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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: top urologist 2014

Vasectomy the Permanent Birth Control for Men at Urologist NYC

Have you decided to take steps towards birth control? Have you thought about what form of permanent birth control your partner and you desire? Are you wondering if a Vasectomy may be the right choice for you? At Urologist New York City you will receive urologic care in a warm and sensitive environment. Here you get the answers you are seeking, which will allow you the opportunity to choose treatment opportunities that best suit both your needs and desires.

What is a Vasectomy?

A vasectomy is a simple, safe surgical procedure considered a permanent method of birth control for men. During a vasectomy, the vas deferens from each testicle is clamped, cut or sealed, preventing the sperm from mixing with the semen that is ejaculated from the penis during sex.

Your partner’s egg cannot be fertilized when no sperm are available in the semen. It will not change your sexual experience, because you will have the same amount of fluid as you did prior to the procedure. Instead of being discharged when you ejaculate, the sperm are absorbed by your body. This normally also happens during the times that you do not ejaculate.

The vasectomy procedure takes about 20 to 30 minutes, and it can be done in the urologist’s office, hospital or surgery center. The procedure will be done with the aid of a local anesthetic that will numb the area. In a conventional vasectomy the urological surgeon makes one or two incisions with a scalpel and then use sutures or stitches the skin to close the incision at the end of the procedure.

What should you expect after vasectomy procedure

The skin of the testicle will be numb for a few hours after the vasectomy. Your urologist will suggest that you apply an ice pack to the area and lie on your back for the rest of the day. It is recommended to wear snug underwear or a jock strap to decreased swelling and pain. Often, some swelling and pain are common for a few days. Your urologist may prescribe a pain medication to ease the discomfort. In most cases, you should avoid heavy lifting for one week, and may return to work after 1 to 2 days of rest. Your urologist will give you more specific instructions after your procedure.

When Can We Resume Intercourse after a vasectomy procedure?

Normally you can resume intercourse as soon as you are comfortable, most often within one week. Your partner or you will need to use another form of birth control to prevent pregnancy until your sperm count is at zero. You will have at least two follow-up sperm count visits to determine the number of sperm still in your semen and you will continue to return to your urologist until your sperm count is at zero.

What are the Risks of Vasectomy Procedure?

The risks are very low, yet a small number of men may have a complication.

1. Bleeding under the skin may cause swelling or bruising.

2. Sperm could leak from the vas deferens into the surrounding tissue around it causing a small lump to form. This is easy to treat with rest and pain medication.

3. Infection, your urologist will often prescribe an antibiotic to be taken as directed.

This article only covers some of the possible questions you may have concerning a vasectomy. So, contact us today to schedule an appointment with the best Urologist in NYC.

What is Urethroplasty?

 

Best Ureologist for Urethroplasty NYC1Urethroplasty is the repair of scar tissue located in your urinary channel from the bladder to out the penis. This scar tissue can occur after an injury such as from a prior surgery, catheter placement or a sexually transmitted disease. When you experience a buildup of scar tissue you will notice a slowing of your urinary stream.

There have been cases where the urine is unable to come out due to the blockage. If you experience a slowing or absence of urine schedule an appointment with your urologist immediately.

 

How Will the Urologist Determine if I Have a Blockage?Best Ureologist for Urethroplasty NYC5

Before you are scheduled for surgery your urologist will have you undergo x-rays of your urethra to determine where the scar tissue is located. You may be asked to do other tests such as uroflow test, urodynamics, or cystoscopy, depending upon your condition.

How is the Blockage Repaired?Best Ureologist for Urethroplasty NYC2

In an urethroplasty the scar tissue is either removed or the area is enlarged through a cut in the skin. Then a small drainage tube called a catheter is left in place to allow the drainage of urine, while the area treated heals. Dr. Melman usally performs the urethroplasty urologic surgery as an outpatient.

Post Urethroplasty after Care

After the procedure you may have some mild discomfort, which can be relieved with a prescribed pain medication. After the urethroplasty you may have some swelling which can last for a few weeks. The catheter will remain in the penis for 10 to 20 days. Keep the catheter clean and tape it to your skin to prevent accidental removal or irritation. Use ice packs placed on your scrotal/penis to decrease the swelling for the first 48 hours. Don’t place the ice directly on the skin, instead wrap the ice pack in a towel and leave it on for a maximum of around 20 minutes at a time.

You may see a small amount of blood in your urine or on your dressing for about 72 hours. You may take a shower between 48-72 hours after the procedure. It is recommended to refrain from tub baths and soaking for at least 2 weeks after the procedure. Dr. Melman will often recommend you wear a scrotal support for at least one week after surgery. You may return to normal activities as soon as you are comfortable. Do not do any heavy lifting (20 pounds or more) until you are given permission. Before you resume sexual activity discuss it first with Dr. Melman.

When to Notify your Urologist after urethrolplasty?

Contact us after surgery if you have severe swelling, have a large amount of drainage, the area has increased redness, is tender around the incision site, or you have a fever and/or chills. Contact us if you have any concern of complications. If your catheter isn’t draining try changing positions or drink more fluids. If it still doesn’t drain call immediately.

If you think you have blockage of your urethra, call the best urologist in NYC today to schedule a consultation!  Best Ureologist for Urethroplasty NYC4