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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Featured Urology Topics

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.

No Scalpel Vasectomy

Getting a Vasectomy without the Scalpel

You may have heard of no-scalpel vasectomy and wondered if it was right for you? Your partner and you have decided that it is the right time to consider permanent birth control. You’ve decided to have a vasectomy and you’re doing your research. Most patients wish is to choose a method which is the least invasive form of birth control, with the shortest recovery period.

What is a No-Scalpel Vasectomy?

No scalpel vasectomy nyc p01 The no-scalpel vasectomy is a safe procedure used to do a vasectomy through one
single puncture, instead of an incision. The whole procedure takes about 7 to 15 minutes to perform. Some patients will be given a mild sedative to relax. A local nerve block is given with a small needle to a tiny area to numb the region, and ranges from a barely feeling it to a small pinch. The no-scalpel vasectomy severs the vas deferens using the same method as a conventional vasectomy to prevent sperm from mixing with the semen during ejaculation. The no-scalpel vasectomy requires no
stitches or sutures.. You may be a little sore after the procedure, but recovery time is 40 to 50% quicker than it is with a conventional vasectomy.

After the Vasectomy

After the procedure you will be required to rest with no heavy lifting for 48 hours. Usually you can return to work within 1 day. Usually, sex can be resumed one week after the vasectomy. It is important to remember to use another form of birth control to prevent pregnancy, until your sperm count is zero about 10 to 13 ejaculations and after confirmation of 0 sperm on semen analysis.

Vasectomy as a Permanent Birth Control

Vasectomy is a permanent birth control method. Before you decide on one, be sure your partner and you do not want to have another child. Most important is that you (not your wife) do not want to father another child in the event of divorce or some family crisis. Reversal success is not guaranteed.

When you see Dr. Melman, ask questions, and discuss your concerns before you decide. Dr. Melman will discuss the costs, risks, procedure and after care thoroughly to put you and your partner at ease. We always want to help you make this important decision without any regrets.

If you are ready for a no-scalpel vasectomy, performed by the best urologist in NYC, Contact our office for an appointment.