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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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: Top Urulogist NYC 2014

Peyronie’s Disease

BestUrologistNYC1 Have you noticed a significant bend or pain in your penis, which has interfered with your ability to get or maintain an erection? Can you feel flat lumps of bands of hard tissue under the skin of your penis? Peyronie’s disease can alter your quality of life. Your urologist will be able to evaluate your condition to determine whether treatment may help and to rule out other causes of your symptoms.

What is Peyronie’s Disease?

Peyronie’s disease is caused from the development of fibrous scar tissue inside the penis which causes curved, painful erections. Peyronie’s disease can cause a distinctive bend or severe pain making it difficult to get or maintain an erection, which interferes with sexual activity.

What Causes Peyronie’s Disease?

Peyronie’s disease is often caused by the rupturing of small blood vessels due to an injury to the penis during sex, athletic activity or an accident. In Peyronie’s disease, problems in the healing process cause permanent scar tissue to develop under the skin of the penis. It is believed that some men are more susceptible to Peyronie’s disease if they have the inherited trait.

What are the Symptoms of Peyronie’s Disease?

Often the symptoms of Peyronie’s disease occur gradually causing the curvature and pain to increase over a period of time.

Scar Tissue-The scar tissue develops under the skin of the penis. This scar tissue can be felt as a flat lump or a band of hard tissue.
A noticeable bend to the penis-Your penis may be bent upwards, downwards, or bent to the side.
Erections problems-You may have difficulty getting or maintaining an erection.
Shortening of the penis-you may notice a shortening of your penis.
Pain-Pain may be present during erection, an orgasm or anytime something touches your penis.

Tests and Diagnosis for Peyronie’s Disease

Peyronie’s disease can be diagnosed with a physical exam by your urologists and performing tests which can determine what is causing your problem.

Physical Exam-your urologist will palpate your penis to find the location and the amount of scar tissue you have.
Tests-your urologist may order ultrasound and/or x-rays, to test for abnormalities, scar tissue and decreased blood flow to your penis.

Medication and Treatment for Peyronie’s Disease

Medications haven’t proven to be as effective for reducing the curvature and pain related to Peyronie’s disease as compared to surgery which has a better success rate. The medications you may receive are given via injection, they are:

Verapamil-this medication slows down the development of scar tissue by disrupting the production of collagen.
Interferon-is a protein which breaks down the fibrous scar tissue caused by Peyronie’s disease.

Surgery for Pyeronie’s Disease

The type of surgery your urologist will perform depends upon the severity of your condition. The most common and most effective surgical procedure for Peyronie’s disease are penile implants. After surgery you will need to wait 4 to 8 weeks before resuming sexual activity.

Don’t suffer the pain, and suffering caused by Peyronie’s disease call the best urologist NYC today and get your quality of life back.

Prostate Gland Biopsy Surgeon NYC

Why do I Need a Prostate Gland Biopsy?

You recently had a prostate-specific antigen (PSA) blood test done under the recommendation of your family doctor. The test showed a high PSA level, your physician recommends an appointment with a urologist. During the prostate exam the urologist finds an abnormally enlarged prostate and schedules you for a Prostate Gland Biopsy. You are given information to prepare you for the test ahead. So, what happens next?

What is a Prostate Gland Biopsy?

A prostate gland biopsy is a test performed by a physician who specializes in men’s genital and urinary problems in the urology surgery department. The test involves the removal of small samples of the prostate tissue. The tissue is examined under a microscope, checking for the presence of cancer cells.

During the Prostate Gland Biopsy Procedure

The prostate gland biopsy is usually performed on an outpatient basis in a hospital or surgery center.

You may be given antibiotics to prevent infection.
You will be asked to remove your clothes and asked to put on a hospital gown.
You will lay on your left side on the exam table, with your knees bent. Do not move during the test.
Typically you will receive a local anesthetic.
A transrectal ultrasound (TRUS) is an ultrasound viewing device which helps to guide the biopsy needle.
Your urologist will insert a needle through the wall of the rectum into the prostate. You may feel some pressure when the needle enters the prostate gland. When the urologist uses a spring load biopsy needle it is almost a painless procedure.
Your urologist will collect several tissue samples from various areas of the prostate gland.
The samples will be sent to the lab for examination.

After the Prostate Gland Biopsy Procedure

You will be taken to the recovery room, where your blood pressure, pulse and temperature will be monitored and when they are stable you will be discharged home.

After the procedure it is normal to see blood in your urine or stool for a few days after the biopsy. You may also notice blood in your ejaculate for two weeks which will clear without further treatment. The biopsy site will be tender for several days after the biopsy. Take a pain reliever for the soreness as recommended by your urologist. Don’t take aspirin, because it can increase bleeding.

Contact your doctor if you experience the following:

Increase in the amount of bleeding in your urine or stool.
Have difficulty urinating
You experience a fever or chills.

If you have any questions or concerns don’t hesitate to call the best urologist in NYC ! This procedure could save your life!

Penile Implant Surgery in NYC

Erectile Dysfunction and Penile Implant Surgery NYC

Have you been experiencing erectile dysfunction, been prescribed medications and still having difficulty maintaining an erection during sexual activity? Or do you have scarring, which has curved your penis or makes erections painful? You should consider a penile implant as it may be the answer to your problem.

What is a Penile Implant?

Penile implants consist of two attached cylinders (a reservoir and a pump) which are surgically placed inside the penis to allow men to get an erection. There are two main kinds of penile implants, semi-rigid and inflatable. To find out if a penile implant is right for you, your urologist can discuss the options, risks, types of penile implants, plus their pros and cons. Your urologist will review your history, do a physical exam, discuss your expectations, and what you need to do to prepare for the surgery.

What Can You Expect During the Penile Implant Procedure?

The penile implant will be done at a hospital or surgery center by a urologic surgeon. You will receive a general anesthesia or a spinal anesthesia to block pain in the lower part of your body. During your surgery the urologist surgeon will be inserted a catheter into your bladder to collect urine from your penis. The urologist surgeon will make an incision at the head of the penis, at the base or in the lower abdomen. Your surgeon will stretch the tissue in the penis which fills with blood during an erection. Then your surgeon will choose the correct size penile implant and place the implant cylinders inside your penis. Once the implant is in place, your surgeon will sew the incision closed. Penile implants surgeries usually take about one hour from start to finish.

After the Penile Implant Surgery

Your urologist will prescribe a pain medication to ease the pain after the surgery and an antibiotic to prevent infection. Your urologist will provide for you instructions about the healing process and care of your incision. Your urologist will give you an estimated date for you to return to normal activities. Usually you may resume sexual activities around four to six weeks after surgery.

Considering Penile Implant Surgery?

Penile implants can be a last resort treatment, yet it has been very satisfying for many men. Contact the best urologist in New York City today, to discuss this important life changing procedure today.