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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.

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Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2 Dr. 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.

See our Main Site at www.FifthAvenueUrology.com

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Category Archives: Overactive Bladder

Managing Overactive Bladder: Tips and Treatment Options

What are some good tips and treatment options to manage overactive bladder? Overactive bladder (OAB) is a common urological condition that affects millions of men and women, especially as they age. It involves a frequent and sudden urge to urinate, which can be difficult to control and may lead to unintentional urine leakage. While OAB can be disruptive to daily life, there are numerous treatment options and self-care strategies that can help manage symptoms and restore confidence.

Managing Overactive Bladder Tips and Treatment Options

Understanding Overactive Bladder

OAB occurs when the bladder muscles contract involuntarily, even when the bladder isn’t full. This can result in frequent urination (more than eight times in 24 hours), nocturia (waking up more than once at night to urinate), urgency, and urge incontinence.

Common risk factors for OAB include:

Aging
Neurological disorders (e.g., Parkinson’s disease, stroke)
Diabetes
Bladder obstruction or enlarged prostate (in men)
History of urinary tract infections (UTIs)

For more information, visit the Urology Care Foundation.

Lifestyle and Behavioral Strategies

In many cases, lifestyle changes and behavioral therapy can significantly reduce OAB symptoms.

Bladder Training

Bladder training involves scheduling bathroom visits at specific intervals and gradually increasing the time between voids. This helps retrain the bladder to hold more urine and reduce urgency.

Dietary Modifications

Certain foods and beverages can irritate the bladder and worsen symptoms. Common triggers include:

Caffeine (coffee, tea, soda)
Alcohol
Spicy foods
Citrus fruits
Artificial sweeteners

Replacing these with bladder-friendly alternatives and maintaining proper hydration can reduce OAB flare-ups.

Pelvic Floor Exercises (Kegels)

Strengthening the pelvic floor muscles helps support the bladder and can improve urinary control. Kegel exercises are especially beneficial for both men and women with urge incontinence.

Medical Treatments for Overactive Bladder

Overactive Bladder Best Treatment Options NYC When behavioral strategies are not enough, medical therapies can be highly effective in managing OAB symptoms.

Medications

Medications work by relaxing the bladder muscle to prevent involuntary contractions.

Anticholinergics: Such as oxybutynin and tolterodine, which reduce bladder spasms.
Beta-3 agonists: Such as mirabegron (Myrbetriq), which relax the bladder and increase its capacity.

Side effects can include dry mouth, constipation, and increased blood pressure, so it’s important to discuss risks with your urologist.

Botox Injections

Botulinum toxin (Botox) can be injected into the bladder wall to relax the muscles and reduce OAB symptoms. The effects typically last 6–9 months and the procedure is done in-office.

Nerve Stimulation Therapies

Two main types of neuromodulation therapies are used for OAB:

PTNS (Percutaneous Tibial Nerve Stimulation): A needle electrode near the ankle sends impulses to nerves that control bladder function.
Sacral Neuromodulation: A small device is implanted near the sacral nerve to regulate bladder signals.

For more information, visit Mayo Clinic.

Overactive Bladder Tips and Treatment: Conclusion

Overactive bladder is a manageable condition with the right combination of lifestyle changes, therapies, and medical treatments. From bladder training and dietary modifications to Botox and nerve stimulation, a wide range of options are available based on your specific needs.

For expert diagnosis and a personalized treatment plan, schedule a consultation with Dr. Yaniv Larish at Fifth Avenue Urology. Dr. Larish provides compassionate, evidence-based care tailored to help patients regain control and improve quality of life.

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

Managing Overactive Bladder

Managing Overactive Bladder -top urologist nyc services Let’s explore the causes, symptoms, and treatment options for managing overactive bladder. Overactive bladder (OAB) is a condition characterized by a frequent and sudden urge to urinate, which can be difficult to control. This condition can significantly impact a person’s quality of life, but there are various strategies and treatments available to manage symptoms effectively.

Understanding Overactive Bladder

Overactive bladder involves a combination of symptoms that often include a sudden urge to urinate, frequent urination, and, in some cases, urge incontinence (leakage following a sudden urge). The condition can affect anyone but is more common in older adults.

Causes of Overactive Bladder

The exact cause of OAB is not always clear, but several factors can contribute to the condition, including:

Neurological Disorders: Conditions such as Parkinson’s disease, multiple sclerosis, and stroke can affect the nerves that control bladder function.
Medications: Diuretics and certain medications can increase urine production or affect bladder function.
Urinary Tract Infections (UTIs): Infections can irritate the bladder and cause symptoms similar to OAB.
Lifestyle Factors: High fluid intake, consumption of caffeine or alcohol, and certain dietary choices can exacerbate symptoms.

Symptoms of Overactive Bladder

OAB is characterized by several key symptoms:

Urgency: A sudden and intense urge to urinate that is difficult to control.
Frequency: Urinating more than eight times in a 24-hour period.
Nocturia: Waking up more than once during the night to urinate.
Urge Incontinence: Involuntary loss of urine immediately after an urgent need to urinate.

Managing Overactive Bladder

There are several approaches to managing OAB, ranging from lifestyle changes to medical treatments.

Lifestyle and Behavioral Changes

Making certain lifestyle adjustments can help manage the symptoms of OAB:

Bladder Training: Gradually increase the time between urinating to train your bladder to hold more urine.
Dietary Modifications: Reduce or eliminate caffeine, alcohol, and spicy foods, which can irritate the bladder.
Fluid Management: Monitor fluid intake to avoid drinking too much or too little, and distribute fluid intake evenly throughout the day.
Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises such as Kegels can help improve bladder control.

Medications

Medications can be prescribed to help relax the bladder and reduce symptoms of OAB:

Anticholinergics: These medications help relax the bladder muscle and increase bladder capacity. Examples include oxybutynin and tolterodine.
Beta-3 Agonists: Medications like mirabegron help relax the bladder muscle and increase its storage capacity.
Botox Injections: Botox can be injected into the bladder muscle to help reduce symptoms for several months.

Surgical Treatments

In severe cases, surgical options may be considered:

Nerve Stimulation: Procedures such as sacral neuromodulation or tibial nerve stimulation can help regulate bladder function.
Bladder Augmentation: A procedure to increase the bladder’s capacity by using a piece of the intestine.

Managing Overactive Bladder: Conclusion

Managing overactive bladder involves a combination of lifestyle changes, medications, and potentially surgical interventions. Understanding the causes and symptoms is the first step in seeking effective treatment.

For personalized care and advanced treatment options, consult with Dr. Yaniv Larish at Fifth Avenue Urology. Dr. Larish specializes in treating urological conditions, including overactive bladder, with a comprehensive approach tailored to each patient’s needs.

Yaniv Larish MD
212-675-3186

About the Doctors

Overactive Bladder: Symptoms, Causes, and Treatment Options

Overactive bladder (OAB) is a common urological condition that can significantly impact one’s quality of life. It is characterized by a sudden and uncontrollable urge to urinate, often accompanied by frequent urination and nocturia (waking up at night to urinate). If you are experiencing symptoms of OAB, it’s essential to understand the causes and explore available treatment options. In this article, we will delve into the symptoms, causes, and treatment options for overactive bladder.

Overactive Bladder symptoms and treatment nyc 2023

Symptoms of Overactive Bladder

Overactive bladder is typically associated with the following symptoms:

Urinary Urgency: Feeling a strong, sudden urge to urinate that is difficult to control.
Frequent Urination: Needing to urinate more often than usual, usually more than eight times in a 24-hour period.
Nocturia: Waking up from sleep to urinate one or more times during the night.
Urge Incontinence: Experiencing involuntary leakage of urine due to an inability to reach the bathroom in time.

Causes of Overactive Bladder

Several factors can contribute to the development of overactive bladder, including:

Age: OAB is more prevalent in older adults, as the muscles of the bladder can weaken over time.
Bladder Abnormalities: Conditions such as bladder stones, bladder infections, or bladder tumors can cause OAB symptoms.
Neurological Disorders: Diseases like Parkinson’s disease, multiple sclerosis, or stroke can disrupt nerve signals between the brain and the bladder, leading to OAB.
Medications: Certain medications, such as diuretics or drugs that stimulate the bladder, may contribute to OAB symptoms.
Excessive Fluid Intake or Irritants: Consuming large amounts of fluids, particularly caffeine or alcohol, can irritate the bladder and worsen OAB symptoms.

Treatment Options for Overactive Bladder

Fortunately, there are various treatment options available to manage overactive bladder and improve your quality of life. These include:

Lifestyle Modifications: Making changes to your lifestyle can help alleviate OAB symptoms. This may involve avoiding bladder irritants, managing fluid intake, and practicing bladder training techniques.
Behavioral Therapies: Techniques such as bladder retraining, pelvic floor muscle exercises (Kegel exercises), and biofeedback can help regain control over the bladder and reduce urgency and frequency.
Medications: Your urologist may prescribe medications that relax the bladder muscles or decrease nerve signals to the bladder to manage OAB symptoms.
Botulinum Toxin Injections: In cases where other treatments have not been effective, injections of botulinum toxin into the bladder muscle can help reduce overactive contractions.
Interstim Therapy: This therapy involves implanting a small device that delivers mild electrical impulses to the sacral nerves, helping to control the bladder’s function.

bladder urination issues

Contact Fifth Avenue Urology for Expert Urological Treatment

If you are struggling with overactive bladder symptoms, the team of experienced urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, can provide comprehensive and personalized care to address your needs. We understand the impact that overactive bladder can have on your daily life, and our goal is to help you regain control and find relief.

Our urology specialists will conduct a thorough evaluation to determine the underlying causes of your overactive bladder symptoms. From there, we will work with you to develop a personalized treatment plan tailored to your unique needs and goals.

Take the first step towards managing your overactive bladder 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/

Symptoms and Causes of Overactive Bladder

An Overactive Bladder (OAB) is not a disease. One of the most common misconceptions about OAB is that it is a disease when it is a group of symptoms. These symptoms affect the bladder or the urinary tract in some way and are often indicators of different conditions.

The most common symptom people will correlate with OAB is a sudden and uncontrollable need to urinate. The need to urinate can be so strong that people may even leak some before they reach the bathroom.

Overactive Bladder Causes Symptoms | Urologist NYC
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Another infamous symptom associated with an overactive bladder is the need to urinate multiple times a day. This symptom can be especially bad when you might have to go to the bathroom multiple times in a single night (nocturia), often disturbing your sleep schedule.

A good generalization of OAB and its most common symptoms is the need to go to the bathroom often and urgently. While not all of OAB’s symptoms are associated with an urgent need to go to the bathroom, enough of them are that this generalization is not inaccurate.

How Does Overactive Bladder Affect an Individual’s Life?

While it may not sound as serious, OAB can be a very complex set of symptoms to live with since it can affect almost every aspect of your life. The most common aspect of an individual’s life that OAB can affect is their sleep, as the need to urinate multiple times during the night can hurt their mental health physical health and can even lead to serious mental health issues.

Furthermore, people with OAB can also feel very embarrassed about their condition, which is why they often avoid friends and family. People with the condition will often try to meet friends close to home or will always try to look for the nearest bathroom.

Common Misconceptions and Myths About OAB

OAB is unfortunately common, with as many as 40% of women and 30% of men living with one or more symptoms of OAB. However, as people develop symptoms of OAB, they will also have different misconceptions about what is happening to them. It is important to address all misconceptions early on, as some can be expensive, and others can be very dangerous. Some of the most common misconceptions include the following:

OAB is a Normal Part of Growing Old

OAB is not a normal part of growing old. It is a sign that you have a condition that needs immediate attention.

OAB is a Sign that Something is Wrong with Your Prostate

While OAB could result from an individual’s prostate swelling, it is not the only reason. Issues with the bladder or kidneys could also result in symptoms of OAB. Therefore, the only way to find out what is wrong with your prostate is by visiting a urologist.

OAB Treatments are Either too Expensive or not Effective

OAB is not a single condition but a general term for various symptoms. And while some symptoms can be expensive to treat, others can get better with therapy, OTC medication, or minimally invasive therapy.

Top Overactive Bladder Treatment | Urologist NYC
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Causes of Overactive Bladder

When the bladder is full, the brain will send signals to the bladder. The bladder will squeeze the relevant muscles, releasing the urine stored inside. Therefore, when your bladder is empty, it will be relaxed.

During OAB, the bladder will often send signals to the brain, creating the urge to go to the bathroom. OAB can be caused because of overactive muscles in the bladder or damaged nerve signals.

Overactive Bladder: Conclusion

An overactive bladder can be a very painful condition to deal with and often requires the help of an expert. At Fifth Avenue Urology, Dr. Yaniv Larish has the skill, experience, and technology to effectively treat this condition.

For a consultation or to book an appointment, call today.

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

https://www.fifthavenueurology.com/

Overactive Bladder & Urge Incontinence

Overactive bladder is a common condition that affects millions of people every year in the US and causes changes in their lifestyle. The changes in their lives can be devastating, depending on the severity of the condition. An overactive bladder or OAB causes the patient to feel sudden and frequent urges to urinate. The urge to urinate can come at night and several times at that. It can be quite disturbing and interrupt sleep, leading to insomnia, anxiety, and frustration.

Overactive Bladder & Urge Incontinence
(Source)

Like OAB, patients with urge incontinence feel sudden and frequent urges to urinate during the day and night. However, the main difference is that in urge incontinence health issues, patients leak urine more frequently than those affected by OAB. The overall impact on the lifestyle can be devastating as patients avoid social interactions and feel awkward discussing their reasons for frequent trips to the restroom.

Urge Incontinence and Overactive Bladder: Symptoms

In case you have urge incontinence and/or an overactive bladder health condition, you must know the early symptoms that are common in both. Identifying symptoms at an early stage can help you get the required treatments on time for fast recovery:

Difficulty controlling the urge to urinate
Frequent urges to urinate even when you haven’t had water or any other liquid for a few hours
Waking up at night more than once due to an urge to urinate
Unintentional urine loss, whether you have an urge to urinate or not
Urinating more than eight times during a 24-hour period

Most of the time, patients with urge incontinence and overactive bladder end up leaking urine before reaching the restroom. The unexpected urge to urinate is among the most common symptoms for both types of health issues.

However, it can be difficult to go by a daily routine with such issues. Therefore, most people try to get the best treatments to help resolve the issues. Generally, oral medications work wonders and help patients deal with symptoms. But, when oral medications fail, patients have to discuss the possible treatment options to solve the urge incontinence and overactive bladder issues.

Fortunately, two treatment methods have been gaining quite some attention from the patients. Expert urologists suggest that sacral neuromodulation and bladder botox injections can help solve the bladder and pelvic muscle-weakening while also resolving several symptoms. Let’s take a detailed look at both treatment options below.

Sacral Neuromodulation (aka Sacral Nerve Stimulation)

Sacral Neuromodulation or Sacral Nerve Stimulation, aka SNN, is a therapy that’s aimed at solving different bowel and bladder health problems. It’s worth mentioning that SNN isn’t for all patients struggling with urge incontinence or overactive bladder conditions due to several health factors. Despite that, it’s one of the best life-changing treatment options for such affected people. Consult the right urologist to discuss your eligibility.

SNN therapy involves the use of electrical implants that augment the communication between the bowel/bladder and brain to ensure effective control over urination. It’s still in diagnostic trials, and expert urologists are still considering massive applications across the healthcare industry. However, several reputable urologists suggest that SNN can help improve various symptoms.

Is It Right for You?

SNN therapy is possible when lifestyle changes, oral medications, and other treatment methods fail to improve urge incontinence and overactive bladder. It’s a recommended procedure by expert urologists once conservative treatments don’t work. A specialist urologist will assess your eligibility and qualify you for the treatment procedure.

Bladder Botox Injections

Botox injections aren’t only for face wrinkles. They can help relax and control bladder muscles to help in relieving overactive bladder and urge incontinence symptoms. It’s also an important treatment method by expert urologists once conservative treatments yield little to no results.

Botox refers to a powerful protein that’s natural bacteria. It has natural paralyzing effects on muscles. Hence, it’s helpful in relaxing contracting bladder muscles that are causing urge incontinence and unintentional urine leakage/ loss.

What’s the Procedure?

Overactive Bladder Botox Injections | Urge Incontinence Urologist

From severe neurological diseases to spastic bladders, Botox injections have a powerful drug that helps counter countless symptoms to improve overall health conditions. The Botox drug lasts inside the body for nearly 6-8 months before a re-injection is needed to keep the effects persistent. Surprisingly, there’re no clear limitations to using this treatment method for solving urge incontinence and overactive bladder issues.

A skilled urologist will use their surgical skills to insert the injection at the chosen site on the body (near the bladder). The entire procedure is quite complicated and hence, requires an experienced urologist for effective results and recovery.

Overactive Bladder & Urge Incontinence: Conclusion

Do you know that there are top urologists in NYC offering bladder botox injection therapies and sacral neuromodulation treatments? Well, at Fifth Avenue Urology. Dr. Yaniv Larish and Dr. Leonard Glickman offer well tried and practiced urological treatment services. Most urology patients refer these doctors to their friends and families with respective urological health issues. If you’re suffering from urge incontinence and/or an overactive bladder, both doctors can help you find the required treatment.

From botox injections to sacral neuromodulation, the doctors at Fifth Avenue Urology have immense experience in solving urge incontinence and overactive bladder symptoms. Give us a call at 212-675-3186 to set an appointment at our institute for urological health conditions and treatments.

Overactive Bladder Urology

In simple words, OAB, short for “overactive bladder” in urology refers to experiencing the frequent urge to urinate. It can trigger urine loss (involuntary) and cause urinary incontinence in an individual. The condition affects millions of people around the world and in the US as well. However, most experts believe that women are more prone to overactive bladder conditions and health risks compared to men. Overactive bladder conditions aren’t easy to deal with, so doctors suggest being proactive in identifying any symptoms or causes for them.

Top overactive bladder urologist NYC

People with overactive bladder conditions keep going to the restroom over and over again due to frequent urination urges. This causes most affected people to limit their social interactions as it can be difficult to control these urges and simply urinate at a later time. This can affect the quality of life, and some patients have also remained isolated and depressed before finding the right medical solution.

Symptoms

If you don’t have in-depth knowledge of what an overactive bladder condition is, then you can learn about the most common symptoms here. Learning symptoms and causes of OAB will keep you informed and proactive in identifying the health disorder at an early stage leading to better recovery and treatment chances. As per most experts, overactive bladder severity is measured in terms of urination frequency and the intensity of the urge. Here’s a list of common overactive bladder symptoms:

Involuntary urine loss frequently
Frequent urination urges (some people go over eight times within 24 hours)
Uncontrollable urge to urinate
Urine loss when laughing too hard
Waking up multiple times at night to urinate

The symptoms can vary from patient to patient and worsen quite rapidly if not attended to on time. After early detection of symptoms, you can secure better chances of improving your overactive bladder condition.

Complications

Any type of incontinence, especially an overactive bladder, adversely affects your quality of life. Overactive bladder symptoms are clearly a sign that leaving the condition unchecked can have a negative effect on your lifestyle:

Anxiety
Depression
Sexual issues
Emotional distress or depression

Normally, women with incontinence have two different types simultaneously, i.e., stress and mixed incontinence. Stress incontinence refers to physical movement/ activity that results in involuntary urine loss. Such movements could be anything from coughing and sneezing to exercising and laughing. In any case, there’s no guarantee that solving the overactive bladder health condition will be an automatic recovery for stress incontinence conditions. You may have to take advice from a reputable urologist to get the right treatment methods.

Treatment Options

There are multiple treatment strategies comprising a combination of medical solutions to improve overactive bladder symptoms. Let’s take a look at some of the main treatment options that reputable urologists offer patients.

Percutaneous Tibial Nerve Stimulation (PTNS)

PTNS is similar to bio-shock therapy but doesn’t involve any harsh electric shocks that pass through your body. Your expert urologist will use a thin needle to pass through the skin right beside your ankle. The thin needle will be used to deliver electrical stimulation to the tibial nerve and then to the spine. The said electrical stimulation will directly affect the nerves that enable bladder control (as they will be connected to the spine).

Normally, expert urologists suggest going for PTNS treatments once every week for a 12-week period to treat overactive bladder symptoms.

Overactive bladder urology NY

Bladder Injections

This requires the urologist to inject Botox (scientific name: OnabotulinumtoxinA) into the bladder. The protein in the solution relaxes the bladder tissues leading to a reduction in frequent urination urges and even intensity.

It’s helpful with severe urination urge and incontinence. While the treatment is highly effective as per the most reputable urologists, they’re a recurring form of medical solution. You may have to get your bladder injections every 6 months to keep the bladder tissues in a healthy condition.

Medication

Firstly, vaginal estrogen therapy is aimed at strengthening the tissues and muscles inside the urethra. The therapy is most useful for women who have gone past the menopause age threshold and require immediate care for their incontinence issues. Vaginal estrogen comes in different varieties, including a ring, tablet, cream, or suppository. Experts believe that overactive bladder symptoms typically improve after vaginal estrogen therapy.

Most medications are aimed to relax the bladder and pelvic muscles resulting in occasional discomfort relief. Since an overactive bladder can cause involuntary urine loss, the medications ensure control over pelvic muscles to resist the frequent urge to urinate.

Overactive Bladder Urology: Conclusion

Fifth Avenue Urology is the office practice for one of the top urologists in NYC, Yaniv Larish, M.D. As one of the top practitioners in the field of urology in NYC, he offers compassionate urological care for both men and women. He has cared for countless patients and dealt with dozens of urological health conditions and effects.

Dr. Larish specializes in expert treatment of all urological conditions. Call Fifth Avenue Urology today to book an appointment or consultation:

FIFTH AVENUE UROLOGY

Dr. Yaniv Larish
5 East 83rd Street
New York, NY 10028

212-675-3186