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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.

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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.

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Advanced Treatments for Erectile Dysfunction in NYC

What are the current advanced treatments for Erectile Dysfunction in NYC? Erectile dysfunction (ED) is a prevalent condition affecting millions of men, especially those over 40. In a fast-paced city like New York, men often delay addressing ED due to stress, stigma, or lack of awareness of the modern treatments available. Fortunately, advancements in urology have transformed ED management, offering men a path toward restored confidence and quality of life.

Advanced Treatments for Erectile Dysfunction in NYC

Causes of Erectile Dysfunction

Erectile dysfunction can stem from a variety of physical and psychological causes, including:

  • Vascular diseases such as atherosclerosis (hardening of the arteries)
  • Diabetes and high blood pressure
  • Neurological conditions like Parkinson’s disease or multiple sclerosis
  • Hormonal imbalances, particularly low testosterone levels
  • Psychological factors including anxiety, stress, or depression
  • Lifestyle choices such as smoking, excessive alcohol consumption, or lack of physical activity

Accurate diagnosis is the first step to determining the most effective treatment path.

Latest Medical Therapies

New York City urologists now offer several state-of-the-art treatment options for ED that go far beyond traditional oral medications like sildenafil (Viagra) or tadalafil (Cialis).

Penile Injections and Urethral Suppositories

When oral medications prove ineffective, alternatives such as intracavernosal injections or intraurethral alprostadil can stimulate blood flow to the penis and produce erections within minutes. These methods are safe, effective, and customizable based on patient response.

Shockwave Therapy (Li-ESWT)

Low-intensity extracorporeal shockwave therapy (Li-ESWT) is a non-invasive treatment that uses acoustic waves to improve blood flow by promoting new blood vessel formation. This regenerative approach addresses the root cause of ED for many men and has shown promise in clinical studies.

Penile Implants

For men with severe ED unresponsive to medication, surgical penile implants offer a permanent solution. These devices are discreet, easy to use, and deliver high satisfaction rates. Options include inflatable and malleable implants, chosen based on individual needs.

Emerging Therapies

Innovative treatments like platelet-rich plasma (PRP) injections and stem cell therapy are being explored in clinical settings. While these are not yet standard practice, ongoing research may soon make them viable mainstream options.

Lifestyle and Integrated Care

Many ED treatment plans now include holistic and lifestyle-based interventions. Weight loss, improved diet, exercise, smoking cessation, and management of underlying conditions like diabetes or hypertension can significantly improve erectile function.

Additionally, psychological counseling or sex therapy is recommended for patients experiencing performance anxiety, low libido, or relationship-related factors contributing to ED.

Advanced Treatments for Erectile Dysfunction in NYC: Conclusion

Erectile dysfunction is no longer a condition men need to suffer through in silence. In New York City, a wide range of advanced treatments can help patients regain control of their sexual health and overall well-being. If you’re struggling with ED, seeking care from a skilled urologist is the key to effective, personalized treatment.

Expert Erectile Dysfunction Treatment at Fifth Avenue Urology

Dr. Yaniv Larish at Fifth Avenue Urology offers cutting-edge solutions for erectile dysfunction in NYC, including advanced diagnostics, medication alternatives, and surgical options like penile implants. With a patient-centered approach and years of specialized experience, Dr. Larish ensures each patient receives a treatment plan tailored to their specific needs.

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

Prostate Cancer Screening Guidelines for Men Over 50

What are the Prostate Cancer Screening Guidelines?

Prostate cancer is one of the most commonly diagnosed cancers among men in the United States, particularly in those over the age of 50. As men age, the likelihood of developing prostate issues—including cancer—increases, making proactive screening an essential part of long-term health. In New York and beyond, updated guidelines emphasize early detection, especially for men at higher risk.

Prostate Cancer Screening Guidelines for Men Over 50

When Should Men Start Screening?

According to the American Urological Association (AUA) and the U.S. Preventive Services Task Force (USPSTF), routine screening for prostate cancer is recommended for:

Men over 70 should discuss screening with their physician, as recommendations may vary depending on overall health and life expectancy.

Types of Prostate Cancer Screenings

Screening typically involves two primary methods:

  • PSA Blood Test: Measures the level of prostate-specific antigen in the blood. Elevated PSA levels may suggest prostate cancer or other prostate conditions.
  • Digital Rectal Exam (DRE): A physical exam in which the doctor manually checks the prostate for lumps or abnormalities.

If either test indicates an abnormality, follow-up procedures like imaging or biopsy may be recommended.

Balancing Risks and Benefits

While prostate cancer screening can save lives, it also comes with potential downsides. False positives may lead to unnecessary biopsies and anxiety, while overdiagnosis can result in treatment for slow-growing cancers that may never become life-threatening.

That’s why shared decision-making is crucial. Your urologist will consider your age, risk factors, family history, and overall health before recommending a screening plan.

Current Guidelines by Leading Medical Organizations

Several trusted sources offer slightly varying recommendations based on evolving research. Here’s how a few major institutions approach prostate cancer screening:

These recommendations emphasize the importance of personalizing the screening approach.

Prostate Cancer Screening Guidelines for Men Over 50: Conclusion

Screening for prostate cancer is not one-size-fits-all. For men over 50, especially those in high-risk groups, regular consultations with a qualified urologist can make all the difference in early detection and treatment outcomes. Understanding the current screening guidelines helps you make informed decisions about your health and longevity.

Expert Prostate Screening with Dr. Yaniv Larish at Fifth Avenue Urology

At Fifth Avenue Urology, Dr. Yaniv Larish offers cutting-edge diagnostic tools and compassionate, individualized care for prostate health. Whether you’re ready to begin prostate cancer screening or are seeking guidance on managing an enlarged prostate or elevated PSA levels, Dr. Larish ensures that your health is prioritized with expert precision and discretion in the heart of New York City.

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

Understanding BPH (Enlarged Prostate) and Treatment Options in New York

Benign Prostatic Hyperplasia (BPH), commonly referred to as an enlarged prostate, is one of the most frequent urological conditions affecting men, particularly those over the age of 50. The condition involves the non-cancerous enlargement of the prostate gland, which can put pressure on the urethra and affect urinary function. If you’re experiencing symptoms of BPH in New York, it’s important to understand your treatment options and seek care from a qualified urologist.

Understanding BPH Enlarged Prostate and Treatment Options in New York

Symptoms of BPH

The symptoms of BPH typically develop gradually and can vary in severity. Men often seek treatment when symptoms interfere with daily life or sleep.

  • Frequent urination, especially at night (nocturia)
  • Weak urine stream or difficulty starting urination
  • Sensation of incomplete bladder emptying
  • Urgency or inability to delay urination
  • Dribbling at the end of urination

These symptoms are not only uncomfortable but can also lead to urinary tract infections or bladder damage if left untreated.

Diagnosis of BPH

To diagnose BPH, a urologist will typically perform a combination of tests, including:

  • Digital rectal exam (DRE)
  • Urinalysis to rule out infections
  • PSA (Prostate-Specific Antigen) blood test
  • Uroflowmetry and post-void residual urine test
  • Imaging tests such as ultrasound or cystoscopy

These tests help determine the severity of the condition and rule out other possible causes like prostate cancer or urinary stones.

Non-Surgical Treatment Options for BPH

For many men with mild to moderate symptoms, lifestyle changes and medications can offer relief.

Medications: Alpha-blockers such as tamsulosin (Flomax) and 5-alpha-reductase inhibitors like finasteride (Proscar) are commonly prescribed to relax prostate muscles or reduce prostate size.

Behavioral Modifications: Reducing fluid intake before bedtime, avoiding caffeine and alcohol, and practicing double-voiding (urinating twice in a row) may also help manage symptoms.

Minimally Invasive and Surgical Options

When medications fail to provide sufficient relief or side effects become intolerable, minimally invasive or surgical options may be considered. Advances in urological surgery now offer several effective approaches:

UroLift® System: This procedure lifts and holds the enlarged prostate tissue so it no longer blocks the urethra. It’s often performed in-office and doesn’t require ongoing medication.

Transurethral Resection of the Prostate (TURP): Considered the gold standard for BPH surgery, TURP involves removing a portion of the prostate through the urethra to relieve pressure.

Laser Therapy: Laser treatments like GreenLight™ use concentrated light to remove excess prostate tissue with minimal bleeding and faster recovery.

Understanding BPH (Enlarged Prostate) and Treatment Options in New York: Conclusion

If you’re experiencing urinary symptoms associated with BPH, timely diagnosis and treatment can dramatically improve your quality of life. In a city like New York, access to advanced diagnostic tools and minimally invasive treatments makes managing BPH more efficient than ever. Don’t wait for symptoms to worsen—consult with an experienced urologist to explore your best options.

Personalized BPH Care with Dr. Yaniv Larish

At Fifth Avenue Urology, Dr. Yaniv Larish specializes in diagnosing and treating benign prostatic hyperplasia using both medical and advanced surgical techniques. He offers expert guidance tailored to each patient’s needs, helping New Yorkers manage urinary symptoms and improve bladder function.

Whether you’re seeking non-surgical treatments or the latest in minimally invasive BPH procedures, Dr. Larish provides compassionate, cutting-edge care.

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

Top Signs You Should See a Urologist in NYC

Understanding When to Consult a Urologist

What are the top signs that you should see a urologist in NYC? The urinary tract and male reproductive system are crucial to overall health, yet many individuals put off seeing a urologist until symptoms become severe. In a city as fast-paced as New York, it’s easy to ignore signs that could point to urological conditions—but early detection can make a world of difference. If you’re wondering when to make an appointment with a urologist in NYC, here are the top signs to watch for.

Top Signs You Should See a Urologist in NYC

1. Frequent or Painful Urination

Experiencing pain, burning sensations, or an urgent need to urinate often may be signs of a urinary tract infection (UTI), bladder inflammation, or even more serious conditions like interstitial cystitis. While UTIs are more common in women, men who develop them should seek evaluation from a urologist, as they can indicate underlying issues like prostatitis or urinary blockages.

2. Blood in Urine (Hematuria)

Seeing blood in your urine is never normal and should prompt immediate medical attention. This symptom can be caused by kidney stones, infections, or in some cases, urological cancers such as bladder or kidney cancer. A urologist will perform diagnostic tests, such as a cystoscopy or imaging, to determine the source.

3. Erectile Dysfunction (ED)

While many men may feel embarrassed to discuss erectile dysfunction, it’s a common condition that urologists regularly treat. ED can be a symptom of hormonal imbalances, cardiovascular disease, or prostate issues. New York urologists offer advanced therapies for ED, including medications, injections, and penile implants.

4. Male Infertility

If you and your partner have been trying to conceive for over a year without success, a urologist can help identify and treat male-factor infertility. Conditions like varicoceles, hormonal imbalances, or blockages can often be corrected, restoring fertility and improving reproductive outcomes.

5. Testicular Pain or Mass

Any lump, swelling, or persistent pain in the testicles should be evaluated by a urologist. These could be signs of infection, cysts, or in some cases, testicular cancer. Early diagnosis and treatment greatly improve outcomes for such conditions.

6. Incontinence or Difficulty Controlling Urine

Urinary incontinence affects both men and women and can significantly impact quality of life. Whether it’s stress incontinence, urge incontinence, or overflow, a urologist can perform specialized evaluations to determine the cause and suggest treatments ranging from pelvic floor therapy to surgery.

7. Kidney Stones

If you’ve ever had a kidney stone, you know how painful it can be. Symptoms include severe side or back pain, nausea, and blood in urine. A urologist can help manage and prevent future stone formation through dietary guidance and medical therapies.

8. Abnormal Prostate Test Results

Men over 50—or earlier if at high risk—should undergo routine prostate exams. If you’ve had abnormal PSA (prostate-specific antigen) levels or felt a lump during a digital rectal exam (DRE), a urologist can investigate further to rule out prostate cancer or other disorders.

9. Pain in the Lower Abdomen or Pelvis

Chronic or unexplained pelvic pain could be related to the bladder, prostate, or reproductive organs. A urologist will conduct appropriate tests to find the underlying cause and create a personalized treatment plan.

10. Changes in Urine Stream or Bladder Function

Slow urine flow, dribbling, or straining to urinate may signal benign prostatic hyperplasia (BPH) or urethral stricture. Both conditions can be treated with medication or minimally invasive procedures offered by skilled NYC urologists.

Top Signs You Should See a Urologist in NYC: Conclusion

If you’re experiencing any of the symptoms mentioned above, don’t wait. Early intervention by a qualified urologist can significantly improve your health outcomes and quality of life. Living in NYC gives you access to some of the best urological care in the country—use it to your advantage.

Looking for Expert Urological Care in NYC?

At Fifth Avenue Urology, Dr. Yaniv Larish offers compassionate, expert care for a wide range of urological issues, from kidney stones to prostate health, male infertility, and more. With cutting-edge diagnostic tools and personalized treatment plans, Dr. Larish is one of NYC’s trusted urology specialists for both men and women.

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

Schedule a consultation today and take the first step toward better urological health.

How to Prepare for Your First Visit to a Urologist

How to Prepare for Your First Visit to a UrologistYour first visit to a urologist, such as Dr. Yaniv Larish at Fifth Avenue Urology in New York City, is an important step toward understanding and managing your urinary or reproductive health. Whether you’re dealing with urinary symptoms, kidney stones, prostate concerns, or male infertility, being well-prepared can help make your appointment more efficient and productive.

Urologists specialize in diagnosing and treating conditions involving the urinary tract in both men and women, as well as the male reproductive system. A first-time consultation often includes a detailed medical review, a physical exam, and, when appropriate, lab tests or imaging studies.

What to Bring with You

To help your urologist understand your condition and provide the best care, it’s helpful to come prepared. Here’s what you should bring:

  • A list of current medications (including over-the-counter drugs and supplements)
  • A summary of your medical and surgical history
  • Copies of relevant test results, imaging, or previous specialist reports
  • Your insurance information and referral (if required)
  • A written list of symptoms, questions, or concerns

Having this information ready ensures that you won’t forget important details during your appointment, and it can speed up the diagnostic process.

Questions Your Urologist May Ask

Be ready to answer a range of questions that will help your urologist pinpoint the issue. Some examples include:

  • When did your symptoms start?
  • How frequently do they occur?
  • Are your symptoms affecting your daily life?
  • Do you have a family history of urological conditions?

Honesty and detail in your answers are key. Even topics that feel uncomfortable to discuss are critical for a proper diagnosis and successful treatment plan.

Diagnostic Tests and Physical Exams

Depending on your symptoms, Dr. Larish may recommend a physical examination that includes abdominal, pelvic, or genital inspection. In men, this could involve a prostate exam. Women may be asked about pelvic discomfort or bladder issues. Diagnostic tests may include:

Blood or urine tests, a bladder scan, a cystoscopy, or imaging studies like an ultrasound or CT scan. These tools help identify conditions like urinary tract infections, bladder cancer, enlarged prostate, or kidney stones.

How to Prepare Emotionally and Physically

It’s natural to feel nervous before your first urologist visit, especially if the subject matter is sensitive. Remember, urologists like Dr. Larish are highly trained professionals who deal with these issues daily in a confidential and compassionate manner.

Depending on the test you’re scheduled for, you may be asked to arrive with a full bladder, avoid food before a procedure, or stop certain medications temporarily. Be sure to follow any pre-visit instructions given when you schedule the appointment.

How to Make the Most of Your Visit

Take notes during the appointment, and don’t hesitate to ask for clarification on medical terms or treatment plans. If you’re prescribed medication or scheduled for a procedure, ask about side effects, recovery time, and alternatives.

Being proactive and involved in your care will help you feel more in control and confident in your treatment decisions.

How to Prepare for Your First Visit to a Urologist: Conclusion

A successful first urology appointment starts with preparation. By organizing your medical records, writing down your symptoms and questions, and understanding what to expect, you can help your urologist make the most accurate diagnosis and recommend the most effective treatment options. If you’re experiencing urinary symptoms, prostate concerns, male infertility, or any related issue, scheduling a consultation with a trusted specialist is the right first step.

Expert Urological Care from Dr. Yaniv Larish

At Fifth Avenue Urology, Dr. Yaniv Larish offers expert, patient-centered care for a wide range of urological conditions. Whether it’s your first appointment or you’re seeking a second opinion, Dr. Larish provides advanced diagnostic evaluations and individualized treatment plans in a discreet, compassionate environment. His experience in treating complex urological conditions ensures you’re in capable hands from the start.

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

Bladder Cancer Awareness: Symptoms, Risk Factors, and Care

Understanding Bladder Cancer

Bladder cancer is one of the most common cancers affecting the urinary system. It typically begins in the urothelial cells lining the bladder and can vary widely in aggressiveness. Early detection and appropriate treatment are crucial for a favorable outcome. At Fifth Avenue Urology in New York City, Dr. Yaniv Larish provides comprehensive urologic evaluations and personalized cancer care, ensuring patients receive timely diagnoses and effective treatment options.

Bladder Cancer Awareness Symptoms Risk Factors and Care

Common Symptoms to Watch For

The symptoms of bladder cancer can sometimes be subtle in the early stages, but recognizing them early is essential. The most frequently reported symptom is blood in the urine (hematuria), which may be visible or microscopic.

  • Blood in urine (pink, red, or cola-colored)
  • Frequent urination
  • Pain or burning during urination
  • Urgent need to urinate even when the bladder isn’t full
  • Lower back pain (particularly if cancer has spread)

It’s important to note that these symptoms can also indicate non-cancerous conditions like infections or bladder stones. That’s why a thorough evaluation by a urologist is necessary to determine the cause.

Major Risk Factors

Several risk factors increase the likelihood of developing bladder cancer. While not all can be controlled, understanding them helps patients make informed decisions about their health.

  • Smoking: Smokers are at least three times more likely to develop bladder cancer than non-smokers.
  • Age and Gender: Most cases occur in adults over 55, and men are more commonly affected than women.
  • Chemical Exposure: Workplace exposure to chemicals used in manufacturing, rubber, leather, or paint products increases risk.
  • Chronic bladder irritation: From infections, catheters, or certain medications.
  • Family or personal history: A history of bladder cancer or other urologic conditions can increase susceptibility.

Dr. Larish emphasizes the importance of risk assessments and routine checkups, especially for those with known risk factors. His practice uses state-of-the-art diagnostics to detect early signs of cancer.

Diagnosis and Evaluation

When bladder cancer is suspected, a combination of imaging, urine tests, and cystoscopy is used to confirm the diagnosis. Cystoscopy allows direct visualization of the bladder lining, and if needed, a biopsy may be taken for analysis. Additional imaging such as CT urograms or ultrasounds may be used to determine the stage and extent of the disease.

Treatment Options

Bladder cancer treatment varies based on the type, grade, and stage of the tumor. Common treatment approaches include:

  • Transurethral Resection (TURBT): A minimally invasive procedure used to remove early-stage tumors.
  • Intravesical Therapy: Medication delivered directly into the bladder to treat early-stage cancer.
  • Radical Cystectomy: Surgical removal of the bladder in advanced or aggressive cases.
  • Systemic Chemotherapy: For advanced or metastatic bladder cancer.

Dr. Larish works closely with each patient to develop an individualized treatment plan that may involve collaboration with oncologists and radiologists, ensuring a multidisciplinary approach to care.

Bladder Cancer Awareness: Conclusion

Raising awareness about the symptoms, risk factors, and treatment options for bladder cancer can lead to earlier detection and better outcomes. Men and women alike should be vigilant and seek prompt evaluation if symptoms arise. Through advanced diagnostics and a patient-centered approach, Fifth Avenue Urology offers expert care for patients facing bladder cancer and other urological concerns.

Contact Fifth Avenue Urology

If you’re concerned about symptoms or are at high risk for bladder cancer, Dr. Yaniv Larish at Fifth Avenue Urology offers expert diagnostic and treatment services in a compassionate and discreet setting. As a board-certified urologist with a focus on urologic oncology, Dr. Larish provides comprehensive care backed by the latest medical advances.

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

Website: https://www.fifthavenueurology.com

Common Causes of Blood in Urine and When to Seek Help

Hematuria, or blood in the urine, can be a startling and concerning symptom for many individuals. While it is not always a sign of a serious condition, it should never be ignored. Recognizing the common causes and knowing when to seek medical evaluation is essential for safeguarding your urinary health. In this blog, we’ll examine the reasons behind hematuria and when it’s time to consult a urologist like Dr. Yaniv Larish at Fifth Avenue Urology.

Common Causes of Blood in Urine and When to Seek Help

Types of Hematuria

Hematuria is generally categorized into two types:

  • Gross Hematuria: Visible blood in the urine that gives it a pink, red, or cola-colored appearance.
  • Microscopic Hematuria: Blood in the urine that is not visible to the naked eye but is detected during a urine test.

Both types warrant medical attention, even if they are not accompanied by pain or other symptoms.

Common Causes of Blood in Urine

Hematuria can stem from a range of benign or serious conditions. Some of the most common causes include:

Urinary Tract Infections (UTIs)

UTIs are a leading cause of hematuria, particularly in women. When bacteria infect the bladder or urethra, inflammation can lead to visible or microscopic bleeding.

Kidney Stones

Sharp, hard mineral deposits that form in the kidneys can cause irritation, pain, and bleeding as they pass through the urinary tract.

Enlarged Prostate (Benign Prostatic Hyperplasia – BPH)

In men, an enlarged prostate can press on the urethra and affect bladder function, sometimes resulting in blood in the urine.

Kidney Disease

Various forms of kidney disease, such as glomerulonephritis, can cause microscopic bleeding. Often, this is detected during routine lab tests even in the absence of other symptoms.

Bladder or Kidney Infections

Infections that reach the bladder or kidneys can irritate tissue and cause bleeding. These may be accompanied by fever, back pain, or frequent urination.

Trauma or Injury

A blow to the kidneys or lower abdomen, often from contact sports or accidents, can lead to bleeding into the urinary tract.

Exercise-Induced Hematuria

Intense physical activity, especially high-impact sports like running, can sometimes cause temporary hematuria due to bladder trauma or dehydration.

Urological Cancers

Though less common, cancers of the kidney, bladder, or prostate may first present as blood in the urine. Early diagnosis is key to successful treatment.

When to Seek Medical Help

While some causes of hematuria are benign, it’s important to be evaluated by a urologist if you experience:

  • Visible blood in your urine (especially if persistent or recurring)
  • Pain or burning with urination
  • Lower back or abdominal pain
  • Unexplained weight loss or fatigue
  • Frequent or urgent urination

A thorough evaluation may include urine analysis, blood tests, imaging studies such as ultrasound or CT scans, and in some cases, cystoscopy (a visual examination of the bladder).

Common Causes of Blood in Urine and When to Seek Help: Conclusion

Blood in the urine can be a sign of many different conditions—some minor and others requiring urgent medical care. Prompt evaluation is essential for proper diagnosis and peace of mind. At Fifth Avenue Urology, Dr. Yaniv Larish offers expert evaluation and treatment of hematuria using advanced diagnostic tools and patient-focused care.

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

The Role of Urologists in Managing Male Infertility

The Role of Urologists in Managing Male InfertilityMale infertility is a medical condition that affects millions of couples trying to conceive, and the role of a urologist in evaluating and treating it is essential. As specialists in male reproductive health, urologists are trained to diagnose underlying causes of infertility and recommend both medical and surgical treatment options tailored to each patient’s unique condition. In this blog, we explore how urologists like Dr. Yaniv Larish of Fifth Avenue Urology play a critical role in helping men overcome infertility challenges.

Understanding Male Infertility

Male infertility is defined as the inability to achieve pregnancy in a fertile female after one year of regular, unprotected intercourse. It contributes to nearly 50% of all infertility cases, either solely or in combination with female factors. The most common causes include low sperm count, poor sperm motility, abnormal sperm morphology, hormonal imbalances, and structural abnormalities in the reproductive tract.

How Urologists Diagnose Male Infertility

The first step in managing male infertility is accurate diagnosis. Urologists perform a comprehensive evaluation, including:

  • Medical and Sexual History: A thorough history can uncover past illnesses, surgeries, medications, or lifestyle habits that may impact fertility.
  • Physical Examination: Urologists assess for physical abnormalities such as varicoceles (enlarged veins in the scrotum), testicular atrophy, or signs of hormonal imbalance.
  • Semen Analysis: This lab test measures sperm count, motility, and morphology to assess reproductive potential.
  • Hormone Testing: Blood tests evaluate testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin levels.
  • Scrotal Ultrasound: Imaging is used to detect blockages, varicoceles, or other structural issues affecting the testes or epididymis.

Treatment Options Offered by Urologists

Once a diagnosis is established, the urologist works with the patient to create a treatment plan. Depending on the cause of infertility, treatment may include medical therapy, surgery, or assisted reproductive techniques.

Medical Treatments

Many urological causes of infertility can be managed with medications. These may include:

  • Hormonal Therapy: For men with low testosterone or hormonal imbalances, medications such as clomiphene citrate or hCG can help stimulate natural testosterone and sperm production.
  • Antioxidant Therapy: Supplements like vitamin C, E, zinc, and selenium may improve sperm quality by reducing oxidative stress.
  • Antibiotics: If infection is a factor, antibiotics can clear underlying infections of the reproductive tract.

Surgical Interventions

In some cases, surgery may be needed to correct anatomical problems or retrieve sperm for fertility treatments:

  • Varicocelectomy: Surgical correction of varicoceles can improve sperm count and motility.
  • Vasovasostomy: A procedure to reverse a previous vasectomy, restoring the natural flow of sperm.
  • Testicular Sperm Extraction (TESE): Used when sperm is not present in ejaculate; sperm is retrieved directly from the testicle for use in assisted reproduction.

Collaboration with Fertility Specialists

Urologists often work alongside reproductive endocrinologists and fertility clinics to optimize outcomes for couples. When natural conception is not possible, assisted reproductive technologies (ART) like intrauterine insemination (IUI) or in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) may be considered. Urologists ensure that the male partner is evaluated thoroughly before such steps are taken, potentially improving the success rate of ART.

The Role of Urologists in Managing Male Infertility: Conclusion

Urologists play a vital role in diagnosing and treating male infertility. From evaluating semen quality and hormonal levels to performing advanced microsurgical procedures, their expertise is crucial in helping couples build families. If you are struggling with infertility, don’t wait to seek help—timely evaluation and intervention can significantly improve outcomes.

Dr. Yaniv Larish at Fifth Avenue Urology offers expert evaluation and treatment for male infertility, utilizing advanced diagnostic tools and customized therapeutic approaches. His compassionate and thorough care helps patients navigate the emotional and physical challenges of infertility with confidence.

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

Erectile Dysfunction: Myths, Facts, and Treatment Options

Erectile dysfunction (ED) is a common condition affecting men of all ages, yet it remains surrounded by misconceptions and stigma. Understanding the truth about erectile dysfunction is essential for effective treatment and improved quality of life. In this blog, we separate fact from fiction and explore the causes, risk factors, and treatment options available to those experiencing ED.

Erectile Dysfunction Myths, Facts, and Treatment Options

Understanding Erectile Dysfunction

Erectile dysfunction is the consistent inability to achieve or maintain an erection sufficient for sexual intercourse. While occasional difficulties are normal, persistent issues may indicate an underlying health problem.

Common Causes of Erectile Dysfunction

ED can result from physical, psychological, or lifestyle-related factors. Some of the most common include:

  • Vascular Conditions: Atherosclerosis (hardening of the arteries) restricts blood flow to the penis, making erections difficult.
  • Neurological Disorders: Conditions such as multiple sclerosis or Parkinson’s disease can interfere with nerve signals involved in erection.
  • Hormonal Imbalances: Low testosterone levels can contribute to ED and reduced libido.
  • Medications: Certain blood pressure drugs, antidepressants, and antihistamines may have ED as a side effect.

Dispelling Myths About Erectile Dysfunction

Many misconceptions about ED prevent men from seeking the help they need. Here are a few common myths, along with the facts.

  • Myth: ED only affects older men.
    Fact: While the risk increases with age, ED can occur at any adult age due to various factors including stress, diabetes, or lifestyle choices.
  • Myth: ED is always psychological.
    Fact: While mental health plays a role, many cases have physical or medical causes.
  • Myth: If you have ED, you’ve lost interest in sex.
    Fact: Many men with ED have normal sexual desire but face challenges with physical performance.

Diagnosis and Evaluation

Diagnosing ED involves a detailed medical and sexual history, physical examination, and sometimes diagnostic tests such as:

  • Blood tests to check hormone levels, blood sugar, and cholesterol
  • Urinalysis to detect underlying conditions
  • Ultrasound to evaluate blood flow to the penis

An open and honest discussion with a urologist is crucial for identifying the root cause and determining the best treatment.

Treatment Options for Erectile Dysfunction

Erectile Dysfunction (ED) Treatment Best NYCModern medicine offers a wide range of effective treatments for ED. The appropriate approach depends on the underlying cause, patient health, and individual preferences.

Non-Invasive Treatments

  • Oral Medications: PDE5 inhibitors like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are often first-line treatments.
  • Lifestyle Modifications: Regular exercise, quitting smoking, losing excess weight, and limiting alcohol can improve erectile function.
  • Psychotherapy: Counseling can help manage anxiety, depression, or relationship issues contributing to ED.

Advanced and Surgical Treatments

  • Penile Injections: Medications injected directly into the penis can produce erections for those unresponsive to oral drugs.
  • Vacuum Erection Devices: These use suction to draw blood into the penis, followed by a constriction ring to maintain the erection.
  • Penile Implants: Surgically implanted devices offer a permanent solution for men with severe ED.

Erectile dysfunction (ED): Myths, Facts, and Treatment Options: Conclusion

Erectile dysfunction is a medical condition that can often be effectively treated with the right approach. By separating myths from facts and exploring the full range of treatment options, men can regain confidence and improve their quality of life.

Dr. Yaniv Larish at Fifth Avenue Urology specializes in diagnosing and treating ED with personalized care and advanced techniques. Whether you’re facing early symptoms or long-term challenges, expert help is available.

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

To learn more about Dr. Larish’s expertise in erectile dysfunction treatment, visit:
https://www.fifthavenueurology.com/common-problems/#erectile-dysfunction

How Lifestyle Choices Impact Urological Health

Your daily habits play a critical role in maintaining your urological health. From hydration and nutrition to exercise and stress management, lifestyle choices can either support or compromise the function of the kidneys, bladder, urethra, and male reproductive organs. In this blog, we explore the most influential lifestyle factors and how they can help prevent common urological conditions such as kidney stones, urinary tract infections (UTIs), incontinence, and even certain cancers.

How Lifestyle Choices Impact Urological Health

Hydration: The Foundation of Urological Wellness

Staying well-hydrated is one of the simplest and most effective ways to support urological function. Adequate water intake helps flush toxins and bacteria from the urinary tract and dilutes minerals that could otherwise form kidney stones.

  • Kidney Stone Prevention: Drinking at least 2–3 liters of water daily can significantly reduce the risk of stone formation.
  • UTI Reduction: Proper hydration helps prevent urinary tract infections by promoting regular urination and flushing out bacteria.

Diet and Nutrition

What you eat has a direct impact on your urological system. Diets high in salt, processed foods, and animal proteins can increase your risk for several urological issues, including kidney stones and bladder irritation.

Urology-Friendly Dietary Habits Include:

  • Low Sodium Intake: Too much salt can increase calcium in the urine, contributing to kidney stone formation.
  • Balanced Calcium Consumption: Calcium from food sources (rather than supplements) helps bind oxalate in the gut and prevents kidney stones.
  • Fruits and Vegetables: These are rich in antioxidants and potassium, promoting kidney health and reducing inflammation.
  • Limit Irritants: Caffeine, artificial sweeteners, spicy foods, and alcohol can irritate the bladder and worsen symptoms like urgency or incontinence.

Physical Activity and Weight Management

Regular exercise supports urological health by reducing inflammation, managing blood pressure, and improving metabolic function. It also plays a role in maintaining healthy pelvic floor muscles, which are critical for bladder and bowel control.

  • Weight Control: Obesity is linked to increased risk of kidney stones, incontinence, and erectile dysfunction.
  • Pelvic Floor Health: Strengthening these muscles through targeted exercises (e.g., Kegels) can help prevent urinary leakage and pelvic organ prolapse.

Smoking and Alcohol Use

Tobacco and excessive alcohol use are harmful to nearly every body system—including the urological system.

  • Bladder and Kidney Cancer: Smoking is a well-established risk factor for both.
  • Liver and Kidney Strain: Alcohol can impact kidney function over time and exacerbate dehydration.
  • Erectile Dysfunction: Smoking can damage blood vessels and restrict blood flow, contributing to ED.

Quitting smoking and moderating alcohol intake are crucial steps toward long-term urological health.

Stress and Sleep

While often overlooked, stress and poor sleep can also affect urological function. Chronic stress may contribute to overactive bladder and worsen urinary urgency, while sleep disorders like sleep apnea have been linked to nocturia (frequent nighttime urination).

Healthy Habits to Support Urological Health:

  • Maintain a consistent sleep schedule
  • Practice stress-reducing techniques like yoga, deep breathing, or meditation
  • Limit screen time before bed and avoid caffeine late in the day

Urological Health Tips

How Lifestyle Choices Impact Urological Health: Conclusion

Everyday choices—from your diet and hydration to how you manage stress—can significantly impact the health of your urinary system. By adopting urology-friendly habits, you can prevent many common conditions and enhance your quality of life.

For expert guidance on maintaining or improving your urological health, consult with Dr. Yaniv Larish at Fifth Avenue Urology. Dr. Larish offers personalized care and the latest treatments to support long-term wellness.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
5 East 83rd Street
New York, NY 10028
Phone: 212-675-3186

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