you know about vasectomies? Vasectomies are minor surgeries that block the sperm from mixing into the semen that the males ejaculate through the penis. Even after a vasectomy, semen is still present in the ejaculation but cannot get a woman pregnant because the sperms are not present. (Source) The testes will still make the… Continue Reading