Putting Patients First

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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212-675-3186

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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

Blog Posts are Below:

Category Archives: Bladder Problems

Managing Frequent Urination and Overactive Bladder in NYC

Frequent urination and overactive bladder (OAB) are common urological conditions that can significantly disrupt daily life. If you’re experiencing a strong, sudden urge to urinate—sometimes accompanied by involuntary leakage—or finding yourself making frequent trips to the bathroom day and night, you may be dealing with OAB. For many patients in NYC, seeking help from a skilled urologist like Dr. Yaniv Larish at Fifth Avenue Urology is a crucial step toward lasting relief.

What Is Overactive Bladder?

Overactive bladder is a condition characterized by a sudden and uncontrollable urge to urinate. It can lead to:

Urgency (the sudden, intense need to urinate)
Frequency (urinating more than 8 times in 24 hours)
Nocturia (waking up two or more times at night to urinate)
Urgency incontinence (leakage caused by urgency)

While it affects both men and women, the causes and treatments can vary depending on age, gender, and other medical conditions.

What Causes OAB and Frequent Urination?

There are multiple potential causes for frequent urination and OAB, including:

Neurological conditions such as Parkinson’s or multiple sclerosis
Bladder muscle overactivity
Enlarged prostate (in men)
Urinary tract infections
Diabetes
Excessive fluid intake or caffeine/alcohol consumption

In many cases, no clear cause is found. This is why a proper urological evaluation is essential.

Diagnosis and Evaluation

If you’re seeking care in NYC for OAB or frequent urination, your urologist will typically begin with a thorough medical history and physical examination. Additional diagnostic steps may include:

• Urinalysis to rule out infection
• Bladder diary (tracking frequency and volume)
• Post-void residual measurement (to see how much urine remains after urinating)
• Urodynamic testing to assess bladder function
• Cystoscopy in certain cases to examine the bladder lining

Treatment Options in NYC

Treatment is highly personalized and may involve a combination of lifestyle changes, medications, and advanced therapies.

Behavioral and Lifestyle Therapies: These often serve as first-line interventions and include:

• Bladder training (gradually increasing the time between voids)
• Pelvic floor exercises (like Kegels)
• Reducing bladder irritants such as caffeine and alcohol
• Weight loss and managing fluid intake

Medications: Anticholinergic drugs and beta-3 adrenergic agonists can relax bladder muscles and reduce symptoms.

Advanced Treatments: Patients who don’t respond to initial therapies may benefit from:

• Botox injections into the bladder muscle
• Nerve stimulation therapies like sacral neuromodulation (InterStim)
• Percutaneous tibial nerve stimulation (PTNS)

Managing Frequent Urination and Overactive Bladder in NYC: Conclusion

Living with overactive bladder doesn’t have to mean living in discomfort or embarrassment. With today’s advanced diagnostics and treatment options, most patients can achieve significant symptom relief. Consulting an experienced urologist in New York City is the first step toward regaining control of your bladder and improving your quality of life.

Get Specialized Treatment for Overactive Bladder in NYC

Dr. Yaniv Larish at Fifth Avenue Urology offers expert diagnosis and individualized treatment plans for patients with overactive bladder and frequent urination issues. His advanced training and compassionate care help patients find long-term relief using both conventional and cutting-edge therapies. If you’re struggling with bladder control, Dr. Larish provides the expertise you need in the heart of Manhattan

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

Sacral Neuromodulation: Restoring Bladder Control for Urge Urinary Incontinence

Sacral Neuromodulation for bladder control Living with urge urinary incontinence (UUI) can be a daily challenge, impacting your comfort and confidence. But there’s hope. Sacral neuromodulation, a cutting-edge treatment, offers a way to regain control over your bladder and significantly improve your quality of life. Let’s explore how this remarkable procedure is restoring bladder control for those with UUI.

Understanding Urge Urinary Incontinence (UUI)

UUI, also known as overactive bladder (OAB), is characterized by sudden, intense urges to urinate, often leading to involuntary leakage. It can disrupt your daily routine, social activities, and overall well-being. UUI can result from various factors, including bladder muscle overactivity and neurological conditions.

What Is Sacral Neuromodulation?

Sacral neuromodulation is a minimally invasive procedure that involves the implantation of a small device, similar to a pacemaker, near the sacral nerves in the lower back. These sacral nerves play a vital role in controlling bladder function. The device delivers mild electrical impulses to modulate the nerve signals, helping to regulate bladder activity.

The Sacral Neuromodulation Procedure

The sacral neuromodulation procedure typically involves the following steps:

Trial Period: Before permanent implantation, a trial period is conducted to determine if sacral neuromodulation is effective for the patient. During this phase, a temporary lead is placed through the sacral foramina and connected to an external device.
Permanent Implantation: If the trial period proves successful, a permanent implantation is performed. A small device is implanted under the skin, usually in the upper buttock area, and connected to the lead.
Programming: The device is programmed to deliver electrical impulses that help regulate bladder activity. The patient can adjust settings as needed to achieve optimal results.

Benefits of Sacral Neuromodulation

UUI Sacral Neuromodulation treatment 2024 Sacral neuromodulation offers several advantages for individuals with UUI, including:

Improved Bladder Control: The procedure helps reduce sudden urges to urinate and episodes of leakage.
Enhanced Quality of Life: Patients can regain the confidence to engage in daily activities without fear of accidents.
Minimally Invasive: The procedure is minimally invasive, with a relatively short recovery time.

Consultation with a Urology Specialist

If you’re considering sacral neuromodulation for UUI management, it’s crucial to consult a urologist who specializes in urological conditions. Dr. Yaniv Larish at Fifth Avenue Urology has extensive experience in diagnosing and treating UUI and can help determine if this treatment is the right choice for you. Don’t let UUI control your life.

Contact Fifth Avenue Urology today to schedule a consultation and explore restoring your bladder control.

FIFTH AVENUE UROLOGY
5 East 83rd Street
New York, NY 10028
Phone: 212-675-3186
https://www.fifthavenueurology.com/

Discover how this treatment is revolutionizing UUI management. Contact us today and take the first step toward a life with improved bladder control and confidence.

Sacral Neuromodulation: A Revolutionary Treatment for Bladder and Bowel Control

In this article, we will explore the potential of sacral neuromodulation and its benefits for patients. For individuals struggling with bladder and bowel control issues, even the simplest daily activities can become challenging and distressing. However, thanks to advancements in medical technology, there is newfound hope in the form of sacral neuromodulation. This revolutionary treatment offers a promising solution for those seeking improved bladder and bowel control.

Understanding Sacral Neuromodulation

Sacral neuromodulation is a minimally invasive procedure that involves the implantation of a small device known as a neurostimulator. This device is placed near the sacral nerves, which control bladder and bowel function. By sending mild electrical impulses to these nerves, this treatment can help regulate and improve bladder and bowel control.

The Treatment Process

The process of sacral neuromodulation typically involves the following steps:

Evaluation: Before undergoing the procedure, a thorough evaluation will be conducted by a urologist to determine the appropriateness of neuromodulation for the patient’s specific condition.
Trial Phase: In some cases, a temporary device will be implanted for a trial period to assess the effectiveness of the treatment. This helps both the patient and the urologist determine whether sacral neuromodulation is a suitable option.
Permanent Implantation: If the trial phase is successful, a permanent neurostimulator device will be implanted. This device is typically placed under the skin in the upper buttock area during a minimally invasive surgical procedure.
Programming and Adjustment: After the implantation, the urologist will program the neurostimulator to deliver electrical impulses tailored to the patient’s specific needs. The settings can be adjusted as necessary over time to optimize effectiveness.

Sacral-Neuromodulation-urologist-nyc-bladder-bowel

Benefits of Sacral Neuromodulation

Sacral neuromodulation offers several benefits for patients struggling with bladder and bowel control issues, including:

Improved Quality of Life: By restoring bladder and bowel control, sacral neuromodulation can significantly enhance a patient’s quality of life, allowing them to regain independence and engage in daily activities without limitations.
Minimally Invasive: The procedure is minimally invasive and typically does not require a lengthy hospital stay. Patients can often resume their normal activities relatively quickly.
Personalized Treatment: The settings of the neurostimulator can be customized to meet each patient’s specific needs, ensuring optimal control and symptom management.
Reversible: If necessary, the neurostimulator can be adjusted, turned off, or removed entirely. This provides flexibility and allows for personalized treatment adjustments over time.

Contact Fifth Avenue Urology for Expert Urological Treatment

If you or someone you know is seeking effective bladder and bowel control solutions, the team of experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, is here to help. Our urological practice specializes in sacral neuromodulation and offers personalized care tailored to your specific needs.

Don’t wait any longer to seek the treatment you deserve. Reach out to Fifth Avenue Urology now and take the first step towards a life of improved bladder and bowel control.

FIFTH AVENUE UROLOGY
5 East 83rd Street
New York, NY 10028
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com/

Urology: Bladder Cancer

The bladder is a hollow organ present in the lower pelvis of the body. The bladder can stretch to store urine and squeeze to allow excretion through the urethra. Kidneys produce urine, and it passes through two veins, ureters, into the bladder. Cancer in the bladder develops when cells start growing abnormally inside the bladder. This can happen to the layers that make up the bladder from either the inside or the outside.

Bladder Cancer & Urology

Rare Types of Bladder Cancer

Adenocarcinoma

Adenocarcinoma occurs in the glands’ epithelial, which secrete mucus. It is a very rare form of bladder cancer. Moreover, it is “invasive,” which means it spreads into the layers of the bladder deeply, becoming difficult to treat.

Squamous Cell Carcinoma

Rarely occurring in the US, squamous cell carcinoma occurs mainly due to chronic inflammation and irritation of the bladder. Thus, cancerous cells in the bladder lining develop, and this type of cancer is also invasive. The reason for irritation can be the use of a urinary catheter to treat bladder conditions or draining urine by inserting a catheter through the penis.

Carcinoma of Small Cell

Small cell carcinoma refers to the development of abnormal neuroendocrine cells. These nerve-like cells spread cancer into the bladder and to the other parts of the body through it aggressively.

Sarcoma

Sarcoma occurs due to the development of abnormal and cancerous cells in the bladder muscles. It is, however, very rare in the US.

The Most Common Type of Bladder Cancer

The most common type of bladder cancer is Urothelial Carcinoma or simply Transitional Cell Carcinoma (TCC). It affects the bladder’s inner lining, which contracts and stretches when passing or storing urine. Furthermore, these Urothelial cells are present in the ureters as well as the urethra, which means that tumors can also develop in these parts of the urinary tract as well.

Invasive, Non-Invasive & Superficial

These two terms describe the different types of bladder cancer.

Invasive

This type of cancer, such as TCC, does not reach deeper layers, but instead, it occurs on the inner layers of the organ.

Non-Invasive

Non-Invasive cancer, however, occurs in the deeper layers of the bladder and other organs of the body. And, due to its tendency of spreading further, it is difficult to control and treat.

Superficial

This refers to both the above types of bladder cancer that have not reached the major muscle layers.

Factors Contributing to Risk of Bladder Cancer

Genetic History of Cancer; if any family member has bladder cancer, it is possible that you might get it too. It is not contagious, but if you had bladder cancer before, you could get it again.
Smoking; Body processes harmful chemicals and secretes them through urine. These harmful substances can damage the lining of the bladder as that is where it stores urine before excretion.
Age; aging causes the weakening of the body. Most likely, bladder cancer occurs in men of age over 50.
Chemical Absorption; certain chemicals such as those in the manufacture of tires, textiles, paints, or even arsenic chemicals can cause bladder cancer.

Symptoms of Bladder Cancer

Blood in Urine or Semen, sometimes the blood might only be visible through lab test of the urine
Urination occurs frequently and causes pain
Pain in the pelvic and lower abdominal area of the body

If you are experiencing any of these symptoms, either at acute or chronic levels, contact Fifth Avenue Urology.

Bladder cancer and urology
(Source)

Bladder Cancer Urology Treatments

Urologists in the US employ various techniques and medications to treat bladder cancers. Some common treatments for bladder cancer are as below.

For Non-Invasive Bladder Cancer

Intra-vesical therapy involves the use of a urinary catheter to apply different medical therapies on the bladder. These often include BCG, and it prevents the progression and reoccurrence of tumor in the bladder
Transurethral Resection applies to patients with large tumors. Surgeons use a cystoscope to cut out the tumor. They also keep a visual of the bladder through a small T.V insertion in the bladder. Despite the resection, the incisions are not visible on the body.
Cystoscopy: modern cystoscopy allows surgeons to insert microscopic equipment into the bladder. Electrical cautery and laser treatments enable the treatment and cauterization of the tumor in the bladder. In the case of small tumors, there may even be complete removal.

For Invasive Bladder Cancer

Chemotherapy and Radiation Therapy; radiation therapy allows the destruction of cancerous cells through x-rays. On the other hand, chemotherapy involves injecting a drug that disperses in the whole body and treats cancerous cells.
Cystectomy; involves the removal of bladder and or prostate in men. In the case of women, portions of the vagina, ovaries, bladder, and uterus require dissection and removal.

Conclusion: Consult With Experienced Urologists For Bladder Problems

Visit the Fifth Avenue Urology website to find out more. Give us a call at 212-675-3186 to schedule an appointment and give us a visit for a personal checkup firsthand at 5 East 83rd Street New York, NY 10028.

FIFTH AVENUE UROLOGY
5 East 83rd Street
New York, NY 10028
212-675-3186

References

Overactive Bladder: Causes & Treatments

Overactive Bladder

An overactive bladder is a condition that triggers the sudden urge to urinate in unpredictable instances. It also causes involuntary accidents to happen in which people undergo the unexpected loss of urine. This condition causes millions in the world to suffer and is very difficult to manage.

The unpredictability of this condition makes it one of the toughest illnesses to treat and overcome. Women tend to suffer from it more than men. Apart from the physical toll, this condition has drastic psychological effects on a person. Since a person is vulnerable to urinating at any given moment, they tend to avoid social gatherings and stay isolated.

The psychological impact that this condition has causes a person to go into severe emotional distress. Bad mental health will also lead to other conditions that make a person’s overall health even worse. However, with the help of a few treatments, a person can manage to control their symptoms and improve their condition to quite an extent.

Overactive Bladder Causes & Treatment
(Source)

Overactive Bladder: Symptoms

Urine leakage is an occurrence that can happen regardless if you have a bladder problem. The excessive leakage of urine is an indication that you have an overactive bladder. Some people will also produce little leakage because of laughing too vigorously. Others produce slight leakage after holding urine inside the bladder for too long. However, this is not an indication that you have an overactive bladder.

You can find many indications that point to an overactive bladder. One of the most identifiable indications is the frequency of the urine. The most common symptoms of an uncontrollable bladder include:

Urgent need to urinate
Frequent loss of urine
Urge to urinate more than eight times on a given day
Frequently waking up during sleep to urinate

The symptoms of an overactive bladder vary depending on the person. Each individual with an overactive bladder can experience different symptoms depending on the circumstances. Therefore, it is very difficult to self-diagnose whether you have a bladder issue. For this reason, you must visit the doctor if you are undergoing the symptoms mentioned above.

How does it Happen?

Normally, a person urinates when their bladder is full. Once your kidneys finish purifying your blood, and the urine collects into the bladder, your pelvic muscles begin to contract. Then the brain sends a signal to your body, and you relax your pelvic muscles so that the urine can pass through your penis.

A patient suffering from an overactive bladder will experience bladder contraction even when the bladder is not full. Due to this, they feel a frequent urge to urinate regardless of whether they have a full bladder.

Factors That Put you at Risk

In some instances, the cause of an overactive bladder is faulty genetics. However, some habits are more likely reasons that lead a person to suffer from this condition. The factors that cause these symptoms include:

Drinking an excessive amount of fluid
Intake of certain medications that have side effects, which cause bladder issues
Abnormalities in the bladder
Overconsumption of caffeine
Alcoholism

Nonetheless, experts cannot point to the exact cause of an overactive bladder. The people with the highest risk are ones that fall in the age group of fifty and above. This shows that there is a strong correlation between aging and bladder problems. However, you should not undermine the symptoms even if you do not fall into the particular age group. This is because an overactive bladder is not an inevitable symptom of aging.

Diagnosis for Overactive Bladder

Initially, doctors diagnose the bladder and kidneys for abnormal urination to see if there is an infection. A doctor may ask you to provide them with a urine sample. This helps doctors confirm whether the urine has traces of blood in it. Another diagnosis that proves bladder abnormality is examining the bladder to see it completely empties after urination.

Overactive Bladder Treatment
(Source)

Doctors make these diagnoses with the help of certain tests. To check whether you have residual urine after urination, the doctor will make you undergo an ultrasound. In this process, they use the sound waves to encapsulate an image of the urine inside of the bladder.

Measuring the quantity of the urine, they can tell whether your bladder is indeed overactive. Other methods involve testing the urine flow rate in comparison to a person’s fluid intake and the use of thin tubes or catheters.

To Conclude: Consult A Professional Urologist

Bladder issues are more common than people may believe. Having an overactive bladder is an embarrassing condition for the average person. If you or any of your loved ones are having a difficult time coming to terms with an overactive bladder, you must consult a specialist.

Fifth Avenue Urology offers you a chance to get professional help from experienced specialists. Contact them now to schedule an in person or tele-appointment at 212-675-3186.

Urology: Overactive Bladder

overactive-bladder-info-03 An overactive bladder (OAB) is a very troublesome and embarrassing condition, which leads to sudden urination or frequent urge to urinate. This can be a serious problem at certain moments, and it is unfortunately a lot more common than most people believe. Nearly 33 million Americans suffer from some form of overactive bladder, which means that this is not just some isolated incident.

There are a large variety of bladder conditions that fall under this larger term of overactive bladder, most of them being incontinence. And due to its incredibly unpredictable nature, people who suffer from overactive bladder (OAB) reduce their social activities, as they may end up in a very awkward an unsettling situation.

Causes of Overactive Bladder

The causes for an overactive bladder (OAB) are a little tricky to pin down, as there are a lot of different variables that can contribute to a lack of bladder control. In some cases, it can be a temporary reaction to what you ate or drank. At other times, it can be a sign for something a little more dangerous and possibly life changing. Some of the causes of an overactive bladder (OAB) are:

Consuming caffeine, alcohol, or medicine that produces more urine
Drinking too much water
Bladder abnormalities or difficulty emptying the bladder
Urinary tract infections

It is often hard to say what causes an OAB, simply because there are just too many variables in play to determine properly. However, there is a way to find out what is causing it, and that is by looking at some of the symptoms of an OAB.

Symptoms of Overactive Bladder

overactive-female-bladder-info-urologist-nyc-02 Although an OAB is a very serious problem that can drastically change how people live their lives, it is very easy to spot if you have one or not. Under normal circumstances, the kidneys produce urine that goes to your bladder, and when the muscles in the bladder relax the urine releases. That said, in an overactive bladder the muscles contract involuntarily releasing urine at unintended times.

However, since urine leakage can happen for other reasons than a serious problem, if you experience a little incontinence it does not mean that you have an OAB. But if you experience the following symptoms, then it is possible that you may have an OAB.

Frequent urination, you may be urinating more than eight time a day
Loss of urine involuntarily on a regular basis
Sudden urges or uncontrollable needs to urinate
Waking up in the middle of the night to urinate frequently

Now since overactive bladder refers to a wide array of different bladder conditions, symptoms can vary from person to person. So without the help of a medical professional, it can be very hard finding out whether or not you really have an overactive bladder.

Conclusion

An overactive bladder is a very disturbing and often awkward condition that greatly affects the lives of people that have it. But since the symptoms for an OAB can be very diverse and misleading, it is very hard to tell whether or not you have the condition. Therefore, before you jump to conclusions about what conditions you have, you should first meet with a urologist that can give you proper medical advice.

You can also visit our website at FifthAvenueUrology.com

FIFTH AVENUE UROLOGY
Dr. Michael Brodherson
Dr. Yaniv Larish
Dr. Leonard Glickman
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5 East 83rd Street
New York, NY 10028
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212-675-3186

Overactive bladder: Causes & Treatments

In this review, we inform our patients about the causes of and treatment options for overactive bladder.

Overactive bladder: Synopsis

overactive-bladder-causes-symptoms-treatment-urologists-nyc-01 Innumerable men and women contact our urologists in East Upper Side (Manhattan) to know about ‘overactive bladder: causes & treatments.’ We make it clear that overactive bladder refers to their sudden and uncontrollable urge to rush to the toilet to urinate. With the passage of time, an overactive bladder could cause urinary incontinence or the inability to hold urine.

It is alleged that nearly 33 million Americans suffer from the overactive bladder, but the actual figure could be higher. A good number of men and women with overactive bladder feel embarrassed to talk about their problem to a specialist. OAB could prevent individuals from leading a normal lifestyle. Many OAB patients keep themselves indoors as they feel that they may not be able to access a bathroom they step out.

However, those diagnosed with OAB can take relief in the fact that the condition is very much treatable.

Causes

The involuntary contractions of urinary bladder muscles even when the organ hardly contains any urine lead to the occurrence of OAB. So an individual feels the urgency to urinate whenever the muscles of urinary bladder start to contract involuntarily. There could be several reasons as to why the muscles contract automatically regardless of whether the bladder contains urine or is empty.

Some of the most common causes of OAB are:-

Excessive intake of alcohol or caffeinated beverages
Neurological disorders like multiple sclerosis, epilepsy, peripheral neuropathy, and Parkinson’s Disease
Diuretics (medicines that stimulate urine production)
Diabetes
Bladder stones or bladder tumor
UTIs (urinary tract infections)
Aging (which impedes cognition, resulting in the bladder’s reduced ability to pick up brain signals)
Constipation (which could hinder bladder outflow)
BPH (an enlarged prostate could also adversely affect bladder outflow)

The exact cause (or causes) behind OAB remain unidentified.

Treatment options

diagram-overactive-bladder-info-specialists-02 Our urologists usually suggest a judicious blend of multiple therapeutic procedures for remedying OAB.

Medications

Many drugs help check involuntary muscular contractions and thereby alleviating urge incontinence. Some of the drugs that we prescribe to OAB patients include:-

Toviaz
Enablex
Sanctura
Vesicare
Oxytrol
Detrol
Detral LA

The above drugs have side effects, including dry mouth and eyes, and constipation.

Behavioral therapies

We always tell patients to make a few lifestyle changes and opt for some behavioral therapies as primary measures. We advise the patient to:-

Maintain a healthy weight
Perform Kegel (pelvic floor muscle exercises) workouts
Voiding at specific times in 24 hours
Use absorbent pads
Use a catheter frequently
Practicing to control the urge of urination on a gradual basis

Injections

We at Fifth Avenue Urology administer Botox injections into the urinary bladder which checks involuntary contractions. Botox is extremely effective in suppressing acute urge incontinence. Electrically stimulating the muscles using noninvasive and invasive methods also offer relief from OAB.

Surgery

We recommend surgery as a last resort for patients whose medications, injections, and behavioral therapies don’t work. We carry out surgeries to enhance bladder capacity, and sometimes we excise the bladder and install a neobladder (as a replacement).

Since we’ve handled many OAB patients, we know that living with the condition can be quite challenging. Therefore, we encourage all our patients to keep in touch with us for seeking help and support. You can schedule an appointment with the best Urologists in NYC for any consultation needed.

We’re a competent and seasoned team of urologists at Fifth Avenue Urology, offering high-quality treatment for nearly all urological problems. For instance, we’re capable of treating urinary tract infections, erectile dysfunction, benign prostatic hyperplasia, and so on. We have an excellent track record of performing successful surgeries about the urological system.

Schedule an appointment today:
212-675-3186

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References

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.

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 too embarrassed to visit a urologist, but there are treatments available for bladder control problems.

Diet

The first thing to try if you suffer from an overactive bladder or urinary urgency is to cut out alcohol, caffeine and anything else that might be triggering your symptoms. For some people, this does the trick.

Medication

For those patients who suffer from an overactive bladder, medication can be effective. Anticholinergic medications block the signals between the bladder and the brain. In a normal person, the bladder only sends a signal to the brain when it’s full. In a person with an overactive bladder, something goes wrong and the brain thinks the bladder is full, even when it’s not.

Speak to your urologist about medications that might help ease the symptoms of an overactive bladder, but be aware that some medications have side-effects.

Behavioral Therapy

Cognitive behavioral therapy can be effective if medication isn’t working. It involves re-educating the brain and teaching the sufferer to go longer between trips to the toilet. Instead of reacting to the first bladder contraction and rushing to the nearest restroom, the patient has to wait a bit longer. In time, the urge to urinate lessons and the person is able to make fewer bathroom visits.

Pelvic Floor Therapy

Women with stress incontinence, i.e. an inability to hold urine when exercising, sneezing, or laughing often find their symptoms improve if they perform pelvic floor exercises. Often, bladder control problems are caused by weakness in the pelvic floor muscles, either because of childbirth or the natural aging process. A new treatment called is proving especially effective in pediatric patients.

If none of these treatments are effective, there are surgical options. Botox injections in the bladder can help to reduce urinary urgency by blocking the receptors between the bladder and brain. It is also possible to insert a surgical sling to support the urethra or bladder so it returns to its normal position.

Are you are suffering from bladder control problems? Don’t suffer in silence. Speak to an experienced NYC urologist today and find the right treatment for you.

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