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.

Young woman consulting with NYC urologist about endometriosis and female pelvic health

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.

Yaniv M. Larish, M.D.

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.

Category Archives: Neurologic Bladder Doctor NYC

Neurologic Bladder Doctor NYC

What is a Neurogenic Bladder?

Did you know that a neurogenic (overactive) bladder affects over 30 million Americans? A neurogenic bladder is due to confusion of the nerves of the bladder, which tells your bladder you need to urinate when your bladder isn’t full or you recently used the bathroom.

Causes of a Neurogenic Bladder

Sometimes the causes of a neurogenic bladder remains unknown, but most often the reasons may include:

· Urinary tract infections

· Nerve damage due to an injury or surgery to your bladder Neurogenic Bladder

· Kidney disease

· Parkinson’s disease can affect a neurogenic bladder

· Medication side effects

Diagnosing Neurogenic Bladder

These tests can help find the cause of your neurogenic bladder:

· Cystometry: Checks how much urine your bladder can store and your ability to sense fullness, and helps detect nerve over activity

· Post void residual volume: This test is used to measure the amount of urine left in your bladder after you empty it

· Urinalysis: Tests for infections present in your urine

· Uroflowmetry: Measures your urine’s flow rate and the volume you void at one time

Your doctor may ask you questions to help determine how much your neurogenic bladder has affected your life. You could rate on a scale of 1 to 5 how much you have been troubled by things like urinary leaks, going to the bathroom often at work, and waking up at night to go. Your doctor might also ask you to keep a voiding diary of your bathroom trips.

Lifestyle Treatments

To lower the effects of neurogenic bladder, you should consider cutting down on caffeinated drinks, alcohol, and spicy foods. But don’t cut back on your fluids which then could make your urine more concentrated. Concentrated urine can irritate your bladder and cause the burning sensation. Eat a high-fiber diet to prevent constipation, which can also make neurogenic bladder much worse, Your urologist may want you to try retraining your bladder in the course of scheduled bathroom breaks.

Kegel Exercises

Urologists often recommend exercises called Kegels. Kegels are a handy exercise because you can do them anywhere and no one will know you are doing exercises while you are sitting. Kegel consist of squeezing and holding the muscles you use to stop the flow of urine, then you release the muscle and repeat

Medications for Neurogenic Bladder

If lifestyle changes and behavioral treatments don’t relieve neurogenic bladder symptoms, the next step is usually medication. Anticholinergics are the most common medications; you will take them by mouth at least once a day. Topical estrogens — vaginal rings, tablets, or creams — are also prescribed to treat women’s symptoms.

If you are experiencing any of the symptoms mentioned here in this article, please contact our office today to schedule an appointment with the best urology doctor in NYC.

Barbara LuCore

Putting Patients First

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