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: Kidney Cancer

Kidney Cancer: Treatments & Outlook

Kidney Cancer Overview

kidney-cancer-treatment-urologists-nyc-01 Renal or kidney cancer stands for any cancer about the kidney or kidneys. We reiterate to our patients that hypertension, smoking, obesity, and aging constitute high-risk factors for the occurrence of kidney cancer. Kidney cancers chiefly develop in the renal pelvis and renal tubule-two vital sections of kidneys.

One out of every sixty-three individuals in their lifetime is diagnosed with kidney cancer. Of all the prevalent forms of cancers, kidney cancer happens to be one of them. Kidney cancer predominantly affects people in the 50-80 age brackets.

Treatment methods

The kidney cancer type and stage determine the appropriate treatment technique. We also consider the patient’s age, overall health, and his or her preferences before recommending an appropriate therapy. Unlike most other types of cancer, kidney cancer does not abate or heal with radiotherapy or chemotherapy.

Therefore surgery is the only option for dealing with cancers of the kidney.

The First Three Stages

kidney-cancer-stages-info-02 In the first two stages, cancer remains inside the kidney. However, from the third stage onwards, the carcinogenic cells metastasize or spread to adjacent lymph nodes or arteries. The cancerous growth at stages I and II are removed surgically using two distinct processes-partial nephrectomy and radical nephrectomy.

Partial nephrectomy involves eliminating a specific section of the kidney. This method is usually resorted to for tumors with diameters up to 7cm. For tumors of larger size, radical nephrectomy (where the entire kidney is excised) is the way to go.

Sometimes, the lymph nodes lying close to the kidney are also removed, particularly if they’ve expanded and swollen. For stage III kidney cancers, the affected veins and lymph nodes need to be dissected for removing the entire affected part. There is a high likelihood of cancer recurring even after undergoing surgery.

However, starting patients on Sutent (a targeted medication) could help alleviate the risk to a great extent. We make it a point to discuss the risks and benefits of taking sunitinib (Sutent) as the drug usually has powerful side effects. Unfortunately, patients with grave medical issues cannot opt for surgical treatment.

Nevertheless, such patients can benefit from localized treatment techniques like arterial embolization, radiofrequency ablation, and cryotherapy. However, the chances of cancer returning to the very same area remain very high with localized treatment methods.

Stage IV treatment options

Kidney cancer at stage IV emerges out to affect the adipose tissues surrounding the kidney, lymph nodes, and other nearby or distant organs. Treatment again depends upon cancer’s extensiveness and the patient’s general wellbeing. Surgery remains an option in the rare event of cancer staying localized to one specific area, and the patient is quite healthy.

In most cases of stage IV kidney cancers where the patient’s health deteriorates considerably, surgeons recommend immunotherapy (targeted therapy) along with surgery.

Outlook

The National Cancer Institute uses the ‘5-year survival rate’ as the standard for determining the proportion of people still alive, five years after treatment or diagnosis.

Fifth Avenue Urology

Our urologists, Dr. Michael Brodherson, Leonard Glickman, and Yaniv M. Larish are fully conversant with the urological system’s complications. At the same time, we’re adept in performing traditional as well as modern-day treatment procedures. Our urology practice, Fifth Avenue Urology, situated in Manhattan’s Upper East Side, furnishes a congenial and empathetic ambiance for consultation and treatment.

We hold a frank discussion on every conceivable urological condition with our patients and recommend the appropriate treatment options. We strongly believe in offering valuable information about various urological problems to our patients based on diagnoses and treatment methods. Additionally, we always encourage our patients to follow our suggestions and recommendations to prevent/minimize the chances of recurrence of diseases.

Our urologists at Fifth Avenue Urology have long-term experience of handling kidney cancer cases.

Call us today at 212-675-3186 to schedule an appointment with our best kidney specialists in NYC today.

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References

What Are the Symptoms of Kidney Cancer?

Often times, men and women struggle with kidney problems. You may be one of the many people who have had kidney stones. You may have urinary tract infections. Some people struggle with incontinence. All of these instances can lead to quality of lie concerns and, in some cases, they can cause numerous symptoms. Yet, some people worry that their condition is worse than it is.

If you suspect you may have kidney cancer, or you are at a higher risk of developing it for any reason, it is important to know what the underlying symptoms are.

What Symptoms Can Occur?

Most of the time, the kidneys operate normally without any indication of pain. However, if you notice changes in your urine or you develop pain in your abdomen, you may want to turn to a specialized urologist to help you to better understand what is occurring within your kidneys and what can be done about it. The following are some of the most common symptoms associated with the development of kidney cancer.

- You have blood in your urine. It is important to talk to your doctor about this especially if it is new.
- You have pain or strong pressure located at your side or in your lower back.
- You have any type of lump or a mass in the side or on your lower bac.
- You have high blood pressure and other symptoms.
- You have swelling occurring in your legs and ankles.
- You have little to not appetite.
- You have developed anemia. This indicates that your red blood count is low and it could be a sign of internal bleeding.
- You are fatigued often.

If you have any of these symptoms, it is important for you to take steps to see improvement. With the help of your doctor, it may be possible to rule out the presence of any type of health complication including kidney cancer. However, kidney cancer can be treatable in many situations especially when it is caught early.

If you have any of these symptoms, schedule a consultation with a doctor to discuss them. Simple tests can often provide the information you need to learn if there is a risk of cancer.Contact our offices today to schedule an exam. Work with one of the best urologists in New York city to learn more about your kidney function and health.