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.

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Schedule an appointment today

212-675-3186

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: Prostate Cancer

Innovations in Prostate Cancer Treatment

Prostate cancer treatment has seen significant innovations over the past few years, leading to improved patient outcomes and reduced side effects. These advancements encompass various aspects of treatment, from diagnostic techniques to surgical methods and drug therapies. Here, we explore some of the most notable innovations in prostate cancer treatment.

Innovations in Prostate Cancer Treatment

Advanced Diagnostic Techniques

Early and accurate diagnosis is crucial for effective prostate cancer treatment. Recent advancements in diagnostic technologies have enhanced the ability to detect and assess prostate cancer more accurately.

Multiparametric MRI (mpMRI)

Multiparametric MRI combines multiple imaging sequences to provide a more detailed picture of the prostate. This technique improves the detection and characterization of prostate cancer.
Benefits:

- Increased accuracy in detecting clinically significant prostate cancer.
- Reduced need for unnecessary biopsies.
- Better assessment of tumor location and extent.

For more information, visit the American Cancer Society.

PSMA PET Scans

Prostate-Specific Membrane Antigen (PSMA) PET scans are a new imaging modality that improves the detection of prostate cancer metastases.
Benefits:

- Higher sensitivity and specificity compared to conventional imaging.
- Improved detection of metastatic and recurrent prostate cancer.
- Enhanced ability to guide targeted therapy.

Focal Therapy

Focal therapy is a minimally invasive treatment approach that targets only the cancerous part of the prostate, preserving as much healthy tissue as possible.

High-Intensity Focused Ultrasound (HIFU)

HIFU uses focused ultrasound waves to heat and destroy cancer cells in the prostate.
Benefits:

- Minimally invasive with fewer side effects.
- Shorter recovery times.
- Preservation of urinary and sexual function.

For more information, visit the Prostate Cancer Foundation.

Cryotherapy

Cryotherapy involves freezing cancer cells to kill them. This treatment is used for localized prostate cancer.
Benefits:

- Effective for early-stage prostate cancer.
- Minimally invasive with fewer side effects.
- Can be repeated if necessary.

For more information, visit the National Cancer Institute.

Advanced Drug Therapies

New drug therapies are continuously being developed to improve the treatment of prostate cancer, especially in advanced stages.

Targeted Therapies

Targeted therapies focus on specific molecules involved in the growth and spread of cancer cells.
PARP Inhibitors:

- Used for patients with BRCA1/2 mutations.
- Interfere with cancer cell DNA repair mechanisms.
- Example: Olaparib.

For more information, visit Cancer Research UK.

Immunotherapy

Immunotherapy boosts the body’s immune system to fight cancer.
Sipuleucel-T (Provenge):

- Personalized vaccine for metastatic prostate cancer.
- Prolongs survival in certain patients.

For more information, visit Cancer.Net.

Robotic-Assisted Surgery

Robotic-assisted surgery has become a cornerstone of minimally invasive prostate cancer treatment.

Robotic Prostatectomy

The da Vinci Surgical System allows surgeons to perform precise and minimally invasive prostatectomies.
Benefits:

- Greater precision and control.
- Reduced blood loss and quicker recovery.
- Better preservation of nerve and muscle function.

Innovations in Prostate Cancer Treatment: Conclusion

Innovations in prostate cancer treatment have significantly improved patient outcomes and quality of life. From advanced diagnostic techniques and focal therapies to new drug treatments and robotic-assisted surgeries, these advancements offer hope and effective options for those battling prostate cancer.

For expert care and the latest treatment options, consult with Dr. Yaniv Larish at Fifth Avenue Urology. Dr. Larish provides comprehensive and personalized care to patients, ensuring the best possible outcomes.

Prostate Cancer: Risk Factors, Screening, and Top Treatment Options

In this article, we will delve into the risk factors associated with prostate cancer, the importance of screening, and the various top prostate cancer treatment options available. Prostate cancer is a significant health concern for men worldwide. As the second most common cancer in men, understanding the risk factors, importance of screening, and available treatment options is crucial for early detection and effective management.

prostate problems

Risk Factors for Prostate Cancer

Several factors can contribute to an increased risk of developing prostate cancer, including:

1) Age

Prostate cancer risk increases with age, particularly after the age of 50.

2) Family History

Having a close relative, such as a father or brother, with prostate cancer increases the risk.

3) Ethnicity

African-American men have a higher incidence of prostate cancer compared to men of other ethnic backgrounds.

4) Diet

A diet high in red meat and high-fat dairy products and low in fruits and vegetables may contribute to an increased risk.

5) Obesity

Obesity has been linked to a higher risk of aggressive prostate cancer.

Screening for Prostate Cancer

Screening for prostate cancer involves regular evaluations to detect any abnormalities in the prostate gland. The two primary methods of screening include:

1) Digital Rectal Exam (DRE)

During a DRE, a urologist examines the prostate gland by inserting a gloved, lubricated finger into the rectum to feel for any irregularities or abnormalities in the size, shape, or texture of the gland.

2) Prostate-Specific Antigen (PSA) Test

The PSA blood test measures the levels of a protein called prostate-specific antigen in the blood. Elevated PSA levels may indicate the presence of prostate cancer, although further testing is required to confirm the diagnosis.

Top Treatment Options for Prostate Cancer

Top prostate cancer treatment NYC 2023 Treatment for prostate cancer depends on various factors, including the stage and aggressiveness of the cancer. Common treatment options include:

1) Active Surveillance

For slow-growing or early-stage prostate cancer, closely monitoring the cancer through regular check-ups may be appropriate.

2) Surgery

Surgical removal of the prostate gland, known as a prostatectomy, may be recommended to remove the cancerous tissue.

3) Radiation Therapy

High-energy X-rays or other forms of radiation are used to target and destroy cancer cells.

4) Hormone Therapy

This treatment aims to suppress the production of hormones that fuel the growth of prostate cancer cells.

5) Chemotherapy

In advanced cases, chemotherapy may be used to kill cancer cells or slow their growth.

Contact Fifth Avenue Urology for Top Prostate Cancer Treatment

If you or a loved one has been diagnosed with prostate cancer or is concerned about the risk factors, the experienced team of urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, is here to provide comprehensive and compassionate care.
Our dedicated team will work with you to develop a personalized treatment plan based on your specific needs and the stage of prostate cancer. We understand the importance of early detection and are committed to providing you with the highest level of care and support throughout your journey.

Don’t face prostate cancer alone. Our compassionate team is here to support you every step of the way. Reach out to Fifth Avenue Urology now and take control of your prostate health.

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

All About the Prostate and Prostate Cancer

This article is about the prostate and prostate cancer. The prostate is a gland present in between the penis and the bladder. It has the urethra running through it and is directly in front of the rectum. It allows the urethra to contract or expand to let the urine pass through. It is normally walnut-shaped and the same size but may change physiologically in case of cancer.

all about the prostate and prostate cancer
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Prostate cancer is a prevalent condition among males and is highly treatable during the early stages. This cancer initially begins within the prostate, causing the development and production of abnormal cells. From there on, the cancer cells can spread to the rest of the body and organs like lymph nodes, stomach, etc.

These are the functions that a healthy prostate gland performs:

Aiding urine control
Production of the fluid that is necessary to nourish and transport sperm
Secretion of PSA (prostate-specific antigen), a protein that aids semen maintain its liquid form

Symptoms of Prostate Cancer

Acute Symptoms

Only screening can detect the early stages of prostate cancer and indicate the spread, whereas the symptoms in the early stages remain minimal (unnoticeable). Screening is the standard diagnoses procedure because it measures the levels of PSA in blood.

Symptoms that men with prostate cancer might experience:

Painful urination
Blood in urine/semen
Trouble controlling urination (maintaining and stopping)
Pain during ejaculation
Frequent urge to urinate
Pain while sitting

Chronic Symptoms

Other noticeable symptoms that may occur during the chronic stages:

Weight loss
Fatigue (tiredness)
Back pain
Bowel habits fluctuations
Bone fractures
Bone Pain (thighs, hips, etc.)
Edema

Stages of Prostate Cancer

Learning the stages of this cancer can help determine the right course of action and know what to expect as symptoms and discomfort. Here are the four main stages of prostate cancer:

Stage-0: during this stage, the effect is usually limited to a small area where the pre-cancerous cells may be present and growing.
Stage-1 (Localized): Cancer cells are present in the prostate gland during this stage. This stage is treatable through effective methods.
Stage-2/3 (Regional): Cancer affects the surrounding tissues.
Stage-4 (Distant): Cancer cells spread to various parts of the body, affecting organs like lungs and bones.

Causes of Prostate Cancer

Prostate cancer is more likely when changes in the glandular cells occur. The pre-cancerous and cancerous cells present in the prostate gland are usually called PIN (prostatic intraepithelial neoplasia). High-grade cancerous cells are more likely to grow, spread, and make the treatments ineffective to a certain degree in comparison to low-grade cancerous cells.

Here are some of the main risk factors and potential reasons that scientists and doctors believe might be the causes of prostate cancer in males:

Genetic Factors: inherited genes and features might play a role in the development of cancerous cells in any part of the body, depending on the changes.
Aging: the increase in age is often associated with various health problems, including prostate cancer.
Family History: If your family has a history of cancer, you are likely to have higher chances of developing similar conditions as well. However, some cancers, such as lung cancer, are less likely to be genetic.
Smoking: Smoking causes a long list of health problems, diseases, and disorders, including prostate and other forms of cancers.

Treatment Options for Prostate Cancer

There are multiple treatment options, but they may only help to reduce and suppress the progression of cancerous cells in the body to a certain level. While there isn’t an absolute cure or remedial situation for prostate or any other type of cancer, here’s what doctors might recommend:

Surgery

Surgeries may include performing a prostatectomy. It involves removing the prostate gland using open surgery or laparoscopic treatment.

Radiation Therapy

Radiation Therapy (Conformal): using beams of radiation, the doctor might target healthy tissues to minimize their risk of catching the cancerous cells.
Brachytherapy: in this treatment process, the doctor uses radioactive seeds as implants in your prostate to counter the cancerous cells with radiation treatment.

urologist for prostate cancer

Monitoring

Checking and recording the PSA levels regularly can help doctors suggest suitable plans of action. Moreover, as the cancerous cells usually spread and progress into high-grade slowly, there may be ample opportunities to detect them at early stages through frequent monitoring.

Chronic Stage Prostate Cancer Treatments

Cancer cells do return after remission, which calls for further severe treatment methods. Here’s what the doctors might recommend:

Hormonal Therapy: Regulating the production of androgens, testosterone, and other similar male hormones help counter the progression and growth of cancerous cells in the prostate.

Chemotherapy: This treatment involves injecting chemical solutions to kill the cancer cells that spread and may be present in different parts of the body.

Cryotherapy and high-intensity ultrasound are the latest medical procedures to treat prostate cancer.

The Prostate & Prostate Cancer: Conclusion

If you are suffering from prostate cancer and want to prevent its progression, or for early detection of this disease, you should seek the help of the best urologist.

At Fifth Avenue Urology, we cater to the needs of our patients in the best way. Providing various medical treatments for common urological medical conditions, we can help you deal with prostate cancer. Give us a call at 212-675-3186 to schedule an appointment today.

Reference Links

https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087
https://www.cancer.org/cancer/prostate-cancer/about/what-is-prostate-cancer.html
https://www.webmd.com/men/prostate-enlargement-bph/what-is-the-prostate
https://www.cancer.gov/types/prostate/understanding-prostate-changes

Urology: Prostate Cancer Treatment

The prostate gland is present in the pelvis area behind the bladder. It is responsible for producing seminal fluid, which nourishes and helps transport sperm. The urethra in the middle of the prostate gland, and it’s responsible for carrying sperm out of the penis during ejaculation. Prostate cancer can occur when cells grow abnormally inside the prostate gland.

Urologist for prostate cancer treatment NYC
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However, there are few incidents of prostate cancer being fatal. In fact, in many cases, patients of prostate cancer and their doctors might even be unaware.

Types of Prostate Cancer

The most common prostate cancer is Adenocarcinoma. Others include:

Sarcoma
Small Cell Sarcoma
Neuroendocrine Tumors
Transitional Cell Carcinoma (TCC)

Prostate Cancer: Symptoms

It is advisable that you visit your doctor or have contact with Dr. Larish at Fifth Avenue Urology to work out the diagnosis and find out if you have prostate cancer or not. Initially, there are no significant symptoms of Prostate cancer. Nevertheless, some symptoms do develop at later stages of prostate cancer.

Frequent urge to urinate
Straining during urination
Pain in urination
Blood in urine or semen
Pain in the pelvic and lower abdominal area
Back pain
Infertility, in chronic cases
Swelling of one or two testicles

Although swelling of a testicle appears as a symptom of prostate cancer, it is not always the case. On the contrary, some men experience testicle enlargement due to their physical growth.

Erectile Dysfunction may occur due to prostate cancer or its treatment.
Prostate Cancer can metastasize. This means the spreading of cancer cells to other organs and parts of the body. It can spread to bones through lymph nodes and even affect the urinary tract system or the bladder.

Risk Factors

Family history- cancerous diseases, especially in close relatives such as siblings or parents, pose the probability of getting prostate cancer
Aging
Smoking and drugs
STDs
Various research is underway to confirm that after vasectomy, a man increases the chances of getting prostate cancer

Diagnoses

If you have experienced any of the symptoms above or feel that you might have prostate cancer, it is a good idea to visit a professional Urologist. Dr.Larish at Fifth Avenue Urology is a top nyc urologist with immense expertise in the field. Some of the diagnostic procedures are as mentioned below.

Urologist will assess your previous cancer history if there is any
He might also assess your family’s history of cancerous diseases
Urine sample for lab tests
Sperm samples for lab tests
Blood sample test to check the level of Prostate-Specific Antigen (PSA)

Under a high PSA level in your blood, the urologist may also advise MRI scans.

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Prostate Cancer: Treatment

Your urologist will work with you to produce various combinations of treatment techniques and methods depending on the stage of your prostate cancer. Some common treatment methods of prostate cancer are as below.

Radiation Therapy; involves the use of high-energy x-rays to vaporize and cauterize the excess and abnormal cancerous cells present in the prostate gland or around it.
Chemotherapy; involves administering a drug that disperses throughout the body to prevent the progression and further spread of the cancerous cells.
Surgery; Safe surgical procedures also take place in order to remove the tumor(s) of the prostate gland entirely.
Hormone therapies; involve the urologist administering drugs that lower the testosterone levels in the body. Testosterone might serve as a fuel for cancerous cell development in the prostate gland. Therefore, reducing levels of testosterone can prevent the further progression of cancer.

Prevention of Prostate Cancer

Researchers and urologists advise certain prevention techniques to reduce the risk of prostate cancer. These areas are mentioned below.

A healthy diet involving a variety of colorful fruits and vegetables to provide anti-oxidants, which prevent the production of cancerous cells in the body
Exercising regularly or frequently every week to sustain a healthy blood flow
Avoiding sedentary lifestyles (excessive sitting, obesity, or unnecessary cycling)

Conclusion: Consult with an Urologist

At Fifth Avenue Urology, Dr. Larish provides extremely professional and compassionate care to his patients. He can diagnose prostate cancer and find suitable treatments.

Fifth Avenue Urology
5 East 83rd Street
New York, NY 10028

Book an appointment: 212-675-3186

Or Contact us on our main website.

References:

Prostate Cancer: Symptoms & Treatments

Prostate Cancer: Symptoms & Treatments

The prostate is one of the smallest organs in the body located just before the groin. Urine in your body passes through your prostate as it controls the flow of urine outside of the body. The prostate is also responsible for nourishing and protecting the sperm with the help of a fluid. However, regardless of its use and importance in the body, the prostate is very susceptible to different diseases. The most common of which, is prostate cancer. Prostate cancer is the most common cancer among men in the United States even surpassing skin cancer.

Causes for Prostate Cancer

Although prostate cancer is the most common cancer among men, researchers have yet to find a definitive cause for its occurrence. They have seen that there are certain age related factors that contribute to cancer in the prostate. So, if you have the following risk factors then it is very possible that you may have to face prostate cancer in the future:

Age
Family history
Race
Geography
Certain birth ailments

Although it is very possible to not have any of these risks and still get prostate cancer, these risks can prepare for the worst case scenario.

Symptoms

The symptoms are intense and can be very painful to experience, leaving not a doubt in your mind that something is wrong. And while there are not a lot of symptoms during the early stages of prostate cancer, the ones that do occur go as follows.

Blood in the urine
Having difficulty maintaining or achieving an erection
Painful ejaculation or urination
Difficulty maintaining or starting urination
Frequent urges to urinate especially at night.

Now there are just some of the symptoms of the early stages of prostate cancer. As the cancer slowly starts to develop and enter the later stages, symptoms can also increase greatly. Along with the increase in pain near the prostate, you may also experience these symptoms:

Urinary incontinence
Excruciating bone pain especially in the spine, pelvis and ribs
Weakness in the legs
Fecal incontinence

As the cancer further develops, symptoms become severer and more common. So, if you are experiencing these symptoms, you should contact your urologist immediately.

Treatment

As for the treatment of prostate cancer, it varies depending on the severity of the cancer. Early stage treatment is not often invasive or obtrusive, whereas late stage treatment can get very serious.

Early Stage Treatment

Early stage treatment can sometimes be as simple as just waiting and monitoring the growth of the cancer instead of rushing into treatment. These treatments include:

Brachytherapy
Conformal radiation therapy
Radical Prostatectomy (prostate removal)
Intensity modulated radiation therapy

Late Stage Treatment

Unfortunately, there are not a lot of treatment options when it comes to late stage treatment. Late stage treatments include chemotherapy and Androgen deprivation therapy (ADT). Chemotherapy is especially a very late stage treatment option as it tends to kill cancer cells across the body.

Conclusion

Prostate cancer is a very serious disease and is very likely among men that cross the age of 50. Along with other issues that your prostate may experience as you age, cancer is possibly the worst one.

Call today for a discreet consultation:

212-675-3186

Future Outlook for Prostate Cancer Treatment

future-prostate-cancer-treatment-outlook-01 All patients diagnosed with prostate cancer who visit our urology clinic, inevitably ask ‘what is the future outlook for prostate cancer treatment?’ Prostate cancer, like any other type of cancer, can be life-threatening, especially when it is an advanced stage. However, even the most experienced cancer specialists and urologists may not be able to say exactly how long prostate cancer will live.

Basic factors affecting the outlook for prostate cancer

Though it may be impossible to make an accurate prediction, an expert may be able to guesstimate a prostate cancer patient’s lifespan, following treatment. We predict the lifetime based on specific factors including:-

Effectiveness of the treatment: Effectiveness of the treatment is evidenced by whether the therapy helps to get rid of cancer or prevent it from metastasizing
PSA level: PSA assays, following diagnosis, could help keep a strict watch on the state of cancer as well as review whether the treatment is proving effective
Overall health: Patients with health issues may not be in a position to undergo treatment.
Consequently, they’re at greater risk of dying from cancer or other diseases
Treatment options: Treatment options could help remove cancer or keep it from spreading further
The cancer stage: When a patient reports for diagnosis, his cancer could be an advanced stage, locally advanced or localized

Outlook for Advanced Prostate Cancer

Research and studies indicate that advanced stage prostate cancer is by and large incurable. Additionally, we know from experience that patients diagnosed with advanced prostate cancer have only a few years to live. However, if such patients opt for treatment periodically, they can control their affliction, and prolong their lifetime.

Treatment could also go a long way in monitoring and controlling the prostate cancer symptoms when it comes to choosing a treatment process, one-size-does-not-fit-all. In other words, what works for one patient may not work for another. In this context, if a patient does not respond well to a specific treatment procedure, he should not feel dejected.

He could opt for other therapies, and more often than not, one of these will surely prove effective.

Outlook for Locally Advanced Prostate Cancer

Men diagnosed with locally advanced prostate cancer could opt for treatment either to remove the tumor or keep it under wraps. We’ve observed that in many cases, cancer recurs within a few months after treatment. We recommend patients with recurrent patients to go for repeat treatments to prevent the malignancy from progressing.

Resorting to hormone therapy can be quite effective in controlling metastasis, often for many years. There are other therapeutic options in case hormone treatment does not work for some patients.

Outlook for Localized Prostate Cancer

Localized prostate cancer pertains to the first stage of this type of cancer. At this stage, cancer progresses very slowly, and usually, the patient can do without any form of treatment. However, patients with localized prostate cancer can undergo treatment for getting rid of the carcinoma at the outset.

In rare cases, cancer can return, even after undergoing treatment. In such instances, choosing additional treatments seems to be the way to go.

Conclusion

Fortunately, if prostate cancer can be detected in the initial stages, the majority of patients could go on to live their normal lifespan.

At Fifth Avenue Urology, our urologists have the experience and capability to deal with all forms of prostate cancer. For a consultation, schedule an appointment with our specialists in NYC today.

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References