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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.


Schedule an appointment today

212-675-3186


Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2Dr. 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.


Category Archives: Prostatitis

Best Urologist: Prostatitis

Men suffer from various urological conditions, especially during the latter part of their lives. However, prostatitis is the most common and can affect young and old males. In this condition, the prostate becomes inflamed. Sometimes, prostatitis is asymptomatic, but you must still show it to a reliable urologist to learn whether you need to follow any preventive measures.

In most cases, people with prostatitis notice symptoms like painful or frequent urination. Issues like these can hinder their life, so you must go to the best urologist to treat your condition.

Common Treatment Options Used by the Best Urologists for Prostatitis

Urologists utilize a variety of treatments to help alleviate prostatitis symptoms or possibly eliminate them. Your age, medical history, condition severity, and other factors influence your doctor’s treatment options. Now, let us talk about the best forms of treatment to manage or cure prostatitis.

Best urologist Prostatitis NYC
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Dietary Changes

You may want to minimize or eliminate items like coffee or alcohol from your diet. Doing so will help you prevent irritating your prostate and aggravating any symptoms. Your doctor may also advise you to stop consuming sodas and other sugary drinks as they can increase your prostate’s inflammation.

Smoking is also a big no no when suffering from a urological condition. Like sodas, products with tobacco can also cause inflammation in your prostate. Consider hydrating regularly and avoiding oily and spicy foods to manage your condition.

Changes in Your Lifestyle

Making certain changes in your lifestyle could help you manage prostatitis. Incorporating exercise in your daily routine (except bicycling) can be helpful. Some experts may also suggest you try an alternative therapy called biofeedback. This therapy may alleviate some of your symptoms and help you take control of your body.

Surgical Procedures

Usually, doctors reserve surgical procedures for people with severe urological diseases. You may not need to undergo surgery if your prostatitis is nonbacterial. However, your urologist may require surgery if you have a blocked urethra. Problems like this can occur in severe bacterial prostatitis and can be life threatening. Doctors also suggest surgery if the antibiotic treatments they prescribed fail to provide you any relief from your symptoms.

Medication

Doctors often prescribe medicines to help alleviate prostatitis symptoms. Medication does not work with every patient; some may only benefit from invasive procedures. Here are common medications prescribed by urologists:

Pain Medication: If you experience too much pain because of prostatitis, your doctor may provide you with pain meds to provide some relief from the symptoms.

Anti Inflammatory Medicine: Anti inflammatory medicine can relieve prostate inflammation and other symptoms.

Alpha Blockers: Taking alpha blockers could make your bladder feel relaxed, providing some symptom relief in the process.

Remember, taking medicines will most likely not be enough to manage prostatitis. While antibiotics have an excellent track record of treating inflammation, you must adopt certain lifestyle changes to recover effectively.

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Best Urologist: Prostatitis Final Thoughts

Suffering from prostatitis can be quite a painful predicament, especially if you are older. Letting this condition linger and not seeking immediate help can only worsen things. That’s why it is important to consult with the best urologist. At Fifth Avenue Urology, we have seasoned professionals to check your prostatitis.

Get in touch with us to book an appointment. Once our experts evaluate your medical history and current condition, they will counsel you on effectively managing your condition. Remember, the time to recover from or manage urological diseases often varies. So be patient and follow your doctor’s advice for a swift recovery.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
212-675-3186

Do You Need Prostatitis Treatment?

Do You Need Prostatitis Treatment? Inflammation and swelling of the prostate gland is prostatitis. The prostate gland produces fluid (semen) that transports sperm cells and nourishes it.

Prostatitis often causes difficult or painful urination. Other symptoms include pain in the pelvic area or genitals and groin, accompanied by flu.

Men of all ages are not invincible when it to the effects of prostatitis, but this condition seems quite common in men 50 or older. There are several causes of this condition; sometimes, you may not be able to identify the cause. Usually, prostatitis is triggered by a bacterial infection, but you can treat it with antibiotics.

Prostatitis patients may recover quickly on their own, or there is a possibility that you might need treatment. Some types of prostatitis keeps recurring or (chronic prostatitis) may last for months. 

Causes of Prostatitis

The cause of acute bacterial prostatitis often is ordinary strains of bacteria. When acute bacteria in your urine leaks and enters your prostate, that’s when the infection starts. You can use antibiotics to treat this infection. If antibiotics fail to remove the bacteria, prostatitis might return. If this happens, it will be difficult to treat (chronic bacterial prostatitis).

Surgery or trauma in the lower area of the urinary tract can cause nerve damage. This might contribute to prostatitis, and it doesn’t occur due to bacterial infection. Mostly, you may not be able to identify the actual cause of prostatitis.

Types of Prostatitis

·          Acute Bacterial Prostatitis

The cause of acute bacterial prostatitis is a particular strain of bacteria. Generally, this type of prostatitis starts unexpectedly and cause symptoms like flu, fever, nausea, chills, and vomiting.

·      Chronic bacterial Prostatitis

When antibiotics don’t get rid of the bacteria, you possibly will find it difficult-to-treat or increase recurring infections. You may witness only minor symptoms or no symptoms at all for short periods during chronic bacterial prostatitis.

·      Chronic prostatitis/chronic pelvic pain syndrome

Chronic pelvic pain syndrome is the most common type of prostatitis, which is not caused by bacteria. Mostly, you cannot identify the exact cause of bacteria. Some symptoms stay the same for a long time; they don’t either increase or decrease with time. Therefore, other symptoms continue to follow the cycle of being less and more severe.

·      Asymptomatic Inflammatory Prostatitis

Asymptomatic inflammatory prostatitis is one of the types of prostatitis. Usually, it is found by chance, especially when you undergo tests because it doesn’t display symptoms. Also, asymptomatic inflammatory prostatitis doesn’t need any treatment.

Symptoms

Following are the signs and symptoms of prostatitis:

  • You will feel burning or sensation of pain while urinating (dysuria)
  • Complexity urinating, such as hesitant or dribbling urination
  • Urinating frequently, especially at night (nocturia)
  • Urgent need to urinate
  • Cloudy urine
  • Blood in the urine
  • There will be a pain in your groin, abdomen, or lower back
  • Pain in part between the rectum and scrotum (perineum)
  • Discomfort or pain in the testicles or penis
  • Ejaculation will be painful
  • Flu

Prostatitis Treatment

Acute prostatitis can cause an infection of the prostate. Thus, doctors prescribe antibiotics for the treatment of prostatitis. The selection of antibiotics depends on the organism present and the severity of the issue. Usually, doctors advise taking antibiotics orally and continuing it for around two to four weeks to eradicate the bacteria entirely. Doctors might prescribe IV antibiotics for severe or nonresponsive cases.

Bacteria can also cause chronic bacterial prostatitis, but their treatment is relatively more complicated. Doctors may recommend you a longer course of antibiotics that you must follow for almost four to eight weeks. However, the choice of antibiotic for chronic bacterial prostatitis also depends on the bacteria present and its severity. You can choose between oral and intravenous antibiotics.

Most of the asymptomatic prostatitis doesn’t need treatment. Moreover, while managing the treatment, it consists of anti-inflammatories and antibiotics.

As for chronic pelvic pain syndrome, it is pretty challenging to treat because all patients do not respond to their current treatments. Hence, there are numerous medications in existence to treat chronic pelvic pain syndrome. But you can utilize anti-inflammatory medications, alpha-blockers, antibiotics, and estrogen reabsorption inhibitor for treatment.

We advise you to consult with your doctor or visit our website if you experience pelvic pain, painful or difficult in urination, or problem ejaculating. If not properly treated in a timely fashion, there is a chance that prostatitis can cause severe health issues or worsen the infection.

For prostatitis treatment, call us today to schedule an appointment:

FIFTH AVENUE UROLOGY

Prostatitis Information

Do you need Prostatitis information? The prostate is a small walnut sized gland that is responsible for the secretion of seminal fluid. It nourishes the sperm as well as transports them out of the penis. On the other hand, prostatitis is a disease that swells the prostate gland and causes inflammation, leading to a slew of different symptoms and problems.

This condition is quite serious, and unfortunately quite common among men of ages 50 or younger.  It causes excruciating pain and makes it very hard for you to urinate; it is possible for you to experience flu like symptoms as well. And although the cause of prostatitis is usually never discovered, if the condition is because of a bacterial infection then it is very easily cured by antibiotics.

Symptoms of Prostatitis

Symptoms of prostatitis are plenty, so it is possible to experience this condition due to some other disease that you may have. With that said, here are some of the symptoms for prostatitis.

  1. Cloudy Urine
  2. Blood in the Urine
  3. Difficulty urinating or frequent urination
  4. Pain in the testicles, penis, groin, or abdomen
  5. Painful ejaculation

These are some of the symptoms of prostatitis that patients have often experienced as a result of their condition. But as the symptoms are quite straight forward, if not a little misleading, the causes for a prostatitis are very hard to pin down. That said, there are two very common causes for men getting this prostatitis, nerve damage and bacteria inside the prostate.

Risks of Prostatitis

Even if you don’t carry any of the symptoms of prostatitis, you are still at risk of contracting this condition due to a multitude of reasons. Here are a few reasons why you may be at risk of getting a prostatitis.

  1. Previous experience with prostatitis
  2. Having an infection in the bladder or sustaining trauma around the pelvic region
  3. Using a urinary catheter (inserting tubes in the urethra to drain the bladder)
  4. Previously had a Prostate Biopsy
  5. If you currently have HIV/AIDS

Of course this condition can happen regardless of any of the aforementioned risks. Men and boys of age 50 and under can be prone to getting this condition even if they have never had any experience with prostatitis.

Causes of Prostatitis

Bacteria cause of ProstatitisBacteria reach the prostate through the urine and can lead to a bacterial infection of the pancreas. This is very rare, but it is possible that the bacteria in your urine leaks into the prostate, causing prostatitis. Your urologist may use antibiotics to cure this bacterial infection. But if left unchecked the infection can recur or become chronic.

Another common cause for prostatitis is nerve damage in the lower urinary tract. This nerve damage is almost always a result of another illness or outside factors i.e. trauma to the area or some sort of surgery often leads to prostatitis.

Conclusion

Prostatitis is a very common disease that can turn out to be very serious if left unchecked for a long time. If left as it is, prostatitis can lead to a pus filled cavity in the prostate or even infertility.

So if you are experiencing most of the same symptoms as that of prostatitis, there is nothing a quick visit to urologist can’t fix. Visit our website to find out more about our incredibly talented urologists who can surely help you get better.

Read more about prostatitis on our main website.

Causes, Symptoms, and Treatment of Prostatitis

prostatitis-causes-symptoms-treatment-urologist-nyc-01Prostatitis is an infection that exclusively affects males. A male is diagnosed with acute prostatitis when his prostate gland becomes infected, leading to the organ’s inflammation. The prostate is a small gland that surrounds a man’s urethra, the tube that takes urine and semen out of the body. The prostate supplies nutrients to semen, performing an important role in reproduction. Description of causes, symptoms, and treatment of prostatitis are enumerated in the following paragraphs.

Causes of Prostatitis

Below, we discuss the causes and symptoms of acute prostatitis, as well as possible complications and home remedies. A specific kind of bacterium which is responsible for causing STDs (sexually transmitted diseases) and urinary tract infections also causes prostatitis. Prostatitis is a common condition as approximately 50 percent of men are likely to experience it in their lifetimes. Acute prostatitis, on the other hand, is quite rare. Despite this, it is usually easy to diagnose because of some distinct characteristics.

Prostatitis Symptoms

An inflamed prostate gland exhibits symptoms that are somewhat similar to signs of a grave UTI. A weakened immune system and a clogged urethra are two fundamental causes of prostatitis. More often than not, acute prostatitis turns chronic or recurrent.

Common symptoms of Prostatitis include:

  • fever
  • pain in the pelvis
  • blood in the urine
  • chills
  • pain above the pelvic bone
  • pain in the rectum, testicles, or genitals
  • increased frequency of urination
  • pain during urination
  • bad-smelling urine
  • pain or discomfort during a bowel movement
  • a weakened urine stream
  • painful ejaculation
  • blood in the semen
  • trouble starting urination
  • difficulty voiding the bladder

Treatment

diagram-of-prostatitis-top-specialists-nyc-02We at Fifth Avenue Urology normally treat prostatitis with antibiotics. We recommend our patients to continue taking the prescribed antibiotics for at least 4-6 weeks. The class of antibiotics that we stipulate to a specific patient depends on the type of bacterium responsible for the infection.

Sometimes, we prescribe medicines that work towards easing acute prostatitis’ symptoms. For instance, we advise the patients to take OTC (over-the-counter) anti-inflammatory medications like acetaminophen or ibuprofen for getting relief from pain. We also suggest alpha-blockers that function as effective muscle relaxants, enabling the prostate’s and bladder’s muscle fibers to relax.

A relaxed prostate gland and urinary bladder enable a patient to release urine from the latter more comfortably. We only recommend hospitalization to a patient when antibiotics, beta-blockers, or anti-inflammatory medications do not help relieve acute prostatitis’ symptoms. A high dosage of antibiotics may have to be administered intravenously for the entire period of hospital stay.

We usually suggest patients try some home remedies besides taking medicines. For instance, we tell them to drink plenty of water, avoid alcohol, stay away from spicy foods, and so on. We tell patients to make a few lifestyle changes to minimize the risks of chronic or acute prostatitis.

Some of the changes include taking a balanced diet, alleviating stress, staying fit and trim, using contraceptives during intercourse, and so on.

Conclusion

Our urologists strongly believe that majority of acute prostatitis cases can be treated effectively with antibiotics. Nevertheless, some patients may need to stay in a hospital for a short duration. There’s every possibility of an acute form of the condition turning chronic.

The patient may have to make lifestyle changes for alleviating chronic prostatitis symptoms.  Those diagnosed with chronic or acute prostatitis can contact our urologists at Fifth Avenue Urology for an appointment and detailed consultation.

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References

  1. https://www.medicalnewstoday.com/articles/321027.php
  2. https://www.webmd.com/men/guide/prostatitis#1
  3. https://www.medicinenet.com/prostatitis_inflammation_of_the_prostate_gland/article.htm