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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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: Enlarge Prostate Information

Enlarged Prostate Symptoms and Treatment

The male reproductive system has a small sized muscular gland known as the prostate. This gland essentially surrounds the urethra, making the most of the fluid present in the semen. Our prostates propel the semen and fluid through the penis when we have a sexual climax. Unfortunately, many men get an enlarged prostate. Sometimes, this results in certain symptoms and complications. Fortunately, however, certain treatments can help.

Enlarged Prostate Symptoms and Treatment
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Symptoms and Causes of Enlarged Prostate

Also referred to as benign prostatic hyperplasia, an enlarged prostate often occurs whenever the prostate gland’s cells multiply. It may cause swelling in the prostate gland, squeezing the urethra, which limits urine flow. Contrary to popular belief, enlarged prostate or benign prostate hyperplasia is not a form of prostate cancer. That said, it can result in painful symptoms, which may impact your quality of life. This issue is especially common among in aged fifty or more.

Causes of Enlarged Prostate

Men often get an enlarged prostate as they grow older. While the exact reason this happens is still a mystery, certain changes in sex hormones could be one of the reasons. A family history of testicular abnormalities or prostate problems could greatly increase your chances of getting benign prostatic hyperplasia.

What are the Symptoms

Enlarged prostate symptoms tend to be quite mild initially. However, they start getting serious if you do not seek treatment. Some of the most common symptoms of an enlarged prostate include the following:

Finding blood in your urine
Feeling pain while urinating
A delayed or slow urinary stream
A weakened urinary system
Having difficulty emptying your bladder
The need to go to empty your bladder multiple times at night
Dribbling once your urinary stream ends
Finding blood in your urine

How Do Doctors Diagnose an Enlarged Prostate?

When doctors check their patients for benign prostatic hyperplasia, they usually start by performing a physical examination. A detailed rectal examination is a prominent part of this test as it helps doctors determine your prostate’s shape and size. Here are some other tests doctors perform to diagnose an enlarged prostate:

Cystoscopy: A cystoscopy is a test to examine your bladder or urethra with the help of a small scope instead of in the urethra.

Post void residual: A post void residual helps doctors determine how much urine is in your bladder.

Prostate specific antigen test: Examiners perform this blood test to check prostate cancer symptoms.

Urodynamic test: In a urodynamic test, the doctor will fill your bladder with a liquid through a catheter to measure bladder pressure.

Enlarged Prostate Symptoms and Treatment

While there are plenty of ways to treat BPH, doctors usually advise their patients to start by making certain lifestyle adjustments. If your symptoms do not subside, your doctor may prescribe medication or surgery. Your general health and age are also important factors that influence your doctor’s treatment. Mentioned below are some natural treatments for individuals with an enlarged prostate:

Avoiding caffeine and alcohol, particularly after dinner
Working out regularly
Working on stress reduction
Performing kegel exercises to strengthen the pelvic muscles

If these natural treatments don’t work, your doctor may prescribe you certain medications like hormone reduction pills, alpha 1 blockers, antibiotics, etc. if the medicines fail to work, there is a high likelihood that you will need to undergo a surgical procedure.

Enlarged Prostate Symptoms and Treatment
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Enlarged Prostate Symptoms and Treatment: Final Thoughts

An enlarged prostate can be a massive pain and prevent you from doing regular everyday things. Believe it or not, people with this issue often become depressed or anti social because of their inability to control their bladder. If you face such an issue, contact Fifth Avenue Urology, and our experts will help you resolve this condition.

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

Enlarged Prostate Information

Seeking Advice for an Enlarged Prostate

There are many men that suffer with various problems with their prostate gland and for some it can cause a lot of issues. This gland is one that is only found in men and as men get older, the risk of prostate problems can increase. One of the issues that can affect men is an enlarged prostate and this problem is very common in middle-aged and older men. For those that do develop an enlarged prostate, seeking expert help as early on as possible is important so that the problem can be addressed without delay.

Some of the symptoms and signs of an enlarged prostate

While an enlarged prostate is most common in older men, it is important to note that it can also affect some younger men as well, so it is a problem that you shouldn’t rule out just because you are in your twenties or thirties. Some of the signs and symptoms that are associated with this medical issue include:

Difficulties when trying to urinate
Urinating more regularly
Takes longer for the urine to come out
Difficult sleeping due to a sensation of wanting to urinate
Possible lower back pain
Possibility of erectile dysfunction

A combination of these signs and symptoms could indicate you have an enlarged prostate and that you need to see a specialist so that a form diagnosis can be made.

Diagnosis and Treatment of Enlarged Prostate

In order to get an enlarge prostate firmly diagnosed, you need to go and see a urologist as they specialize in this type of medical issue. A range of tests are then performed so that the condition can be confirmed and this includes an examination of the prostate.

The causes of an enlarged prostate can vary and as a result so can the treatments. Once the urologist has examined your prostate and confirmed that it is enlarged, further tests will be carried out to determine the cause. Treatment is then arranged according to the cause of the problem. The earlier you get in touch with a urologist with regards to a possible enlarged prostate, the more quickly a diagnosis can be made and treatment arranged.

Come and see the best urologist in Manhattan for your Enlarged Prostate

If you are experiencing some or all of the symptoms of an enlarged prostate, you should make arrangements to see a urologist as soon as possible. Get in touch with the best urologist in Manhattan today and we will be happy to schedule a consultation.