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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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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Top Urologists Dr. Brodherson, Larish and Glickman Participated in Case Featured in the Washington Post

Renowned NYC Urologists featured in the Washington Post.

This recent Washington Post article is a perfect example of an excellent patient outcome achieved by these doctors. All three of our urologists participated in the kidney surgery outlined in this article, with great success.

Urologist for Urinary Incontinence in Females

What Causes Urinary Incontinence in Females?

Urinary incontinence is a problem that can affect women of all ages. While many associated this condition with older women, it can affect women who are middle-aged and even women in their 20s and 30s. It is also important to remember that urinary incontinence can be short term or long terms, as there are various causes. If you suffer from urinary incontinence, there is little doubt that you will find yourself in various awkward and difficult situations. This is a problem that can cause a lot of stress for women as well as embarrassment.

Some of the causes of this problem

If you do suffer from urinary incontinence, it is well worth arranging an appointment with your urologist. The underlying cause of the problem can then be looked into and appropriate treatment can be administered or arranged. Some of the possible causes of this problem include:

What you drink: There are various drinks and foods that can have diuretic effects and can cause you to become incontinent temporarily. Of course, this temporary incontinence is not something you will need to have treatment for. However, it is advisable to be careful about what you are consuming if you want to avoid being in this situation.
UTIs: Another possible cause of temporary urinary incontinence is a UTI or urinary tract infection. These infections can result in all sorts of undesirable effects such as pain when you urinate, burning and itching, and temporary urinary incontinence which can continue until the infection is cleared up. If you do think you may have a UTI, you should see your urologist so that a diagnosis can be made and appropriate treatment given.
Procedures and conditions: There are various procedures and conditions that can result in the onset of urinary incontinence. However, this tends to be long term incontinence rather than the short term variation outlined above. Some of the possible causes of longer term incontinence include menopause, neurological problems, various forms of cancer, and obstructions. In addition, procedures such as hysterectomies can result in incontinence over the long term.

Seeking help from a professional

Whether you have short term incontinence due to a UTI or whether you are suffering from long term urinary incontinence, it is important to seek help and treatment from a professional. You can do this by getting in touch with the best urologist in Manhattan.

Urinary Tract Infections

What Causes Urinary Tract Infections?

UTIs or Urinary Tract Infections are very common amongst adults and can also affect children. These infections affect both men and women and they can cause a lot of pain and discomfort. In addition, they can lead to more serious problems if they are not treated in a timely manner, which is why anyone suffering from a UTI needs to see an experienced urologist as early on as possible. It is also worth noting that although UTIs in children are far less common than in adults, they can also be much more serious.

Some of the key causes of these infections

A type of bacteria known as E.coli is the most common cause of urinary tract infections. These infections can fall under two main categories. This includes:

Bladder infection: This type of bacterial infection often affects women and is also known as cystitis. It can result from sexual intercourse but it can also affect those who are not sexually active. The fact that the urethra is so close to the anus and the bladder opening means that all women are at risk of contracting this type of infection whether or not they are sexually active.
Urethra infection: Another type of UTI is where bacteria spread to the urethra from the anus. An infection of the urethra can also be caused by STIs in women. Again, this is because the urethra in women is very close to the vagina.

Other factors that can increase the risk of UTIs

There are various factors that can increase the risk of UTIs. This includes:

The shortness of the urethra in women compared to men
The level of sexual activity a woman engages in
Estrogen changes in the urinary tract during menopause in women
The use of birth control methods such as diaphragms

Additional factors that can heighten the risk of UTIs include:

Abnormalities with the urinary tract
Urinary tract blockages
An impaired immune system
The use of catheters
Recent surgery or examinations of the urinary tract

Some key symptoms

There are also a number of key symptoms associated with UTIs. This includes:

Feeling as though you want to urinate all the time
A burning feeling when you urinate
Urinating frequently but passing only small amounts
The presence of cloudiness in your urine
Signs of blood in the urine
Urine that has a very strong smell
Pain around the pelvic region

Speak to an expert today

If you believe you may be suffering from a UTI, you can speak to the best urologist in Manhattan by getting in touch with us today.

NYC Best Urologists Discuss When to See a Urologist.

When is it Wise to See Your Urologist

Urologists are specialists in the medical field and are able to deal with a wide range of issues relating to the bladder and related areas. There are many reasons why people go to see their urologist and it is important for everyone to be aware of when they should make an appointment to see one of these professionals. By knowing when it is wise to see a urologist, you can minimize on the risk of certain health problems that could otherwise spiral out of control and lead to more serious issues.

Times when you should book in to see the urologist

There are certain times when you should arrange an appointment to see the urologist to get advice, information, checks, or treatment. Some of these include:

• If it hurts to urinate: Many people know what it feels like to experience pain when urinating. This could be a sign of infection and needs to be sorted out sooner rather than later. If you do experience any pain or a burning sensation when you urinate, it is a good time to book in to see a urologist.

• If there is blood in your urine: If you see blood in your urine, it is very important to see your urologist as soon as possible as it could indicate a serious underlying problem. While this is not always the case, blood in the urine could be an indicator of the early signs of cancer so it is imperative to go for a checkup with the urologist as soon as possible.

• When you suffer from incontinence: If you suffer from incontinence, it can make life very difficult and put you in some very embarrassing situations. Being unable to control the bladder can be extremely debilitating in day to day life, which is why this is a good time to get in touch with an experienced urologist for advice and treatment.

• If you are suffering from ED: Erectile Dysfunction, or ED, is very common in men over a certain age. If you believe that you may be suffering with ED, it is important not to be embarrassed and to seek advice from your urologist. This can help you to get your life, health, and relationships back on track.

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Get in touch with an experienced and reputable urologist

If you need advice and assistance from an experienced and reputable professional, get in touch with the best urologist in Manhattan today.

Call us at 212-675-3186 to schedule an appointment:

NYC Top Urologists Discuss When Should you Start Getting Prostate Exams.

When Should You Start Getting Prostate Checks?

Many men suffer from prostate problems at some point in their lives and prostate issues are very common, particularly in older men. There are various health issues that can occur ranging from an enlarged prostate through to prostate cancer. In order to reduce the risks of prostate problems, it is important to know when you should start getting your prostate check by a professional, experienced urologist.

When To Visit The Urologist

If you want to know when you should start visiting the urologist to have your prostate checked, here are some tips:

At a Certain Age

how-old-get-prostate-checked-exam-nyc-top-urologist-02 Problems with the prostate tend to be more common in men in their senior years or the latter part of middle-age. These problems are most common in men aged around 50 and over. However, this does not mean that they cannot strike at an earlier age. If you’ve been lucky enough to escape prostate problems up until the age of 50, you should definitely still visit a urologist to have checks carried out when you hit the age of 50. Of course, you can start getting it checked earlier than this if you want to be extra careful. However, once you are 50 you need to remember the heightened risks and, as such, go for regular checks.

If there is a Family History of Prostate Problems

If you have a family history of prostate problems, you may be at increased risk. You should, therefore, make sure you have regular checks in your 30s or 40sw upwards to reduce the risk of any problems arising. Make sure your doctor is aware of this family history so that he or she can provide advice and tips on getting your prostate checked. Many men do have a family history of prostate problems but they fail to go for regular checks, which then puts them at risk of developing issues that could otherwise have been avoided or tackled at an early stage.

When You Experienced Symptoms

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Although prostate issues are more common in older men, they can strike at any age. You should, therefore, look out for symptoms of prostate problems. If you do notice any, you need to make an appointment to have your prostate checked. One of the common symptoms that could indicate a prostate issue is frequent urination.

Make an Appointment with the Best Urologist in Manhattan

If you would like to arrange a prostate checkup with an experienced professional, get in touch with the best urologist in Manhattan today.

Is Low Testosterone the Likely Cause of Your Erectile Dysfunction?

Erectile dysfunction is a problem that affects a lot of men and is something that most men will experience at some point in their lives. While it is usually something that goes away by itself and is just related to your mood and other factors on the day, you should not be experiencing erectile dysfunction on a chronic basis. If you do find that you have a persistent problem with erectile dysfunction, then it is definitely worth trying to identify what is causing it and getting some treatment.

A lot of the commercials on TV that talk about erectile dysfunction tend to attribute it to low testosterone. Low testosterone is a problem for a lot of men over a certain age, however, it is not the only thing that can cause erectile dysfunction.

Causes of Erectile Dysfunction

There are dozens of reasons why you may be experiencing erectile dysfunction. It can be a side effect of other health conditions such as diabetes, including mental health issues such as depression or anxiety. However, low testosterone is often the reason why men over the age of around 35 experience more regular erectile dysfunction, especially when it is accompanied by things like a loss of libido.

What Other Effects Does Low Testosterone Have on Men?

As well as being one of the primary causes of erectile dysfunction, low testosterone in men can cause other problems. Men who find that they are gaining weight as they age and losing muscle mass are usually experiencing this as a result of a fall in testosterone as they get older. This is a normal part of aging, but when it happens too drastically, it can be a big health problem, one that is easily resolved by seeing a doctor and taking some testosterone supplements. Having a lower sex drive is another thing that is common as people get older, but if it is affecting your life in a negative way, or you think that it is indicative of a wider health problem, you should see a doctor about getting some treatment for low testosterone.

If you have been experiencing erectile dysfunction recently and this is a new development for you, then it is always worth seeking the help of a professional rather than hoping that the problem will go away by itself. You may find that you do have low testosterone, which is easily treated with a supplement of hormones, or that you have some other underlying health condition that needs to be attended to.

For more information, speak to the best urologist in NYC today.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

What is Cystitis and How Is It Treated?

If you have symptoms that are consistent with a urinary infection, chances are you may have cystitis. Cystitis is an inflammation of the bladder that is often caused by a bacterial infection. Cystitis is also one of the most common UTIs diagnosed. In this article, we’re going to address some of the symptoms of cystitis, how can it be treated, and what you should do if you think you may have it.

What causes Cystitis?

As we mentioned earlier, cystitis is usually caused by a bacterial infection, more specifically E Coli. While E Coli can be found in your digestive tract and your skin and cause no issues, it can be harmful once it enters your urinary tract.

E Coli is not the only way you can get cystitis, however. In some cases, you can get cystitis from chemicals often found in bath products, personal care products, or even spermicide. Chemotherapy drugs and radiation treatment could also be a cause.

In some cases, people get what is called interstitial cystitis, which is a condition where the bladder is chronically swollen. Causes for interstitial cystitis are much less known and treatment is more difficult as well.

What are the Symptoms of Cystitis?

There are many symptoms that could be a sign of cystitis. If it stings, hurts or burns when you pee, then it’s a definite sign. If you have a constant urge to pee, it is also a clear sign.

If you constantly feel sick or have a fever, this could be caused by cystitis as well. Or if you constantly have to pee but can hardly get any pee out when you go, then it could be a sign as well. Cloudy, dark, or strong-smelling pee are other symptoms to look out for.

What are the Treatments for Cystitis?

Before prescribing a treatment, your urologist will perform a diagnosis of your condition. They will first perform a urine analysis to see if there are any signs of pus, blood, or bacteria in your pee. Then they will run a urine culture to see exactly which bacteria is in there. In most cases, this is all you may need.

The good news is that in most cases, cystitis can be cured with antibiotics only. If you’re a woman and past menopause, they might prescribe a vaginal cream with estrogen in it as well.

If you ever notice blood in your pee or if your symptoms last more than a few hours, then you should seek help immediately. Or, if you have a high fever, you’re experiencing tremors, throwing up or have severe pain in your back or sides, then it could be a sign that you’re having a kidney infection as well. If you’re showing any of the symptoms, we strongly suggest you call us today to schedule an appointment with the best urologist doctor in NYC.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

How Do People Get Bladder Infections?

Bladder infections are a fairly common problem. They can affect anybody, including men, women, and children. Quite often, they are associated with sexually transmitted urinary tract infections, but this is not always the case. It is possible to get a bladder infection even if you have never had any sexual contact with anybody. Bladder infections can come from within the body or can be caused by environmental factors. Most people tend to experience a bladder infection at some point in their lives, so there is nothing to be worried about if you do have one. It is just important to see a doctor and get it treated.

What Are Bladder Infections?

Bladder and urinary tract infections are usually caused by a presence of bacteria that would not normally be within the urinary tract. These bacteria form a colony and they are not something your body is used to having in this area, which means that the immune system causes a response, usually involving inflammation. As a result, you will experience symptoms such as difficulty urinating, bad smelling urine, and even blood in your pee. These things are all symptoms of a urinary tract or bladder infection, often called cystitis because this word relates to an inflammation of the bladder caused by unwelcome bacteria.

What To Do

If you or someone in your family is experiencing the unpleasant symptoms of a bladder infection, then it is important to contact the doctor and get some treatment straight away. Bladder infections are quite easy to treat, and you should be able to get rid of your condition with a short course of antibiotics. However, you may find that the symptoms could be related to something else. The symptoms of a bladder infection can be flu-like, and as well as problems peeing, you may also have other health issues that could indicate something else like prostate cancer or other problems with your urinary tract. In most cases, a bladder infection is no big deal and will go away very quickly with a course of antibiotics. However, if you are concerned that you may have other symptoms that could indicate that the bladder infection is not the only thing wrong with your health, then it is very important to get some testing done and a urologist or GP will be able to give you advice on this.

If you have a bladder infection or other urinary tract issue, then it is a great idea to contact the best urologists in NYC around by giving us a call today.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

Should I See A Urologist About My Erectile Dysfunction?

Erectile dysfunction is something that can have a big impact on your quality of life. You may start to worry that you are unable to satisfy your partner, or that you are going to experience these problems long-term. If you have experienced erectile dysfunction recently or have been seeing these symptoms on a regular basis, rather than just a one-time thing, then you should certainly look into what could be causing it.

Erectile dysfunction can have a lot of causes, but many of them are treatable and can be easily resolved if you get the right medication or treatment from a medical professional. If you have been experiencing erectile dysfunction, then a urologist is often the best kind of person to help you resolve your issues. Here are some of the reasons why you should contact a urologist today.

Urologist Can Rule Out Serious Causes such as Cancer

Erectile dysfunction is usually caused by things that can be treated easily and do not pose a major risk to your health. However, erectile dysfunction can be a sign of things like cancer, so it is important to have it investigated. If you go and see a urologist, they will be able to establish whether or not your erectile dysfunction has the kind of causes that are usually associated with the condition, and can be treated easily, or whether you may have something that needs further investigation, such as a kind of cancer or something like urethral strictures, which will need surgery.

Urologists Are More Familiar with Erectile Conditions

Another reason why it is better to contact to a urologist when you are experiencing erectile dysfunction is that urologists are specialists in this part of the body. This means that they will have seen a lot of cases like yours before and will not have any predisposition to judge you for your issues. Sometimes, erectile dysfunction can be caused by mental health issues or simply stress in your lifestyle. However, a urologist will be able to rule out whether or not there is a physical reason why you are experiencing problems getting and maintaining an erection.

A urologist is certainly the best kind of person to talk to if you’re experiencing these kinds of symptoms, so if you have these problems, it is a great idea to contact the best urologist in NYC today!

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

How to Plan a Trip to the Urologist

Your trip to the urologist involves a thorough examination and discussion of urinary tract health. A urologist doctor treats urinary tract problems in male and female along with male reproductive health; hence you should prepare for plenty of personal discussions. In the light of this, here is a guide that will provide an insight into how you should plan a trip to your urologist doctor.

Make a List

After scheduling an appointment with your urologist, your next step should be preparing a list of symptoms and your condition. It will help provide required information to your urologist. It is essential because without accurate information your doctor neither finds out your problem nor treatment.

Be Prepared

Before going to the urologist, it would be better if you get mentally prepared for your diagnoses. People usually get stressed or anxious when they experience rare but serious problems like urinary tract infections forgetting that such health conditions are treatable. Therefore, when visiting a urologist, be ready for diagnoses along with the discussion. You should not feel embrace or shy during a conversation with your urologist as he may ask personal questions concerning the treatment of urinary tract.

Moreover, you should bring medicine prescription list given by primary care doctor regarding minor urinary tract issues along with test reports if you have any. You can also update your urologist if you have been taking supplements or herbs etc. you should provide details if you have chronic diseases like diabetes and medication that you are following.

What Should You Expect at the Hospital?

There may be certain formalities like filling a questionnaire that you are required to follow before your appointment with the urologist. The questionnaire is based on your medical history, symptoms that you are dealing with. This way a formal record regarding your health condition will be developed that will assist you and your doctor during future visits. Moreover, the staff will ask for urine sample depending on your symptoms and condition.

Be Pared for Urinalysis

During your appointment with a urologist doctor, expect a urinalysis. This is a physical exam that urologists perform on people suffering from urinary incontinence along with a cough stress test. Moreover, for urinary tract infections in women, a pelvic examination will be done with a urinalysis.

For prostate problems in men, the standard examination is done via digital rectal. This way your urologist doctor can physically monitor the prostate. Apart from this, other tests or examinations are also included depending on the conditions and symptoms of the patient that is commonly done through urethral swab and blood to identify the levels of prostate-specific antigen PSA.

Diagnosis and Treatment

After urinalysis, you urologist doctor will update you about your health condition. It may be an infection, kidney stones or other daunting problem. In any case, you should trust your doctor and determine for further treatment.

Bottom Line

A trip to a urologist allows you to learn about your urinary tract health. So, schedule an appointment right now with the best urologist doctor in New York.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

How Can a Urologist Help To Fight Stress Incontinence

The leakage of urine with pressure on the urethra and bladder is called the Stress Urinary Incontinence. This can be due to many activities such as exercise, laughing, and sneezing, etc. It depends on how severe it is; you may also leak while doing forceful activities such as walking, standing, and bending over. It is… Continue Reading

Busting Common Myths about Urology

In this rapidly changing world, the line between fiction and fact can be difficult to read. Today, many online communities are prevailing. However, many people trust Google. It becomes hard to know what is true and what isn’t. When private conditions such as urological problems are faced, it becomes quite tempting to turn to the… Continue Reading

Symptoms That You Have UTI

Infectious bacteria contribute to urinary tract infections (UTI). According to experts, these infections can occur in any part of your urinary systems such as the urethra, bladder, kidney, and urethras. Experts also suggest that most infections occur in lower urinary tracts like in your bladder or urethra. And women often get affected by UTI more… Continue Reading

A Guide to Selecting the Right Urologist

A urologist doctor is a specialist who can determine daunting problems associated with your urinary tract. Apart from this, the specialist doctor can assist men and women regarding their reproductive health. Moreover, once you notice signs such as pain in urination, urge to urinate frequently or even erectile dysfunction you need to visit a… Continue Reading

Bladder Control Problems: How are They Treated?

Bladder control problems sound trivial, but for those affected, it can cause immense psychological distress. Millions of people suffer from some form of incontinence ranging from needing to pee all the time, needing to pee within seconds of experiencing the urge to go, to stress incontinence; an inability to control bladder function. Many people are… Continue Reading

5 Signs You Need to See a Urologist

Have you been to your urologist lately? If not, then you might need to schedule an appointment. Today, we are going to learn five signs that might be telling you that you need to see a urologist. You Have Blood in Your Urine If you go to the restroom and notice blood in your urine,… Continue Reading

Can Microphallus be Treated Successfully?

Microphallus, otherwise known as a micropenis, is a disorder that most people don’t really understand. This is a legitimate medical disorder that can affect sufferers both physically and psychologically. First and foremost, microphallus should not be confused with having a penis that is smaller than average. Most sufferers of microphallus are not able to urinate… Continue Reading

What is the Best Erectile Dysfunction Treatment?

Erectile dysfunction, or the inability to achieve an erection and sustain it, is a problem that men are finally starting to open up about. While erectile dysfunction can sometimes be related to lifestyle, you could be perfectly healthy before it begins to impact your lifestyle. The best way to treat erectile dysfunction can only be… Continue Reading

Premature Ejaculation Treatment

According to medical experts, premature ejaculation is a disorder that may be found in approximately 30% of all adult males. While men with premature ejaculation can be healthy, father children, engage in intercourse, and lead happy relationships, they may feel like something is always missing. First and foremost, men with premature ejaculation may not even… Continue Reading

What is Peyronie’s Disease?

Penises do not all look alike, but there are some variations in size, shape, and projection that are a bit less common than others. For example, there’s Peyronie’s disease, which causes the penis to curve at angles that make it difficult for the passing of urine as well as sexual relations. Sometimes this disorder occurs… Continue Reading

When Do You Need to Visit a Urologist?

Urologists usually treat patients who have disorders related to the urethra, which can be related to incontinence, overactive bladder, erectile dysfunction, trauma, and even infertility. Although the urethra exists in both males and females, its structure and function are different between the two genders. You’ll need to make an appointment with a urologist under the… Continue Reading