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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.


Schedule an appointment today

212-675-3186


Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2Dr. 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.


Category Archives: Incontinence

Urologist for Incontinence: Causes, Diagnosis, and Treatment Options

willbeTop Urologist for Incontinence Male

Do you need a urologist for incontinence? The common and often distressing condition incontinence affects people of all ages. It refers to the involuntary loss of urine or feces, leading to social, emotional, and physical challenges. If you or a loved one is experiencing incontinence, it’s important to understand the causes, seek proper diagnosis, and explore the available treatment options. In this article, we will delve into the causes, diagnosis, and treatment options for incontinence.

Causes of Incontinence

Incontinence can occur due to various factors, including:

  1. Weak Pelvic Floor Muscles: Weakened or damaged pelvic floor muscles, often caused by pregnancy, childbirth, or aging, can lead to urinary or fecal incontinence.
  2. Urinary Tract Infections (UTIs): Infections in the urinary tract can cause temporary incontinence, especially in women.
  3. Neurological Disorders: Conditions such as multiple sclerosis, Parkinson’s disease, and stroke can disrupt nerve signals between the brain and the bladder, resulting in incontinence.
  4. Prostate Problems: In men, an enlarged prostate or prostate cancer can contribute to urinary incontinence.
  5. Medications: Certain medications, such as diuretics or muscle relaxants, can affect bladder control and lead to incontinence.

Diagnosis of Incontinence

To determine the underlying cause of incontinence, a healthcare professional may conduct the following evaluations:

  1. Medical History: The doctor will review your medical history, including any previous surgeries, childbirth, or conditions that may contribute to incontinence.
  2. Physical Examination: A physical examination will be performed to check for any physical abnormalities or signs of muscle weakness.
  3. Urinalysis: A urine sample is analyzed to check for signs of infection or other abnormalities.
  4. Bladder Diary: Keeping a record of your fluid intake, bathroom visits, and episodes of incontinence can provide valuable information about your symptoms.
  5. Specialized Tests: Additional tests, such as urodynamic testing or cystoscopy, may be performed to evaluate bladder function and rule out other underlying conditions.

Best Urologist for Incontinence NYC 2023

Treatment Options for Incontinence

Fortunately, there are several treatment options available to manage and treat incontinence, including:

  1. Lifestyle Changes: Making dietary modifications, maintaining a healthy weight, and practicing pelvic floor exercises can improve bladder control.
  2. Bladder Training: Techniques such as scheduled bathroom visits, delayed urination, and urge suppression exercises can help retrain the bladder.
  3. Medications: In some cases, medications may be prescribed to relax the bladder, reduce urinary frequency, or treat underlying infections.
  4. Physical Therapy: Working with a physical therapist who specializes in pelvic floor rehabilitation can help strengthen the pelvic floor muscles and improve bladder control.
  5. Surgical Interventions: In severe cases, surgical options, such as slings, bladder neck suspension, or artificial urinary sphincter implantation, may be considered.

Contact Fifth Avenue Urology for Expert Urological Treatment for Incontinence

If you or a loved one is struggling with incontinence, the team of experienced urologists at Fifth Avenue Urology is dedicated to providing comprehensive and personalized care for patients dealing with incontinence. Led by Dr. Yaniv Larish, Fifth Avenue Urology offers advanced diagnostic techniques and a range of treatment options to address your specific needs.

Don’t let incontinence control your life any longer. Take the first step towards finding relief and improving your quality of life by contacting Fifth Avenue Urology:

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

Types and Symptoms of Urinary Incontinence

Incontinence, better known as Urinary Incontinence, is a condition where you have trouble controlling your urine flow. People with incontinence often cannot tell when they need to urinate, which often leads to unwanted leaks.

Many people struggle with incontinence, and most have trouble talking about it. Due to the stigma associated with urination, people can feel very embarrassed when talking about their medical condition.

The embarrassment that they feel can also extend to a medical professional. They might omit that they have urinary incontinence or lie that they don’t. The symptoms are often the same in each of these situations, but the underlying condition may be different.

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Therefore, a better understanding of incontinence and its relevant symptoms will make people more comfortable talking to the doctor about it. And if you are one of those people who struggle to tell others about their condition, this can be helpful.

Having urinary incontinence is a normal part of getting older. However, this is far from the case, as it is often a sign that you must visit a medical professional. Here is a more detailed look at incontinence.

Symptoms of Urinary Incontinence

The symptoms of incontinence will often differ depending on the type you have. While some tend to be temporary, often caused by certain infections or mental health conditions, others can directly result from a more serious condition.

Some temporary conditions include a vaginal infection or some form of UTI, making it hard to control the urge to urinate. Furthermore, certain types of medication or general irritation can also contribute to a feeling of incontinence.

In any of these situations, you must go to a medical professional and get proper treatment to alleviate your symptoms.

However, it is also likely that people can have a more permanent type of incontinence with very different symptoms.

Stress Urinary Incontinence

Top Urinary Incontinence Urologist

Stress Urinary Incontinence is a condition where any stress on the body can lead to urine leaking. Often the type of activity a person performs will dictate just how much they leak. In this situation, exercise is a common reason for an SUI.

However, it is also likely that people with SUI do not need to be under any physical stress to experience incontinence. Mental stress is also a very common contributor to people leaking, often leading to them avoiding social interactions. In the case of mental stress, better managing stress or going to therapy can help control incontinence.

OAB

OAB is a series of symptoms that all relate to an individual being able or unable to urinate. This series of symptoms will usually relate to an individual’s condition, which usually could be incontinence itself. One of the most common symptoms of OAB is a sudden urge to urinate that you cannot control.

Some people can have stress incontinence and OAB, which means they have a complicated condition.

Treatment

Treatment for incontinence can be difficult to pin down since various factors could contribute to the feeling of incontinence. Adult diapers are a popular solution, as they can also help people who can wet the bed during sleep. Other treatments for this condition exist, and you should discuss all options with a urologist.

Urinary Incontinence: Conclusion

At Fifth Avenue Urology, Dr. Yaniv Larish will work with you to resolve urinary incontinence using the most modern and effective treatments.

For a consultation, call us or continue exploring our website for more information about incontinence and other related issues.

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

Urge Incontinence

What is urge incontinence? If you’re aware of what it means to have an overactive bladder and a frequent urge to urinate, then you probably know about urge incontinence. There are many types of incontinence that affect both men and women. Incontinence affects women the most due to weak pelvic and vaginal muscles. This can occur as a result of complicated childbirth and aging. In this post, you’ll learn about the types of incontinence, symptoms, and complication.

Urge Incontinence Urologists NYC
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It’s quite difficult to go by your daily routine when you have to keep walking discreetly to the restroom several times within a short period. Therefore, knowing the symptoms of this health condition early on can help with prevention and timely treatment.

Types of Urge Incontinence

You may already know that frequent urges to urinate don’t always go as planned. You cannot always control the sudden urge to urinate and may have to stop whatever work you’re doing to take a trip to the restroom. But, it gets frustrating when it’s only been half hour before you get the urge to urinate again. Hence, frustration, stress, anxiety, and depression are among the most common symptoms resulting from urge incontinence.

However, the major symptom involves leakage of urine during sleep, straining exercise, laughing, sneezing, or coughing. If you tend to lose control over your bladder tissues and pelvic muscles during a straining physical activity, you might have urge incontinence. In that case, a visit to the right urologist for treatment is necessary.

Here’s a list of several types of incontinences that affect both men and women:

·       Urge Incontinence

It’s when you keep getting frequent strong urges to urinate, and most of the time, you end up losing urine involuntarily. Urge incontinence can persist throughout a 24-hour period meaning that affected patients may have to get up more than once a night to urinate.

·       Functional Incontinence

This type of incontinence is somewhat correlated with other medical health issues. For instance, if you’re experiencing a sudden urge to urinate and you fail to reach the restroom in time, it may lead to unintentional urine loss.

·       Overflow Incontinence

This happens when you urinate and feel that the bladder isn’t completely empty. Commonly, it’s followed up by constant dripping of urine due to bladder health conditions.

·       Stress Incontinence

It’s related to the unintentional loss of urine when you sneeze, cough, or laugh too hard. In other words, when you put a strain on your pelvic muscles and bladder tissues, involuntary urine loss occurs.

·       Mixed Incontinence

It refers to a combination of incontinences manifesting multiple symptoms at once. For instance, an individual with mixed incontinence might have urge incontinence and stress incontinence.

Causes of Urge Incontinence

When abnormal bladder contractions occur, the body loses control over the bladder tissues and, subsequently, pelvic muscles. That causes the sphincters, i.e., strong muscles, to relax temporarily, making it difficult for you to control urine loss. During urge incontinence, the bladder muscles contract with so much force that they override the strength of the sphincter muscles located in the urethra. Note that the urethra is the tube that offers the passage for urine secretion out of the body.

When the bladder’s irritated, urge incontinence can be a temporary symptom. On the other hand, if you have multiple sclerosis, Parkinson’s disease, or diabetes, your bladder may start malfunctioning and lead to incontinence. Here are several causes of behind this issue due to bladder malfunction:

  • Bladder inflammation
  • Bladder cancer
  • Bladder stones
  • Nerve problems
  • Spinal cord injuries

Symptoms of Urge Incontinence

Here are the most prominent signs of urge incontinence that are common in both men and women affected by the bladder condition:

  • Involuntary urine loss during a strenuous physical activity like bending, lifting, exercising, and other normal daily activities.
  • Strong and frequent urges to urinate that are extremely difficult to control.
  • Bed wetting.
  • Urine loss without any sign or urges.

Urge Incontinence Urology
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Risk Factors of Urge Incontinence

Some people are at a higher risk of contracting bladder issues. Several risk factors increase the chances of developing the said conditions. Those factors include:

  • Gender: Women who go through childbirth and menopause experience difficult pelvic and vaginal muscles movement.
  • Smoking: Tobacco and other harmful chemical substances in cigarettes increase the chances of developing several health conditions, including urge incontinence.
  • Age: With age, bladder and pelvic muscles weaken, leading to less control over the involuntary urine loss through the bladder.
  • Obesity: Additional fat and muscle weight strains the bladder tissues and pelvic muscles, leading to difficulty urinating or control once in the process.

Urge Incontinence: Conclusion

Just like any health condition that interferes with your daily routine and regular lifestyle requires immediate medical care, finding the perfect urologist for that job is important. At Fifth Avenue Urology, Dr. Yaniv Larish, and Dr. Leonard Glickman, operate as the top urologists in NYC. Both doctors have extensive experience in dealing with urological and bladder issues. They also have surgical skills and have successfully helped many patients suffering from incontinence get relief.

Contacting the right urologist once you detect symptoms of urge incontinence can help in choosing the right treatment options for prevention and recovery. Call Fifth Avenue Urology at 212-675-3186 and set an appointment with an expert today.

Causes & Treatment for Incontinence

What are the causes and treatment for urinary incontinence? Urinary incontinence is a condition involving the loss of urine. This is a common condition, but many people experience humiliation while talking about it. Therefore, they do not consult a doctor if they notice any symptoms. Remember, treating urinary incompetence is not a big deal. You should seek help from a professional urologist to treat your condition. They will suggest suitable medical or alternative interventions.

Treatment for Incontinence
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Women develop this condition more often than men. A common symptom of urinary incontinence is urinary leakage. You experience leakage due to muscle contraction and relaxation in your bladder. This results in the involuntary release of urine, which is hard to control. UI is not a disease, but you may experience this condition because of an underlying medical condition.

The Urology Care Foundation suggests that women have higher chances for the development of this condition. Because their urethra is shorter, they can easily develop urinary incontinence. Women have fewer muscles in their bladder to hold urine. So any damage or weakness in the urethra can cause the condition.

Causes of Incontinence

The causes depend on the type of the condition:

1.     Stress Incontinence

Here are some factors that cause stress incontinence:

  • Obesity
  • Age
  • Surgical procedures such as hysterectomy
  • Childbirth and pregnancy
  • Menopause because the decrease in estrogen level weakens the urethra’s muscles

2.     Urge Incontinence

Factors include:

  • Enlarged prostate irritating urethra and dropping bladder
  • Cystitis
  • Parkinson’s disease, multiple sclerosis, stroke, and other neurological conditions

3.     Overflow Incontinence

You may experience overflow incontinence because of blockage or obstruction to the bladder. Here are some reasons for obstruction:

  • Urinary stones
  • An enlarged prostate gland
  • Constipation
  • A tumor
  • Urinary incontinence surgery

4.     Total Incontinence

The causes for this type of incontinence are:

  • A spinal cord injury
  • An anatomical defect
  • A fistula

Other Causes of Incontinence

Here is some other cause for incontinence development:

  • Alcohol
  • Some medications such as sleeping tablets, muscle relaxants, and sedatives
  • Urinary tract infection

Treatment for Urine Incontinence

The treatment may depend on different factors including your mental state, general health, age, and type of incontinence.

1.     Stress Incontinence

You can learn and practice Kegel exercises for strengthening the pelvic floor muscles and urinary sphincter. When these muscles are strong, you can control urination.

Causes and Treatment for Incontinence
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2.     Bladder Training

You can regain the ability to control your bladder using bladder training. Here are some techniques you can try to control your bladder:

  • Delaying the Event

These techniques help you control the urge to urinate. It helps to treat frequent urination due to incontinence.

  • Double Voiding

You can control urination by minimizing the duration of urinating and waiting for a couple of minutes to go again.

  • Toilet Timetable

You can make a timetable and set the time for urination such as after every two hours.

3.     Medications

Your urologist will recommend medication for treating incontinence. They may also combine the exercise or techniques along with medications. These medications include topical estrogen, a tricyclic antidepressant, and anticholinergics.

4.     Medical Devices

Here are some devices that women can use to control incontinence:

  • You can prevent leaking by inserting the urethral device in the urethra after urinating.
  • Botox in the bladder muscle can help you if you have an overactive bladder.
  • You can insert and wear pessary all day long to prevent leakage.
  • Injecting tissues to keep the urethra closed.
  • Sacral nerve stimulator emits an electrical pulse to control the bladder.
  • Using radiofrequency therapy a surgeon will heat the lower urinary tract for better urinary control.

5.     Surgery

If none of the above therapies work, you can undergo surgery. Discuss this option with your doctor if you plans on giving birth. A professional surgeon will diagnose your condition and suggest the best surgical option that will not affect your upcoming delivery.

  • The surgeon may include an artificial valve or sphincter to control urine flow.
  • Colposuspension is a surgery wherein the surgeon lifts the bladder neck, relieving stress incontinence.
  • During the sling procedure, the surgeon will support your urethra with a mesh, preventing urine leakage.

Treatment for Incontinence: Conclusion

Many other treatments can help control urination and prevent incontinence. Here at Fifth Avenue Urology, we offer treatment for numerous urological disorders. Offering high quality treatment and care, our clinic is one of the best in New York City. So give us a call now and make an appointment to discuss your condition.

Schedule an appointment with us today. Call 212-675-3186 and speak with our expert urologists.