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Welcome to Fifth Avenue Urology, the practice of Dr. Yaniv M. Larish, located on Manhattan’s Upper East Side in New York City. We provide advanced diagnosis and treatment for the full spectrum of male and female urological conditions using the latest medical, minimally invasive, robotic, and reconstructive surgical techniques.

Dr. Larish is a board-certified urologist and surgeon who served as Chief Resident of Urology at Lenox Hill Hospital. He is also an Assistant Professor of Obstetrics and Gynecology at Rutgers University and serves as Director of Minimally Invasive Urological Surgery and Urogynecology at Jersey City Medical Center, part of Robert Wood Johnson Barnabas Health. He is recognized for providing thorough, individualized, and compassionate care while treating patients with a wide range of urological disorders, from common conditions to some of the most complex reconstructive cases.

His areas of expertise include kidney stones, enlarged prostate (BPH), urinary incontinence, erectile dysfunction, male infertility, urological cancers, robotic and reconstructive urologic surgery, and the multidisciplinary treatment of complex endometriosis involving the urinary tract, bladder, ureters, bowel, and pelvic organs. He is frequently consulted for second opinions and challenging cases requiring specialized surgical expertise.

At Fifth Avenue Urology, we believe that exceptional patient care begins with listening. Every treatment plan is personalized to each patient’s condition, goals, and quality of life, combining academic-level expertise with the individualized attention of a private practice.

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Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2 Dr. Yaniv M. Larish is committed to providing compassionate, individualized care for every patient. Whether treating a common urological condition or managing a highly complex reconstructive case, he believes that every patient deserves the time, attention, and expertise necessary to develop the best treatment plan.

Known for his thoughtful approach and surgical expertise, Dr. Larish is frequently consulted for second opinions and challenging cases requiring advanced urologic and reconstructive care. Same-day appointments are available for urgent concerns whenever possible, and house calls may be arranged in select situations.

See our Main Site at www.FifthAvenueUrology.com

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Category Archives: Best doctor for vasectomy nyc

Why Consider a Vasectomy?

Why should you consider a vasectomy? If you are like many men, the thought of this procedure is worrisome. You aren’t sure if it is the right decision especially since it creates a significant life change. For many men, the decision is based on their desire to no longer have children. Though they can still have sex in the same manner, they no longer will be able to release sperm. The procedure, also known as male sterilization is important to understand before you make the decision to have it.

What Is a Vasectomy?

This surgical procedure involves an incision made in the upper portion of a man’s scrotum. This procedure can also be done through a puncture made into the same area. This procedure, called a no scalpel vasectomy, helps to avoid the risks associated with an incision. During the procedure, the two tubes that carry sperm into the semen are surgically cut. The surgeon will then tie them or cauterize them (which is a process where the ends are seared or burned). The doctor will then close off the incision made with a few stitches.

When this procedure is complete, there is no way for sperm to release when a man ejaculates. During sex, a man will still be able to ejaculate, and he will still produce semen, but it will not have sperm in it. This means that it cannot cause pregnancy to occur.

How Effective is a Vasectomy?

Vasectomy During this procedure, doctors will make a significant cut in the tubes that carry sperm. Because this occurs, it is highly unlikely that the man will be able to ejaculate sperm again. These procedures are considered to be 99 percent effective. However, it is important to know that it can take about three months or up to 20 ejaculations for there to be no more sperm present in semen. During this time, men should continue to use contraception if he wishes to avoid pregnancy. It is often recommended for men to continue to use contraception until he has had three sperm count tests resulting in no evidence of sperm.

When it comes to whether or not to have this procedure, men have to take into consideration what their long term goals are. Though there are procedures that may reverse it, for most men this is a lifelong decision. To learn more about this procedure and what it means to you, schedule a consultation with our experienced NYC urologist.

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 get the answers you are seeking, which will allow you the opportunity to choose treatment opportunities that best suit both your needs and desires.

What is a Vasectomy?

A vasectomy is a simple, safe surgical procedure considered a permanent method of birth control for men. During a vasectomy, the vas deferens from each testicle is clamped, cut or sealed, preventing the sperm from mixing with the semen that is ejaculated from the penis during sex.

Your partner’s egg cannot be fertilized when no sperm are available in the semen. It will not change your sexual experience, because you will have the same amount of fluid as you did prior to the procedure. Instead of being discharged when you ejaculate, the sperm are absorbed by your body. This normally also happens during the times that you do not ejaculate.

The vasectomy procedure takes about 20 to 30 minutes, and it can be done in the urologist’s office, hospital or surgery center. The procedure will be done with the aid of a local anesthetic that will numb the area. In a conventional vasectomy the urological surgeon makes one or two incisions with a scalpel and then use sutures or stitches the skin to close the incision at the end of the procedure.

What should you expect after vasectomy procedure

The skin of the testicle will be numb for a few hours after the vasectomy. Your urologist will suggest that you apply an ice pack to the area and lie on your back for the rest of the day. It is recommended to wear snug underwear or a jock strap to decreased swelling and pain. Often, some swelling and pain are common for a few days. Your urologist may prescribe a pain medication to ease the discomfort. In most cases, you should avoid heavy lifting for one week, and may return to work after 1 to 2 days of rest. Your urologist will give you more specific instructions after your procedure.

When Can We Resume Intercourse after a vasectomy procedure?

Normally you can resume intercourse as soon as you are comfortable, most often within one week. Your partner or you will need to use another form of birth control to prevent pregnancy until your sperm count is at zero. You will have at least two follow-up sperm count visits to determine the number of sperm still in your semen and you will continue to return to your urologist until your sperm count is at zero.

What are the Risks of Vasectomy Procedure?

The risks are very low, yet a small number of men may have a complication.

1. Bleeding under the skin may cause swelling or bruising.

2. Sperm could leak from the vas deferens into the surrounding tissue around it causing a small lump to form. This is easy to treat with rest and pain medication.

3. Infection, your urologist will often prescribe an antibiotic to be taken as directed.

This article only covers some of the possible questions you may have concerning a vasectomy. So, contact us today to schedule an appointment with the best Urologist in NYC.