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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 nyc 2014

Treatment for Erectile Dysfunction

BestUrologustNYC1What is Erectile Dysfunction?

Erectile dysfunction happens when a man cannot obtain or keep an erection during sexual activity. Erectile dysfunction is an ongoing problem which can cause stress and problems in your relationship and even affect your self-confidence.

Symptoms of Erectile DysfunctionBestUrologustNYC3

The symptoms of erectile dysfunction may be:

  • Inability to get an erection
  • Problems keeping an erection
  • Sexual desire is reduced

BestUrologustNYC2Causes of Erectile Dysfunction

The causes of erectile dysfunction can be difficult to pin point because the process requires the cooperation of your brain, hormones, emotions, muscles and blood flow.

Physical Causes:

  • Heart disease
  • Clogged blood vessels
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Alcoholism
  • Tobacco usage
  • Prescription medications

Tests and Treatments for Erectile Dysfunction

Erectile dysfunction is often treatable without the need of invasive methods. Your urologist will perform a physical exam and your medical history. If underlying problems may be involved or you have a chronic health condition your urologist may order tests.

The tests may include:

  • Blood tests
  • Urine tests
  • Ultrasound
  • Overnight erection test
  • Psychological exam

BestUrologustNYC4Treatments to Correct Erectile Dysfunction

A variety of treatments are available for treating erectile dysfunction, important factors your urologist will consider are the severity and causes of your condition. Your urologist will discuss the options with you and your partner to make the right decision for the right course of action.

Medications for Erectile Dysfunction are:

  • Viagra
  • Cialis
  • Levitra
  • Staxyn

If the medications are not effective your urologist may prescribe a different treatment.

These other treatments for Erectile Dysfunction include:BestUrologustNYC5

  • Penis pumps
  • Penile implants
  • Blood vessel surgery

Healthy lifestyle choices are the best methods to assist in correcting your erectile dysfunction, along with the treatments your urologist NYC prescribes for you. If you are experiencing erectile dysfunction, don’t be embarrassed, it is a common condition and when you call the best urologist in NYC you will be glad you did.

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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.

Varicocele Repair

What is a Varicocele?

A varicocele is an enlargement of the veins in the scrotum, it’s similar to a varicose vein which can occur in the leg. A varicocele is a common cause of low sperm production and decreased sperm quality, which can cause infertility. Varicoceles can cause the shrinkage of the testicles. Varicocele don’t occur suddenly, rather they appear slowly over time.

Often a varicocele doesn’t need treatment, unless it causes symptoms which can be repaired surgically. If you are experiencing the symptoms from a Varicocele contact your urologist to make an appointment.

Symptoms of Varicocele

Often varicoceles are painless and there are no symptoms present. Common symptoms are experiencing pain which may:

  • Vary from a dull pain, discomfort or a feeling of fullness, to a sharp pain.
  • Increase when you are sitting, standing or exercising.
  • Worsens over the course of a day.
  • Be relieved when lying down on your back.
  • Symptoms of a varicocele may become noticeable with time.

What Causes Varicoceles?

Varicoceles form due to the small valves inside the veins of the spermatic cord not functioning and preventing blood from flowing correctly. The backup of blood causes the veins to widen.

Tests and Diagnosis of varicocele

Your urologist will do a physical exam checking your testicles for swollen or abnormal enlargement of your veins. If your exam is inconclusive your urologist may order a scrotal ultrasound, which will make precise images and measurement of structures and also to be sure there are no other causes of your condition.

Treatment and Medications for varicocele

Often many patients do not require any treatment if your varicocele doesn’t cause any pain, enlargement to your scrotum or infertility. You may undergo Vericocele repair if your vericocele causes pain, swelling or you have fertility issues.

Varicocele repair procedures may include:

  • Open surgery: this procedure is done on an outpatient basis using general or local anesthetic. The purpose of this procedure is to seal off the affected vein and to redirect the blood flow into normal veins.
  • Laparoscopic surgery: Your urologic surgeon will make a tiny incision in your abdomen and pass a small instrument through the incision to see and to repair the varicocele.
  • Percutaneous Embolization: with this procedure a radiologist will insert a tube into a vein in your groin to pass an instrument in order to view your enlarged veins on a monitor. The urologic surgeon will release a coil or a solution that will create a blockage of the damaged vein, redirecting the blood flow and repairing the varicocele.

Pain from these surgeries are generally painless or you may experience mild pain which your urologist will prescribe a pain medication to relieve the discomfort. Normally you may return to normal activities within two days.

Varicoceles are relatively easy to repair. Why put up with the pain and discomfort of a varicocele when you can call the best urologist in NYC today, to make an appointment for a consultation.