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.

Urological Services

Common Problems

Schedule an appointment today

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

Blog Posts are Below:

Category Archives: Benign Prostatic Hyperplasia

Understanding Benign Prostatic Hyperplasia (BPH)

As men grow older, they are likely to experience certain health issues due to their body aging. BPH, or Benign Prostatic Hyperplasia, is one such condition resulting from the prostate and its surrounding area expanding.

To properly understand Benign Prostatic Hyperplasia (BPH), it is worth looking at how the prostate grows throughout a man’s life. The prostate will grow during two major stages of a man’s life: one, during puberty, and two, after the age of 25.

During puberty, the prostate will always double in size. Furthermore, after age 25, a man’s prostate will continue growing for most of their life. In Benign Prostatic Hyperplasia specifically, the prostate starts to grow beyond a certain point that it can start causing problems.

Benign Prostatic Hyperplasia BPH
Source

A better way to visualize a prostate is by comparing it to the size of a walnut or golf ball in most adult men. However, as men continue to age, the prostate could grow as big as an orange, which can affect the other organs in the body. More specifically, it could add pressure on the urethra, affecting an individual’s ability to empty their bladder effectively.

Symptoms of Benign Prostatic Hyperplasia (BPH)

An enlarged prostate can significantly affect the bladder and its ability to produce, store, and remove urine. Some of the most common symptoms of BPH is having to pass urine often. In certain situations, you may want to pass urine as often as every one or two hours, often at night.

It’s the most common symptom of BPH, but it is not the only one. Other serious symptoms can include:

Feeling the need to pass urine more than twice every night, also known as Nocturia.
Having trouble passing urine without straining or pushing.
A weak flow of urine.
Suddenly having the urge to pass urine while feeling like you cannot wait.
Needing to pass urine every one or two hours.
Feeling like your bladder is full despite passing urine.

The BPH could sometimes become so severe that you cannot pass urine. In this specific case, you must meet with a professional

How Does Benign Prostatic Hyperplasia (BPH) Affect Men?

Besides a general uncomfortable feeling when passing urine, it can significantly disturb sleep cycles and only worsen with age. As it increases in size, it could damage the bladder or cause an infection. If it gets big enough, it can damage the kidneys and lead to blood flowing through the urine.

What Causes Benign Prostatic Hyperplasia (BPH)?

Despite extensive field studies, researchers still need to find out what causes BPH. The common factor among most patients is that they are older men, which is why some have even concluded that hormonal changes contribute to the condition.

Some believe that dropping testosterone levels in the body leads to BPH, as estrogen levels stay the same. Regardless, what factors lead to people developing BPH needs to be clarified.

Are You at a Higher Risk BPH?

While it is not obvious what causes BPH, certain types of men are at a higher risk of developing the condition. These include:

Men with erectile dysfunction
Men who are not active
Men with obesity
Men with fathers who had BPH
Men who are over the age of 50

Diagram of bladder & prostate with BPH

Treatment Options for BPH

Treatment will often differ depending on the severity of the issue, which is why there is no one specific treatment option. The most common treatments include:

Invasive surgery
Less invasive surgery
Prescription or OTC drugs
Active surveillance

Benign Prostatic Hyperplasia (BPH): Conclusion

At Fifth Avenue Urology, Dr. Yaniv Larish has the skill, experience, and technology to effectively treat BPH.

Call today to schedule a consultation.

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

https://www.fifthavenueurology.com/

Top Urologists: Benign Prostatic Hyperplasia (BPH)

The prostate is a small gland of the male reproductive system. It’s around the urethra, which is the passageway for the flow of urine. It is responsible for much of the fluid in the semen. Moreover, the function of the prostate is to expel the fluid through the penis. It uses muscular force to create this propelling action inside the penis.

Many men face the troubles of an enlarged prostate. This complication is usually a result of the aging process. A highly troublesome condition leads to many symptoms and difficulties. Fortunately enough, there are treatments for this occurrence.

Benign Prostatic Hyperplasia (BPH)

Benign prostatic hyperplasia is the enlargement of the prostate. A complication occurs due to the excessive prostate gland cells. When the cells of the prostrate start multiplying, it causes the gland to grow abnormally and press upon the urethra. This squeeze on the urethra starts to obstruct the flow of the urine. Therefore, a person with BPH faces plenty of urinary problems.

Urologists | Benign Prostatic Hyperplasia
(source)

People tend to confuse this condition with prostate cancer. However, it is completely different. This condition does not correlate to cancer; neither does it increase your risks of cancer. However, it can still cause disturbing symptoms. These symptoms can drastically affect your quality of life. It is most common amongst men of age fifty and older.

BPH Symptoms

The symptoms of Benign Prostatic Hyperplasia start as mild and then go on to become very serious depending on how fast someone gets treatment. Prolonging this condition will lead to more concerning symptoms. The most common symptoms include:

Incomplete emptying of the bladder
Blood in the urine
(refers to symptoms that cause you to urinate more than two times every night)
Pain while urinating
Excessive drops after long urine stream
Delayed stream of urine
Unexpected leaking of urine
Sudden urination urges
A weak stream of urine (not enough urine pressure, due to the bad functions of the bladder)
Trouble urinating without applying strain

BPH Causes

The exact cause of this condition is unknown. However, the most common cause is the aging process. When a person starts to age, the body starts to undergo certain hormonal changes. Furthermore, certain cells start to deteriorate, and abnormalities start to show. Thus, male sex hormone changes may be a cause of BPH.

Another probable cause could be the inheritance of a defective gene. If this condition commonly runs in your family, then you are also at risk of BPH. This does not apply to BPH alone; it can also include any medical abnormalities of the prostate or urinary tract. Lastly, this condition is also rare amongst men that undergo testicle removal at a young age.

BPH Treatment

People that suffer from BPH usually have to resort to self-care solutions initially. In some cases, self-care measures work tremendously. Nevertheless, the doctor is likely to treat the patients with medications, or in extreme cases, surgery. The treatment may also depend on the age of the patient and whether they are in the condition to undergo extensive surgery.

Apart from medication, a patient can seek comfort in these steps by taking a few measures. These include timely urination at the exact moment of the urge. Furthermore, a patient should be consistent in going to the bathroom to ensure that their bladder remains empty. This is important because having a half-empty bladder for a patient with BPH can lead to unwanted leakages.

Benign Prostatic Hyperplasia Urologists
(source)

Moreover, avoiding substances that put stress on your bladder is another way to subdue the lasting symptoms of BPH. Thus, patients should stay away from substances such as alcohol, caffeine, and certain medications. Other times, doctors advise patients to stay away from stressful situations. If you suffer from mild level BPH, you must keep your mental health in check. Being under the burden of stress can have negative impacts on your bladder and urine frequency.

Another beneficial habit for BPH patients is exercise. Lack of exercise will only lead to the worsening of your condition. Some people advise Kegel exercise for patients. This exercise involves certain movements that strengthen your pelvic muscles.

Benign Prostatic Hyperplasia Urologists: Conclusion

If you or anyone you know suffer from prostate or bladder issues, such as Benign Prostatic Hyperplasia, visit Fifth Avenue Urology, a medical practice in New York City whose renowned doctors offer you the experience and expertise to best treat BPH and related issues.

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

Visit our website for more information.

Benign Prostate Hyperplasia (BPH)

What is Benign Prostate Hyperplasia (BPH)? The prostate is one of the most essential parts of the body. It is responsible for the transfer of urine out of the body as well as nourishing the sperm in semen fluid. However, regardless of the importance of the prostate, it is still incredibly susceptible to various diseases and conditions. One of these conditions is Benign Prostate Hyperplasia (BPH), which gets a lot more common as men get older.

During this condition, the prostate enlarges to a dangerous level, leading to a blockage in the flow of urine. The enlarged prostate can also be responsible for a slew of other problems like kidney, urinary tract, and even bladder complications. This is quite a simple complication to reverse, as there are many treatments available for this condition such as medication, therapy, and surgery.

Causes

There are a few different conditions that can lead to your prostate enlarging and causing a (BPH). Here are some of the conditions that can lead to your prostate enlarging.

Scarring in the bladder due previous trauma or surgery
Prostate cancer or kidney cancer
Suffering from bladder or kidney stones
Narrowing of the urethra or a urinary tract infection
Inflammation of the prostate

Since the urethra passes through the prostate, the enlargement of prostate is very troublesome. To make matters worse, the prostate grows larger with age making this condition a lot more serious than it should be.

Symptoms

Benign Prostate Hyperplasia (BPH) is a very serious condition that can lead to very acute and excruciating pain in the body. But there are many more symptoms than just pain near your genitals, which can possibly show that you have BPH

Difficulty urinating
Frequent need to urinate, especially at night
Bladder is never completely empty after urination
Dripping after urination
Interrupted urine streams or weak urine streams
UIT (urinary tract infection) or blood in the urine

These symptoms are very common in people that have an inflamed or enlarged prostate. That said, the size of your prostate does not always mean that you will have more symptoms. Some men who have a very enlarged prostate will show very little symptoms whereas people who only have a slightly inflamed prostate can experience all of the aforementioned symptoms.

Risk Factors

Other than the original causes for your BPH, there are other reasons why you may be suffering from this condition or may suffer from this condition in the future. Age is possibly the biggest reason why men contract BPH in the first place, as this condition become especially common among people that are over the age of 60. Other reasons why you are at a risk of BPH is your family history, your diabetes, or even your lifestyle. Although these factors do not in any way confirm that you will have these problems or symptoms, there is a possibility that these factors put you at a higher risk of BPH.

Conclusion

BPH is a very serious disease and is unfortunately very common. So if you are experiencing the same symptoms, then there is nothing that a quick trip to a urologist can’t solve. Visit our main website at https://www.fifthavenueurology.com to read more about our talented and skilled urologists who can help you with your BPH symptoms or any other issues that you may have with your genitals.

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 of the bladder through which we urinate. The prostate makes secretions that comprises about one half of the ejaculate during orgasm.

The H stands for hyperplasia, a condition in which the cells of an organ reproduce more than normal cells that are present and the organ gets larger.

BPH is very common symptomatically affecting more than 50% of men in their 60’s and the problem increases with aging. It is much more common problem than prostate cancer (it is present in 80% of men aged 70 to 79) but both can exist at the same time.

What happens when the prostate gland enlarges is that makes it harder for men to urinate. It becomes harder to start the stream. The stream becomes slower and weaker so that it takes longer to empty a full bladder. The stream may become so weak that the bladder does not empty properly. That starts a secondary effect because the bladder is left full and there is an increased need to empty a partially full bladder.

The problem is day and night so that sleep becomes interrupted to go to the bathroom to void at night. That doesn’t bother some men, but other men who cannot go back to sleep are miserable. As the bladder begins to fight the obstruction of the prostate it may become irritable and cause urinary urgency and when really profound, cause urge incontinence; a problem that can cause the man to “pee in his pants’ if a bathroom is not nearby. That can be a problem in a car stranded in a traffic jam or on the street when there are no public rest rooms.

I have highlighted the word bother: that will determine if and when treatment is needed. When men are bothered to the point of distraction by those symptoms, they need treatment. Those who are not (“It doesn’t bother me to wake up 4 times a night; I go right back to sleep.”) do not need treatment.

Some men absolutely need treatment for BPH even if they have minimal symptoms. Who are they?

1. Men who cannot empty their bladder or who retain more than 10 ounces of urine in the bladder; they must be treated. Not being able to pee at all is painful and dangerous and an obvious reason for treatment. Men who retain larger and larger amounts of urine in the bladder may block the egress of urine form the kidneys and have kidney failure so they need to be treated to keep the kidneys healthy. Also if the bladder is overly distended for long periods of time it may become scarred and even if the prostate is treated may not be capable of emptying properly.

2. Men who develop bladder stones because they do not empty urine from the bladder as a result of their BPH need treatment.

3. Men who have repeated obviously bloody urine as a result their large prostate need treatment.

4. Men who develop repeated bladder infections because of the BPH need treatment.

The treatments for BPH have changed dramatically over the past few decades. I will review those new therapies in the next blog.

For a consultation with the Dr. Melman about BPH, or any other urology related problems, call today!