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-urology2 Dr. 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.

See our Main Site at www.FifthAvenueUrology.com

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Urinary Tract Infection Doctor NYC

What is a UTI?

UTI stands for a Urinary Tract Infection, which are caused when bacteria enters the urinary tract and then travels up to the urethra and then into the bladder. When the bacteria enter the bladder it can cause inflammation and an infection of the bladder. The bacteria can multiply causing irritation, swelling and pain and if left untreated can travel to the kidneys, which could possibly cause a kidney infection. This is much more serious. UTI’s can be quite uncomfortable when you try to urinate, due to the burning and the sensation of needing to go often, even if you only can release a small stream. If your symptoms last more than a day, it is most certainly time to see a urologist as soon as possible.

Why do Women have More UTI’s Than Men?

Urinary tract infections seem to be more common in women than in children or men. For women there are a number of reasons why they may experience a UTI such as: diabetes or an abnormal urinary tract, having medical device inserted into the urethra such as a catheter and sexual contact can be a cause.

When a man has recurrent urinary tract infections it may be a sign that they have an abnormal urinary system. This needs to be a medical problem which should be checked by a urologist, especially if there is blood in the urine.

Your Diagnosis and Treatment

Your urologist will examine a sample of your urine under a microscope to observe for infection. Often the urologist will request a urine culture to be performed, where your urine sample bacterium is processed in a laboratory and is grown to determine the type of bacteria which has caused the UTI. During this testing they can choose the approximate medication which can treat the bacteria. Most often this will be an antibiotic, you will take either for a few days or several weeks, depending on the type of infection you have and how severe it has become.

After a few doses, you may notice some relief in a day or two and a lessened sensation to urinate often. It is important to continue taking the medication until you have completed the course of treatment. If you stop too soon or as soon as you feel better, a urinary tract infection can return.

If you have followed your urologists orders and still have discomfort or a need to urinate often, call us today to schedule an appointment with the best urologist in New York City.

Neurologic Bladder Doctor NYC

What is a Neurogenic Bladder?

Did you know that a neurogenic (overactive) bladder affects over 30 million Americans? A neurogenic bladder is due to confusion of the nerves of the bladder, which tells your bladder you need to urinate when your bladder isn’t full or you recently used the bathroom.

Causes of a Neurogenic Bladder

Sometimes the causes of a neurogenic bladder remains unknown, but most often the reasons may include:

· Urinary tract infections

· Nerve damage due to an injury or surgery to your bladder Neurogenic Bladder

· Kidney disease

· Parkinson’s disease can affect a neurogenic bladder

· Medication side effects

Diagnosing Neurogenic Bladder

These tests can help find the cause of your neurogenic bladder:

· Cystometry: Checks how much urine your bladder can store and your ability to sense fullness, and helps detect nerve over activity

· Post void residual volume: This test is used to measure the amount of urine left in your bladder after you empty it

· Urinalysis: Tests for infections present in your urine

· Uroflowmetry: Measures your urine’s flow rate and the volume you void at one time

Your doctor may ask you questions to help determine how much your neurogenic bladder has affected your life. You could rate on a scale of 1 to 5 how much you have been troubled by things like urinary leaks, going to the bathroom often at work, and waking up at night to go. Your doctor might also ask you to keep a voiding diary of your bathroom trips.

Lifestyle Treatments

To lower the effects of neurogenic bladder, you should consider cutting down on caffeinated drinks, alcohol, and spicy foods. But don’t cut back on your fluids which then could make your urine more concentrated. Concentrated urine can irritate your bladder and cause the burning sensation. Eat a high-fiber diet to prevent constipation, which can also make neurogenic bladder much worse, Your urologist may want you to try retraining your bladder in the course of scheduled bathroom breaks.

Kegel Exercises

Urologists often recommend exercises called Kegels. Kegels are a handy exercise because you can do them anywhere and no one will know you are doing exercises while you are sitting. Kegel consist of squeezing and holding the muscles you use to stop the flow of urine, then you release the muscle and repeat

Medications for Neurogenic Bladder

If lifestyle changes and behavioral treatments don’t relieve neurogenic bladder symptoms, the next step is usually medication. Anticholinergics are the most common medications; you will take them by mouth at least once a day. Topical estrogens — vaginal rings, tablets, or creams — are also prescribed to treat women’s symptoms.

If you are experiencing any of the symptoms mentioned here in this article, please contact our office today to schedule an appointment with the best urology doctor in NYC.

Barbara LuCore

Urethral Stricture Doctor NYC

What are Urethral Strictures?

Urethral strictures are scar tissue or an abnormal tightening of the urinary tube which carries urine out of the body from the bladder. If you are having difficulty starting or have a slow stream when urinating, call your urologist NYC today to set up an appointment, it could urethral strictures.

Causes of Urethral Strictures

Urethral strictures may be caused from an inflammation, surgery, disease or an injury to your urethral tube. Occasionally yet rare, a tumor near the urethra may cause a pressure which will slow or block the flow of urine. Urethral strictures can occur from sexually transmitted diseases and from procedure such as a catheterization.

The Symptoms

The symptoms vary with each case of urethra stricture, the symptoms can be singular or you can have multiple symptoms. The most common symptoms are:

· Blood in your semen

· Decreased urine output

· Frequent or urgent urination

· Pain during urination

· Swelling of the penis

· Discharge from the urethra

Examinations and Tests

Your urologist can determine the best course of treatment to treat your condition during the physical examination and your medical history is completed. The most common tests are:

· Post Void Residual Volume

· Urethrogram

· Tests to Check for Sexually Transmitted Diseases

· Urinalysis

· Urinary Flow Rate

· Cystoscopy

Treatments

At this time there are no medications which can guarantee a decrease your urethral strictures. The treatments which have a success rate are:

· Cystoscopy-this procedure widens (dilates) the urethra by inserting a thin instrument into it by stretching the urethra, under a local anesthesia.

· Surgical options available are cutting the stricture via a cystoscope or dilating device.

· Urethroplasty-which involves the removal of the stricture and reconstruction of the urethra, done in Urologic Surgery Departments.

· If your urethral stricture is severe enough you may need a suprapubic catheter to allow your bladder to drain. This will be performed by your urologic surgeon.

Often the treatment your urologist and you choose will determine the success rate, and the extent of the damage caused by the stricture. If you notice a change in your urinary habits, please contact the best urologist in New York City!

Adult Circumcision Doctor NYC

The Why of Adult Circumcision

Phimosis is a medical condition where the uncircumcised foreskin of the penis cannot fully retract. With Phimosis the foreskin grows over the end of the penis causing painful sexual intercourse and painful urination. Studies have shown that Phimosis can become a risk factor for cancer of the penis. The only way to correct this condition is to undergo adult circumcision. This subject can be embarrassing for some men, which causes them to delay consulting with their urologist.

With circumcision the foreskin covering the penis head is removed surgically as an outpatient procedure. Phimosis is the most common reason for consideration of an adult circumcision; often the risk is higher in men with diabetes. Poor hygiene can also be a contributing factor, due to a narrowing of the foreskin. To determine the best course of action your urologist must do a thorough examination first, and then discuss the options with you.

Adults can develop recurrent infections of an uncircumcised foreskin. Usually the infection can be treated with medication, but there are times when the foreskin becomes so damaged that circumcision becomes necessary.

Health Benefits of Circumcision

Circumcision makes it so much easier for you to wash the penis, and this will decrease the incidents of urinary tract infections. When there is a decrease in urinary tract infections it helps to prevent an inflammation of the penis and lowers the risk of cancer of the penis. Studies have shown that circumcised men also have a lower rate of developing and spreading sexually transmitted diseases.

If you are an uncircumcised adult and you are considering the pros and cons of circumcision, contact us today to schedule an appointment with the best urologist in NYC to discuss your concerns and obtain advice concerning this important decision.

Doctor for Kidney Stones NYC

The Painful Truth about Kidney Stones

When asked if you would prefer to be in labor or have a kidney stone I bet you would state that you would prefer childbirth over a kidney stone any day. This is an answer which I have heard many times. It’s no lie Kidney stones are one of the most painful of most urological disorders and also one of the most common problems treated in urology clinics by your urologist and emergency rooms annually.

What is a Kidney Stone?

A kidney stone is a hard mass which can develop from crystals that separate from the urine within the urinary tract. If the crystals stay small they can travel through the urinary tract and can pass out of your body in your urine without even knowing it.

Kidney stones are a combination of chemicals, the most common kidney stone is composed of calcium combined with oxalate or phosphate-chemical which is a normal part of our body composition.

Symptoms of Kidney Stones

Usually a kidney stone doesn’t cause any noticeable symptoms, but when it does it can be extremely painful, which is caused due to the stone moving into the urinary tract and blocks the flow of urine. The most common symptoms of a kidney stone is a sharp cramping pain in your back or in your lower abdomen, later the pain may spread to the groin. If the kidney stone is large and cannot pass the pain can intensify; as the wall of the ureter tries to squeeze the kidney stone into the bladder. During this time, you may see blood in your urine and have burning when you urinate. Do not try to ride this out alone, seek the help of your urologist.

If you are experiencing kidney stone symptoms and/or have a fever and chills contact us immediately to schedule an appointment with the best Urologist in New York City!

Prostate Enlargement

Prostatitis/Prostate enlargement is an abnormal swelling of the prostate gland often due to an infection. Your prostate is located below the male’s bladder and is responsible for making some of the semen fluid.

Prostate Enlargement Symptoms

The prostate enlargement symptoms are: Prostatitis
•    An urge to urinate often, but you only void small amounts of urine each time
•    Difficulty starting the urine flow or keeping the flow steady
•    Dribbling after urinating
•    A need to get up and go to the bathroom often during the night
•    Lower back pain
•    Testicle and anus pain which become worse when having a bowel movement
•    In some cases a fever and chills may be present

An urologist can often make an accurate diagnosis of prostate enlargement just by your description of your symptoms and your health history. Your urologist will want to do a physical examination first, followed by a digital rectal examination to determine which treatment will ease your discomfort and pain.

Treatment of prostate enlargement

Usually treatment for an enlarged prostate begins with taking an antibiotic to cure the infection involved and prevent further complications. If you are unable to urinate you may be admitted to the hospital for treatment for several days.

Depending upon the severity of the prostate enlargement treatment can last from 4 to 12 weeks. If prostate stones are causing he condition you may need surgery to remove them; although this condition is rare.
The key goal of treatment is to alleviate the symptoms such as:
•    Muscle relaxants for prostate spasms
•    Pain medications such as NSAID’s
•    Medications to reduce anxiety
•    Antibiotics to cure the infection, which may be the primary cause of your prostate enlargement

Contact us immediately if you develop a sudden fever, chills, pain, pus or blood in your urine, to schedule an appointment with the best urology doctor in NYC.

Pelvic Prolapse

Pelvic prolapse is a urological condition where a pelvic organ such as the vagina may fall out of its normal position due to weakening of the muscles and skin of the vagina walls. This is a condition which you need to seek treatment from your urologist and possibly surgery or it can become worse causing the structures to fall further into the vagina or its opening.

30%-40% of women older than 40 years may develop some form of pelvic prolapse. Pelvic prolapse occurs more often after menopause or a hysterectomy.

What are the Symptoms of a Pelvic Prolapse?

Some women never experience any symptoms when pelvic prolapse occurs, but most women will experience pelvic pressure, pain and discomfort which can affect their sexual functions and make urination and defecation painful and uncomfortable. You may experience urinary incontinence and leakage as a result of the pelvic prolapse.

Forms of Pelvic Prolapse

Rectocele

Is a prolapse of the rectum. This involves a prolapse of the vaginal wall. When the vaginal wall weakens, the rectal wall will push against the vaginal wall, creating a bulge. When having a bowel movement the bulge can be seen in many cases.

Cystocele

Is a prolapse of the bladder. This can occur when the face wall of the vagina fails; as a result, the bladder may collapse into the vagina. When this happens, the urethra may prolapse, as well. This may cause urinary incontinence or a leakage of urine.

Prolapsed Uterus

This involves a deterioration of the ligaments at the top of the vagina; this causes the uterus to fall, which causes the weakening of the vagina.

Call Us Today!

Women often fail to seek treatment due to embarrassment, this condition is more common than not and to prevent further damage, you must call us today to schedule an appointment with the best urologist in NYC. Your quality of life depends upon this

Interstitial Cystitis

Interstitial Cystitis is a condition which causes pain in the bladder, urgency and a frequent need to urinate. This problem is more common in women than in men.

To diagnose interstitial cystitis your urology doctor may do a test called Cystoscopy, which uses a thin lighted tube to see inside of your bladder. You may also be asked to provide a urine sample, to check for a possible urinary tract infection.

What Causes Interstitial Cystitis?

It is believed that interstitial cystitis may be caused by an atypical change in the lining of the bladder. Yet, often the cause isn’t clear or straightforward. Usually your urologist will have you keep a bladder diary to record how often you urinate and an estimate of how much your void each time.

What are the symptoms of interstitial cystitis?

The pain from interstitial cystitis can be mild to severe but usually will go away right after you urinate. Other symptoms include:
•    Frequency: Urinating often during the day and night.
•    Urgency: Feeling pressure, discomfort, and a constant urge to urinate.
•    Discomfort: Having pain in your lower abdomen or pelvis area.

How is interstitial cystitis it treated?

Treatment may include:
• Bladder training: Bladder training helps your bladder get used to holding more urine without discomfort or pain as you can slowly increase the period of time between when you urinate during the day.

• Physical therapy: A physical therapist who is specially trained in pelvic floor can teach you special exercises to help relax the muscles in your lower abdomen.

• Medications: Muscle relaxers, pain medication which can help relieve the pain and the symptoms of interstitial cystitis.

• Electrical stimulation: This procedure uses a mild electrical pulse to stop nerve pain.

• Other treatments: These include biofeedback, electrical nerve stimulation or acupuncture. These have been useful for some people.

• Surgery: If medications or treatments don’t relieve the pain and discomfort then surgery might be done to repair your bladder condition.

How can you manage your pain?

Your doctor will help you control your pain, but there are also things you can do such as: stay active in ways that don’t trigger pain, such as taking a walk, and doing gentle exercises. Sitting for a long time can cause pain, so get up and walk around to prevent or decrease the pain. For some women avoiding spicy foods, coffee, or alcohol may help to relieve the pain of interstitial cystitis.

If you have any questions about interstitial cystitis or seek treatment, call NYC’s top urologist, Drs. Brodherson and Larish today.

Female Pelvic Pain

Female pelvic pain is pain below a woman’s navel and is considered chronic if it lasts more than 6 months. The pain can vary in intensity from woman to woman. Some may have mild pain which comes and goes, while others have a steady, unrelenting pain that can become so severe it interferes with their quality of life.

Common Causes of Female Pelvic Pain

•   Reproductive system conditions such as; Endometriosis, Adenomyosis or uterine fibroids.
•    Scar tissue due to an infection, injury or surgery to the pelvic region.
•    Urinary tract or bowel diseases- irritable bowel syndrome, bladder irritation, bladder stones and kidney stones.
•    Tumors, growths, or cysts of the reproductive system or bladder.

Sometimes the causes of pelvic pain remain unknown even after testing has been done by your urologist doctor. Even after an injury or surgery of the pelvic region has healed the affected nerves can keep sending pain signal to your brain. The nerves become confused.

Diagnosis of Pelvic Pain

During your first visit to see your urology doctor, your urologist will do a pelvic examination to look for problems of your reproductive system.
Other tests may include:
•    Urine and blood tests to test for urinary tract infections
•    A pregnancy test
•    Sexually transmitted disease testing

Finding the cause and treating pelvic pain can be a long tedious process. If your urologist discovers a reason for your pelvic pain they may prescribe:
•    Birth control pills or hormones to regulate your periods
•    Surgery to remove a tumor, growth or cyst located in your reproductive system
•    Over-the-counter medication to relieve pain, such as ibuprofen, naproxen which you will take on a regular basis, not just when you have pain and/or antibiotics to cure an infection and for some medication for anxiety may be required.

If you have been suffering from pelvic pain, please contact our office today to schedule an appointment with the best urology doctor in NYC.

Erectile Dysfunction

More Common than You Know

Erectile dysfunction happens when a man cannot obtain or keep an erection during sexual activity. Erectile dysfunction is an ongoing problem which can cause stress and problems in your relationship and even affect your self-confidence. Why let erectile dysfunction take over your sex life, if you are experiencing any of the following symptom call the best urologist in New York City today!

Symptoms

The symptoms of erectile dysfunction may include: having the inability to get an erection or problems keeping an erection and having reduced sexual desire.

Causes of Erectile Dysfunction

The causes of erectile dysfunction can be difficult to pin point because the process requires the cooperation of your brain, hormones, emotions, muscles and blood flow. Underlying chronic health conditions can contribute to sexual dysfunction such as: heat disease, clogged blood vessels, diabetes, obesity, high cholesterol, alcoholism, smoking cigarettes, and some prescription medications.

Tests and Treatments

Erectile dysfunction is often treatable without the need of invasive methods. Your urologist will perform a physical exam and your medical history. If underlying problems may be involved or you have a chronic health condition your urologist may order tests. These tests may include: blood tests, urine tests, an ultrasound, overnight erection tests and if recommended a psychological exam.

Treatments to Correct Erectile Dysfunction

A variety of treatments are available for treating erectile dysfunction, important factors your urologist will consider are the severity and causes of your condition. Your urologist will discuss the options with you and your partner to make the right decision for the right course of action.

Today there are medications which can help with Erectile Dysfunction these are:

· Viagra

· Cialis

· Levitra

· Staxyn

If the medications are not effective your urologist may prescribe a different treatment.

These treatments include: penis pumps, penile implants, and blood vessel surgery, only your urologist will know which will be the correct course for you so make an appointment today!

Healthy lifestyle choices are the best methods to assist in correcting your erectile dysfunction, along with the treatments your urologist NYC prescribes for you. If you are experiencing erectile dysfunction, don’t be concerned, it is a common condition and when you call the best urologist in New York City you will be glad you did!

Cystoscopy

What is a Cystoscopy? Cystoscopy is a test which allows your urologist to look inside of the bladder and the urethra using a lighted instrument called a cystoscope. The cystoscope is inserted into your urethra and slowly advanced into the bladder. The cystoscopy allows the urologist to look at areas of the bladder and urethra… Continue Reading

What is Hematuria?

Hematuria is the presence of blood in your urine, and though it may alarm you at first, there are often benign reasons for this occurrence. Yet, blood in urine can be a sign of a serious medical condition; nonetheless, it shouldn’t be ignored. All cases of Hematuria should be evaluated by an urologist who can… Continue Reading

Urinary Incontinence

What is Urinary Incontinence? Urinary incontinence is the loss of bladder control which can be an embarrassing yet common problem as you get older. If you notice an increase in urinary leakage from sneezing or coughing or have the urge to urinate suddenly and find it difficult to make to the bathroom in time and… Continue Reading

Urethral Strictures

What are Urethral Strictures? Urethral strictures are scar tissue or an abnormal narrowing of the urinary tube which carries urine out of the body from the bladder. If you are having difficulty starting or have a slow stream when urinating, call your urologist NYC today to set up an appointment. Causes of Urethral Strictures Urethral… Continue Reading

Treatment for Erectile Dysfunction

What is Erectile Dysfunction? Erectile dysfunction happens when a man cannot obtain or keep an erection during sexual activity. Erectile dysfunction is an ongoing problem which can cause stress and problems in your relationship and even affect your self-confidence. Symptoms of Erectile Dysfunction The symptoms of erectile dysfunction may be: Inability to get an erection… Continue Reading

Peyronie’s Disease

Have you noticed a significant bend or pain in your penis, which has interfered with your ability to get or maintain an erection? Can you feel flat lumps of bands of hard tissue under the skin of your penis? Peyronie’s disease can alter your quality of life. Your urologist will be able to evaluate your… Continue Reading

Prostate Gland Biopsy Surgeon NYC

Why do I Need a Prostate Gland Biopsy? You recently had a prostate-specific antigen (PSA) blood test done under the recommendation of your family doctor. The test showed a high PSA level, your physician recommends an appointment with a urologist. During the prostate exam the urologist finds an abnormally enlarged prostate and schedules you for… Continue Reading

Penile Implant Surgery in NYC

Erectile Dysfunction and Penile Implant Surgery NYC Have you been experiencing erectile dysfunction, been prescribed medications and still having difficulty maintaining an erection during sexual activity? Or do you have scarring, which has curved your penis or makes erections painful? You should consider a penile implant as it may be the answer to your problem.… Continue Reading

Vasectomy the Permanent Birth Control for Men at Urologist NYC

Have you decided to take steps towards birth control? Have you thought about what form of permanent birth control your partner and you desire? Are you wondering if a Vasectomy may be the right choice for you? At Urologist New York City you will receive urologic care in a warm and sensitive environment. Here you… Continue Reading

Varicocele Repair

What is a Varicocele? A varicocele is an enlargement of the veins in the scrotum, it’s similar to a varicose vein which can occur in the leg. A varicocele is a common cause of low sperm production and decreased sperm quality, which can cause infertility. Varicoceles can cause the shrinkage of the testicles. Varicocele don’t… Continue Reading

What is Urethroplasty?

Urethroplasty is the repair of scar tissue located in your urinary channel from the bladder to out the penis. This scar tissue can occur after an injury such as from a prior surgery, catheter placement or a sexually transmitted disease. When you experience a buildup of scar tissue you will notice a slowing of… Continue Reading

No Scalpel Vasectomy

Getting a Vasectomy without the Scalpel You may have heard of no-scalpel vasectomy and wondered if it was right for you? Your partner and you have decided that it is the right time to consider permanent birth control. You’ve decided to have a vasectomy and you’re doing your research. Most patients wish is to choose… Continue Reading

What Exactly Is A Vasectomy, and What Are Your Options?

A vasectomy is a permanent method of birth control, or sterilization, for men. It is a surgical procedure during which the tubes that runs from the testicular epididymis to the seminal vesicle are cut and tied, or sealed, so that sperm will not enter the ejaculate that is released during orgasm. The vas deferens are… Continue Reading

Urinary Incontinence in Men

Urine is made as the blood is filtered through the kidneys. The urine then travels through thin tubes called the ureters, to the urinary bladder. The tube known as the urethra travels from the bladder, where it passes through the prostate gland and the penis to allow the release of urine outside of the body.… Continue Reading

Erectile Dysfunction: Causes and Treatments

Erectile dysfunction, or ED, the inability to achieve or sustain an erection, troubles 18 million American men. The National Institutes of Health estimate that between 15% and 25% of 65 year old men experience erectile dysfunction on a chronic basis, interfering with their ability to enjoy sexual intercourse. Erectile dysfunction is not a problem with… Continue Reading

Penile Implants – Top Urologist NYC 2013

When men suffer from erectile dysfunction, their quality of life is significantly diminished. If you are suffering from ED, you can find a permanent solution with penile implants. Dr. Melman is one of the most highly experienced urologist in the country, and offers the entire spectrum of penile implants. Erectile dysfunction can be caused by… Continue Reading

BPH – Benign Prostatic Hyperplasia–Enlarged Prostate

The symptoms of BPH are the reason why most men come to a Urologist’s office for help. So, what is BPH, and what do the letters represent? The B stands for benign that is, a non-cancerous condition that can make you miserable but not kill you. The P stands for prostate, the gland in front… Continue Reading

Penile implant surgery

Today penile prosthetic implants are highly successful treatments for men with ED who do not respond, or who do not want to use, other forms of therapy for ED. Typically men who have penile implants have their sense of lot manhood restored. That restored sense of manhood, of being capable at any time, may be… Continue Reading

What is a vasectomy and who should consider having one?

A vasectomy is a simple, safe, 15 minute procedure done under local anesthesia in the doctor’s office that can prevent unwanted pregnancies and the problems associated with pregnancy. I had a sign in my office that said, “If you had a vasectomy you never have to say, “I’m sorry.” Thousands of vasectomies later it’s still… Continue Reading

Is Erectile Dysfunction Reversible?

One of the common questions is whether or not the ED is reversible? Unfortunately, with a few exceptions* the answer is NO. This makes it such that treatment is needed to resume intercourse. *The exceptions are Psychogenic ED Vascular ED Hormonal ED Smoking related ED Psychogenic ED: Is more common in younger men. Anxiety is… Continue Reading

What is Erectile Dysfunction? Top Urologist for ED in NYC, Drs. Brodherson and Larish

ED, or erectile dysfunction, is defined as the inability to obtain or maintain an erection of sufficient hardness and for a long enough time to satisfy your partner sexually. Erectile Dysfunction The effects of Erectile Dysfunction on the man and his partner go beyond the inability to have sex. Most men who have the problem… Continue Reading

Top Urologist NYC introduction

Welcome to my new blog. My goal is to educate, enlighten and entertain my readers about all things Urology related. With over 25 years of experience in practicing and teaching Urology, Dr. Melman, is one of the top urologists in NYC. He is at the forefront of research and treatment of all urological problems and… Continue Reading