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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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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

Blog Posts are Below:

Category Archives: Prostate Problems

The Prostate Gland & Urinary Problems

What is the relationship between the prostate gland & urinary problems? The prostate gland is a walnut sized male organ. It is found at the base of the bladder and produces fluid to protect sperm. The gland sends fluid into the urethra, through seminal vesicles and the ejaculatory duct. The urethra is a thin tube that passes urine and semen from the bladder to the penis. This tube passes through the prostate gland. The prostate stores sex hormones, produced by the testicles.

The Prostate Gland & Urinary Problems
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Causes of Prostate Gland & Urinary Problems

With growing age men, develops urinary problems. Inflammation of the prostate gland triggers the conditions. Men over 40 years of age experience urinary problems because of vas deferens tube blockage, resulting in male infertility.

Prostate gland enlargement is also a common cause. Another common symptom of urinary problems is difficulty in urinating. Many other urinary symptoms lead to urinary problems.

If you experience these symptoms, you should visit a urologist for rapid diagnosis and treatment. If you didn’t identify the symptoms in time, you might face severe consequences.

Symptoms of Urinary Problems

Here are some symptoms of prostate and urinary problems:

Frequent urination during the night
Urinary urgency or strong or sudden urge to urinate. Sometimes, you might even fail to reach the toilet in time.
Urine dribbling throughout the day
Lack of urine flow, making it difficult to urinate
Sensation in the bladder, even after you completely urinate.
Sensation to urinate again and again
A slow stream of urine

These symptoms are often frequent and cause difficulty in urinating. If you experience these symptoms, you should consult a urologist for successful treatment.

Other Urinary Symptoms

You should visit a urologist if you experience these symptoms:

Painful urination
Inability to urinate
Severe urinary incontinence
Blood while urinating
Unusual penile discharge

Common Urinary Problems

Here are some common urinary problems:

1. Prostate Gland Inflammation

Bacteria can cause prostatitis or inflammation of the prostate. The underlying condition for prostate gland inflammation is still unknown. You should consult your doctor if you experience:

Groin pain
Lower back pain
Light fever
Frequent urination

When you visit a urologist for the treatment of urinary problems, they will prescribe antibiotics to eliminate the infection. If you develop chronic bacterial prostatitis, the doctor might ask you to stay in the hospital. Thus, you should immediately visit a urologist to treat prostate gland inflammation to prevent complications.

2. Enlarged Prostate

Enlarged prostate or benign enlargement of the prostate gland is common among older men. The symptoms of this condition may be painful. But that is not always the case. Sometimes, you won’t experience symptoms.

In this condition, the prostate gland increases in size, causing urination problems. The enlarged prostate restricts urine flow and in worse cases completely blocks. To treat this condition, the urologist inserts a catheter in the bladder to release liquid waste. In rare cases, enlarged prostate causes kidney damage.

Sometimes, you might not experience urinary problems with an enlarged prostate. Various studies suggest that prostate size doesn’t cause urination problems. That said, BPH is one cause of urinary problems. There are other urinary symptoms as well such as weak bladder or bladder spasms.

The Prostate Gland & Urinary Problems
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Treatment for Urinary Problems

If you develop prostate gland and urinary problems, the urologist will suggest the following treatments:

Antibacterial medication to eliminate bacterial prostatitis. Since urinary infection is a severe condition and difficult to remove, you have to take this medication for weeks.
The surgical procedure to clear blockage due to enlarged prostate. The urologist will diagnose your condition and recommend surgery according to the prostate size and urethra’s condition. Some of these procedures are:

1. Open surgery prostatectomy
2. Transurethral incision of the prostate
3. Transurethral resection of the prostate
4. Open surgery prostatectomy
5. Laser Resection of the prostate
6. Removal of prostate tissues

Medication to remove obstruction due to enlarged prostate and maintain enlarged prostate.
UroLift, which includes transurethral insertions of staples.
Many other surgical procedures reduce urinary symptoms.

Prostate Gland & Urinary Problems: Conclusion

If you experience the above symptoms, you might have urinary problems. Since the condition gets severe over time, you should immediately visit a professional urologist. A urologist will diagnose your condition and recommend an effective treatment method.

Do you want to consult a professional urologist in New York? If yes, then you should visit Fifth Avenue Urology. Our experienced and skilled urologist, Dr. Yaniv Larish, has a high level of expertise to diagnose and treat urological conditions in both men and women.

To consult with Dr. Larish, contact us today.

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

212-675-3186

Causes & Treatments for Swollen Prostate

Swollen prostate or benign prostatic hyperplasia is a common condition in men wherein the prostate glands enlarge, growing much bigger than their normal size. If you experience prostate swelling, your chances of developing urinary symptoms increase. Uncomfortable and painful symptoms, such as difficulty in passing urine from the bladder, can ensue. This can potentially lead to kidney, urinary tract, and bladder problems.

Swollen Prostate Causes and Treatment
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You can seek medical help and get this condition treated. Your treatment options may include surgery, invasive therapies, and medications. The doctor will recommend a treatment plan after analyzing the severity of your condition. They will consider the prostate size, your symptoms, and other factors.

Symptoms for Swollen Prostate

The symptoms of this condition increase over time. Also, the severity may differ from one person to another. Therefore, you have to visit a professional urologist after observing these signs and symptoms:

You will find difficulty while urinating
Increase in urgency and frequency to urinate
You will develop Nocturia
You won’t be able to empty the bladder
Dribbling
Weak urine stream

Here are some less common symptoms of swollen prostate:

Blood in the urine
Inability to urinate
Urinary tract infection

The severity of your symptoms does not depend on the prostate size. The pattern of the symptoms is irregular. Some men recover with time, but the severity increases for others. Some men with an enlarged prostate may notice minor symptoms, while others may face significant symptoms. It is possible to confuse benign prostatic hyperplasia with these conditions:

Prostatitis or prostate inflammation
Urinary tract infection
Kidney or bladder stones
Urethra stricture or narrowing of the urethra
Bladder or prostate cancer

Causes of Swollen Prostate

The prostate gland is near the bladder. When the prostate expands, it blocks the urinary tract stretching out from the bladder passing through the prostate. The role of this tube is to transport urine to the penis. A blockage of the urinary tract negatively affects your ability to pass urine out of the body. The actual cause of swollen prostate is unclear. However, the change in sex hormones with increasing age can be a factor.

Swollen Prostate Treatment Options

It is possible to treat your swollen prostate with lifestyle changes and self-care. Effective lifestyle changes include reducing alcohol and caffeine, going to the bathroom without waiting, and Kegel exercises. If you notice an increase in the severity of the symptoms, you need to consult with a urologist. They will diagnose your condition and suggest optimal treatment for relief.

Treatment for Swollen Prostate
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The treatment may vary, depending on your health condition, age, and prostate size. Therefore, you need to visit a professional clinic for proper treatment. Do you live in NYC and experience the above-mentioned symptoms? If so, visit the Fifth Avenue Urology and consult an experienced urologist for better treatment.

Here are some treatment options that the urologist will suggest:

Drugs

When you do not find any relief from lifestyle changes, you should visit an expert urologist. They will recommend medication for relief. Some medication commonly prescribed to treat a swollen prostate include:

Alpha-1 blockers
Antibiotics
Hormone reduction medications

Surgery

Depending on your condition, your urologist may also recommend surgical procedures. There are different types of treatments to treat a swollen prostate. Whether the procedure is minimally invasive or non-invasive, urologists will perform these surgeries in their clinic or office. However, other treatments are invasive, so your surgeon may perform them at a hospital.

Outpatient Procedures

During the outpatient procedure, the doctor will insert an instrument in the prostate gland through the urethra. These surgeries include:

Transurethral Needle Ablation is a treatment option that uses radio waves to shrink prostate tissues
Urologists may suggest transurethral microwave therapy to eliminate prostate tissue using microwave energy
Water-induced thermotherapy is a technique that includes heated water to damage the excess prostate tissue
Urologists also use implants to lift the swollen prostate preventing the blockage of the urethra
They also use water vapor to eliminate the excessive tissues using transurethral water vapor therapy.
Using sonic energy for removing prostate tissue is also a common treatment. You can refer to this procedure as high-intensity focused ultrasonography.
1. Inpatient procedures

The urologist will recommend inpatient or invasive procedures if you experience these symptoms:

Bladder stones
Incontinence
Kidney failure
Recurrent urinary tract infections
Inability to clear the bladder

Here are some invasive treatments for swollen prostate:

Simple prostatectomy is a treatment where urologists will remove the inner part of the prostate by an incision in the perineum or abdomen.
Urologists may also remove the prostate using transurethral resection of the prostate or TURP. In this procedure, the surgeon will insert an instrument to eliminate excessive tissues piece by piece.
Transurethral incision of the prostate is similar to TURP. But, instead of removing the prostate tissue, urologists will make a tiny incision, enlarging the urethra and bladder outlet.

Swollen Prostate: Conclusion

A swollen prostate may result in severe consequences. Therefore, you need to visit a professional urologist before the situation grows worse. So, if you are experiencing the above-mentioned symptoms, visit a urologist. At Fifth Avenue Urology, we follow the best treatment procedure for benign prostatic hyperplasia.

Contact us now at 212-675-3186 to make an appointment with one of the best urologists in NYC.

A Look at the 3 Most Common Prostate Problems

The prostate is one of the male sex organs. It’s shaped like a walnut and is located under the bladder, just ahead of the rectum. It’s a key part of male functionality because it is used both during sexual procreation and urination. Sometimes problems occur with the prostate which are common for men and fairly easy to determine.

Let’s look at what these three problems in detail.

Big Three Prostate Problems

The three issues that come up with the prostate are:

Prostatitis
Prostate cancer
Benign prostatic hyperplasia
Prostatitis

Prostatitis is an inflammation around the prostate area or the prostate itself. It is medical condition that causes considerable pain.

There are four distinct types:

- Acute bacterial prostatitis
- Chronic bacterial prostatitis
- Chronic pelvic pain syndrome/chronic prostatitis
- Asymptomatic inflammatory prostatitis

With asymptomatic inflammatory prostatitis, there are zero observable symptoms, it causes no major health issues and doesn’t need medical treatment.

Prostatitis is most often seen in men under the age of 50. For those over 50, it’s the third most common prostate problem. About two million Americans seek health care services for prostatitis every year.

Prostate Cancer

For U.S. men, prostate cancer is the second most likely cancer to get. It is also unfortunately the second most likely cancer to lead to early death. The condition affects black men somewhat more than it does white men; it’s also more dangerous to the black population.

There are no symptoms to determine the onset of prostate cancer. When reaching a more advanced stage, urination will sometimes become either weaker or more frequent. However, these same symptoms are evident with men who have benign prostate problems too.

The growth rate of prostate cancer is slow. The onset is most often in the above 65 age group and in this age group few men die from it. It is still unclear whether early detection helps resolve the issue or lengthens lifespan. There are screening tests available for prostate cancer.

Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (otherwise known as BPH) is an enlargement of the gland itself. It is not cancerous, but the enlargement causes medical issues. The prostate grows twice; once at the onset of puberty and secondly starting at around 25 years old. Growth is then progressive over a man’s life.

Unfortunately, the larger the prostate gets, the more likely it is to come into contact with the urethra. The contact causes related issues such as the bladder not being able to fully empty which in turns causes other health problems and discomfort.

If you have any doubts about your prostate health, it’s a good idea to schedule an appointment with the best urologist specialist in NYC to get checked out.