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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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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: Urology for Women

Overactive Bladder

Contrary to popular belief, OAB or overactive bladder isn’t a disease. Instead, it is a combination of different urinary symptoms, the most common being an uncontrolled and sudden need to pass urine. In most cases, getting an overactive bladder is merely a side effect of becoming older. However, lifestyle factors like drinking alcohol excessively, not getting enough sleep, drinking too much caffeine, etc., can also result in OAB.

Your urologist may ask you to make certain changes in your lifestyle, like lowering alcohol and caffeine intake. If these don’t work, they might prescribe you some medicine and physical therapy. Doctors sometimes suggest invasive procedures like implanting a bladder pacemaker or administering botox injections.

Pelvic Organ Prolapse

This condition usually occurs when the bladder or any other pelvic organ prolapses or drops from its place. In most cases, this happens because of weakened muscles holding the organ. Generally, these organs become weak because of surgery or childbirth.

The falling organ usually pushes against the vagina’s wells, which causes women to feel or see a bulge within the vagina. Sometimes, this causes them much discomfort when trying to sit. Worse, simple things like coughing or standing can worsen pelvic pressure.

If you notice these issues and discuss them with a urologist, they may suggest a surgical procedure to fix them. However, surgery isn’t necessary for every case, and your doctor will suggest ways to manage your condition depending on your particular symptoms.

Urinary Tract Infection

This problem can occur in almost any part of your urinary system. However, the most common UTI cases happen in the urethra and the bladder, which is the lower area of the urinary tract. While this issue impacts both women and men, the former are usually at a higher risk of facing it. If you think you have a urinary tract infection, make sure you address it right away. Not managing and treating this condition on time can result in serious issues, especially if the infection goes to your kidneys.

Urologists usually diagnose this issue by identifying lifestyle factors like constipation or fluid intake. Then, they look for certain anatomic problems and suggest vaginal creams if they spot any issues with your anatomy. Creams can be especially helpful for postmenopausal women as it helps them adjust pH levels to promote healthy bacterial growth.

Postpartum Urinary Incontinence

Involuntary leakage of urine is often referred to as postpartum urinary incontinence. This issue is common among new mothers and causes them to leak urine when performing strenuous activities, sneezing, coughing, or laughing.

Urological Problems in Females Women
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Urological Problems in Females: Final Thoughts

The conditions mentioned in this piece can become a massive obstacle and prevent you from performing certain activities. For this reason, it is important to consult with professional urologists like those at Fifth Avenue Urology.

Contact us to book an appointment, and we will provide our best urologists to evaluate your condition and suggest the best possible treatment. Remember, treatments and medicines for urological conditions often vary, depending on an individual’s condition. Once our doctors thoroughly check your medical history, they will create a well thought out recovery plan suited especially for you.

FIFTH AVENUE UROLOGY
5 East 83rd Street
New York, NY 10028
212-675-3186

https://www.fifthavenueurology.com/

Treatment Options for a Prolapsed Uterus

What are the treatment options for a prolapsed uterus? This is a condition where the uterus muscles become weaker. This is a common condition in women and it’s likelyhood increases as the woman ages. Having multiple vaginal deliveries puts women at risk of this condition. Because there are fewer muscles in a women’s uterus, it can easily become weak. When the ligaments and muscles working as a support system fail, the uterus moves from its position. Urologists refer to this condition as uterine prolapse.

Treatment Options for a Prolapsed Uterus
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Causes of Prolapsed Uterus

A group of ligaments and muscles hold your uterus in the pelvis. You can refer to this group of muscles as pelvic floor muscles. When your pelvic floor muscles grow weaker, your uterus falls from the position and turns saggy. Many factors can cause uterine prolapse. Here are some of these factors:

Obesity
Chronic constipation
Aging
Injury while giving birth
Chronic straining or coughing

Diagnosis for Prolapsed Uterus

A urologist will diagnose your condition during a pelvic examination. The doctor will ask you to:

Take the bowel movement position. That way, your urologist will evaluate your uterus and check the severity of the vaginal slippage.
Tighten the muscles as if you are stopping the urination pressure. This will help them to check their muscle strength.

They might also ask you to fill out a questionnaire so they can better understand your condition. This questionnaire will help them understand the effects of uterine prolapsed in your quality of life. Depending on the severity of your condition, the doctor might recommend tests, so they can assess the bladder functions.

Treatment for Prolapsed Uterus

The doctor will recommend treatment according to the severity of your uterine prolapse. Here are some treatments that your doctor may suggest:

1. Self Care Measures

If your condition does not include any symptoms, the doctor will suggest simple self care. That way they can prevent the increase in the severity and provide relief. Common self care measures include treating constipation, losing weight, and kegel exercises. These treatments will help strengthen the pelvic muscles.

2. Pessary

The surgeon will ask you to insert a rubber or plastic ring into the vagina. This will support your tissues and keep them in position. You need to remove the pessary regularly for cleaning.

3. Surgery

The doctor may also recommend surgery for repairing your uterine prolapse. They may suggest less invasive surgery such as laparoscopic or vaginal surgery as treatment. Here are some options for surgery:

You need to undergo a hysterectomy to remove your uterus. This is a safe treatment, but any surgery comes with a little or more risk of complications.
The surgeon will graft your tissue and repair the pelvic floor tissues. They may also use synthetic material to support the pelvic floor.

4. Lifestyle and Home Remedies

You can also try these home remedies to treat your uterine prolapse:

Consume healthy food and avoid constipation
Increase the fluid consumption
Avoid heavyweights
Do not bear down for bowel movement
Control coughing
Reduce your weight

5. Kegel Exercises

You can strengthen the pelvic floor muscles through kegel exercises. When your pelvic floor is strong, it will prevent prolapse and support your pelvic organs. Furthermore, it also reduces the symptoms and offers instant relief. Follow this technique to perform kegel exercises:

Keep your muscles tight as if you are passing gas.
Contract the vagina and hold it for five seconds. Now relax your muscles for five seconds. If contraction and relaxation are difficult for you, you can contract for two seconds and relax for three.
Now increase the duration of contractions for up to 10 seconds.
Your aim should be at least three sets a day with 10 repetitions.

Top Treatment Options for a Prolapsed Uterus
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Kegel exercise can be hard to properly perform. Nevertheless, visit your urologist and seek their help. They can teach you effective techniques for this procedure. They might also use biofeedback to check if you are correctly tightening muscles while contracting. This device also monitors the length of each contraction and relaxation.

After you master the correct technique to perform kegel exercises, practice it every time you are free. You can even perform this exercise while at work as you sit in your chair, or on the couch while at home.

Treatment Options for a Prolapsed Uterus: Conclusion

A prolapsed uterus can be a severe condition and cause dislocation of your uterus. Therefore, you need to visit a professional urologist for proper treatment options. Our experienced urologist Dr. Larish will diagnose your condition and suggest the best treatment plan.

Call today for a consultation.

FIFTH AVENUE UROLOGY
DR. YANIV LARISH
5 East 83rd Street
New York, NY 10028
212-675-3186

https://www.fifthavenueurology.com/

Common Female Urological Problems

What are the most common female urological problems? The urinary system consists of the urethra, kidneys, bladders, and ureters. The system stores, produces, and eliminates urine from the body. Kidneys create urine and transfer it to bladders. Ureters are the tubes that carry urine to the bladders from the kidney. When the bladder fills with the liquid waste, the brain receives signals and relaxes bladder muscles, releasing urine through the urethra and out of the body.

Common female urological problems

However, various diseases disrupt the urinary system. Urologists diagnose and treat these urological problems and eliminate infections and blockage. The post contains some common urological problems in women, so you can identify the signs.

Common Female Urological Conditions

A professional urologist has a specialization in areas such as the urinary tract, kidney, and bladders. Furthermore, they can perform minimally invasive surgeries, treat vaginal and pelvic prolapsed and help the patient prevent urological conditions. They treat a wide range of conditions in women’s pelvic region such as:

Sexual dysfunction
Pelvic organ prolapse
Incontinence
Pelvic pain
Interstitial cystitis
Urinary tract infection
Sexually transmitted diseases
Overactive bladder

Here are some common conditions that a professional urologist treats:

1. Postpartum Urinary Incontinence

This condition is common in new mothers. They lose control over their bladder and involuntarily leak urine. Especially when they cough, laugh, sneeze, or perform other strenuous activities. If you find it hard to control your urine, you should visit a urologist for diagnosis. Many women feel anxious when they experience this condition. But, incontinence is normal after pregnancy.

But, you should consult with a urologist so they can diagnose for other underlying conditions that might cause involuntary urination. The doctor will suggest less invasive treatments such as behavioral and physical therapies to treat this condition. Surgical options are also available if the problem worsens or persists.

Most common female urological problems

2. Overactive Bladder (OAB)

Overactive bladder is a combination of symptoms caused by an underlying urinary problem. In this condition, you might have the frequent urge to urinate. Usually, older women suffer from this condition as aging side effects. Also, lifestyle choices such as drinking habits and excessive caffeine intake can lead to an overactive bladder.

A urologist will recommend ways to modify your behavior. Furthermore, they will suggest treatment methods such as medications and physical therapies to treat the condition. Implantable bladder pacemaker and botox injections are some non-invasive options.

3. Urinary Tract Infection (UTI)

UTI infects a complete urinary system, but the urethra, the bladder, and other lower urinary tract are common targets. This infection is common in women, but men can also develop this condition. If you experience pain while urinating, bloody urine, or pressure in the lower abdomen, you should immediately consult a urologist. If you delay, the complications can be worse, especially when the infection reaches the kidneys.

The common contributing factor to UTI is lifestyle choices. That’s why the doctor will ask you various questions related to your lifestyle. They will ask you to increase your water consumption. If you develop the infection because of anatomic problems, the doctor will recommend vaginal estrogen creams. The cream will balance the pH level of the body. With the change in pH levels, the bacteria won’t survive.

4. Pelvic Organ Prolapse

Pelvic organ prolapse occurs when the pelvic organ such as the bladder moves or drops from its actual place. You might experience organ prolapse in the pelvic region because of weak muscles. These muscles hold the organ, but after the surgery or childbirth, they become weak.

When the body organ prolapsed it moves near the vaginal wall. This results in discomfort in the vagina. Furthermore, you might also notice a bulge in the vagina due to pelvic organ prolapse. The pressure increases when you cough or stand.

If you experience pain and sensation in the vagina, you should consult a urologist. They will diagnose your condition and recommend a surgical procedure. However, the surgery doesn’t need to bring back the organ to the right location. But, instead, it supports muscles and reduces symptoms until the organ naturally returns to its position.

5. Pelvic Floor Dysfunction

The pelvic floor is a layer of muscles that support the vagina, bladder, and rectum. Particularly after childbirth, it moves from the actual position and causes inflammation and irritation. If you develop this condition, you might find discomfort to pass a bowel movement and urinate. The condition can lead to frequent urination, pain during intercourse, and lower back pain. Muscle injections and vaginal medications may help to relax pelvic floor muscles.

Common Female Urological Problems: Conclusion

Are you in need of an experienced urologist in New York for the treatment of the above-mentioned urological conditions? If yes, then you should visit Fifth Avenue Urology. At Fifth Avenue Urology, we have experienced and specialized urologists with many years of experience treating common female urological problems.

Call us today for a free consultation and to schedule an appointment.

FIFTH AVENUE UROLOGY
5 East 83rd Street
New York, NY 10028
212-675-3186

What Do Urologists Treat In Women?

There are certain conditions that women go through, which require them to consult a specific specialist to get treatment. Just like men have conditions such as erectile dysfunction or impotence, women also experience conditions related to the urinary tract system.

However, in both cases where the women or man faces a concern regarding the urinary tract or reproduction system, a urologist will be the one they need to seek advice.

What Do Urologists Treat In Women?
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While urologists treat both men and women, this post focuses on when a woman should see a urologist and what conditions and diseases do they treat in women. We’ll be covering everything you need to know, so invest a few minutes and continue reading.

Who Is A Urologist?

First, we must cover what urology is. It is the branch of medicine that concentrates on surgical and medical diseases that both men and women face with their urinary tract system. This system produces, stores, and excretes urine from the human body.

Urologists treat all related diseases and conditions, including conditions with the bladder, adrenal glands, and kidney-related issues.

They use their expertise and knowledge of urology to find a solution and proper treatment for the patient. All treatments and examinations may vary depending on the severity of the case.

Types Of Urolgical Treatments for Women

The following are the specific diseases of the urinary tract system that a woman may encounter and must visit a urologist for medical help.

Urinary Tract Conditions

It is common among women to encounter a urinary tract infection at some stage in life. This infection occurs only when the bacteria enter the urinary tract. It can cause a burning sensation while urinating, which is also a symptom of an infection in their urinary tract.

Urinary tract infection in the bladder can be painful; you may feel a sudden need to urinate and go to the bathroom constantly. However, they will also have trouble when it times to urinate. If the infection spreads to your kidneys, it can lead to complications.

A common method urologists use to treat this infection is using antibiotics.

Trouble Controlling The Bladder

This trouble of controlling the bladder occurs in women of all ages but is most common when they are older. Women are more prone than men to go through this problem. The loss of control on the bladder is also known as urinary incontinence.

What happens when women have this condition is that they face problems while holding back the urine. Urinary incontinence may result in leakage in circumstances where the body is under stress and makes sudden or rapid movements such as sneezing or even coughing.

It is also quite common to have a persistent urge to urinate during and post-pregnancy. This problem usually occurs when the bladder does not have any strong support from the muscles surrounding them. Urologists can simply look into the severity of your situation and proceed with the relative treatment.

The most common method of preventing this problem from occurring or treating it when it does happen is to exercise. It is good to work on your pelvic floor muscles as they support the bladder. Besides, if the case is too severe, the urologist may prescribe medication or opt for surgery.

Cancer In The Parts Of The Urinary Tract

A very severe condition that develops in multiple parts of the urinary tract is cancer in the bladder, kidneys, and the urethra. This condition may result in pain while urinating and even blood in the urine.

What Problems do Urologists Treat In Women?
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Other than this, a patient may feel intense pain in the lower back area and will have the urge to constantly go to the bathroom. You may feel pelvic pressure, painful urination, and discomfort in the lower abdomen.

The urologist may perform a cystoscopy to see inside your bladder and urethra. They might do biopsies and perform cystectomy to remove the bladder. Urologists may also treat this disease through chemotherapy, surgery, and radiation.

Bladder Falls From Original Position (Bladder Prolapse)

This is condition happens when the muscles or walls that are in the middle of the vagina and bladder lose strength. This results in the bladder to fall from its original position into the vagina. Women who have recently gone through pregnancy are more prone to develop this condition.

Other than this, women who tend to lift heavy things, whether related to home chores or heavyweight lifting may also be prone to this condition. Obesity is another reason for this to happen, and growing age may also result in this condition to occur in some women. This is mostly due to hormonal changes as women grow older.

Surgery is the main treatment for this particular condition. The urologist would do the necessary research and devise the right procedure to get the bladder back to its original position.

Fifth Avenue Urology: Experts In Female Urological Conditions

As you can see, preceding were some of the urological conditions and diseases that affect women. If you ever go through any of these conditions or face early symptoms of a particular condition, do not hesitate to visit a urologist. Whether you feel the persistent need to urinate, pelvic pain, or other issues, contact Fifth Avenue Urology today. We have a dedicated team of urologists to help you with your conditions.

FIFTH AVENUE UROLOGY
212-675-3186