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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

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Category Archives: what is urethroplasty?

About Urethroplasty

Have you thought about urethroplasty and wondered if it was an option in your case? Some men will undergo an urethroplasty as a way to manage their urethral stricture, also known as scar. Your doctor may recommend this procedure if you are having problems with your urinary tract. It can be helpful in reducing urinary symptoms in many men. It’s important for you to discuss your case with your doctor to fully understand if this is a procedure that is right for you. Learning about urethroplasty is often the first step in this process.

What Options Are Available in Urethroplasty?

The term urethroplasty refers to any type of procedure in which there is a repair of scars involving surgery. The most common form is a simple, one-stage repair. However, there are additional options available depending on the location of the scar as well as the length of it. Doctors may consider other options such as:

Excision of the stricture, as a first step, and then the reconnection of the urethra
A graft reconstruction procedure performed after the excision
Or a graft reconstruction procedure used as an only option

In many cases, the one stage repair is the most common. Only about 10 percent of men will need to have a multi stage procedure, which means there will be several procedures performed over a year.

What Can This Procedure Do For You?

While everyone’s needs and outcomes will differ, most men see benefits from this procedure. Generally, about 90 percent of men are cured of their urinary symptoms. Some men will need more complex repairs and others will see little improvement. However, most men will learn of their potential benefits when speaking with their doctor.

What Are the Risks?

There are some risks associated with urethroplasty, as there are with any type of surgical procedure. The most common are those related to anesthesia, infection, and blood loss. Some men may have pain in the area and others suffer chronic conditions. This is not common. Some men will experience changes in sexual function. However, it is uncommon for poor quality erections or penile shortening, as well as curvature or ejaculation changes to occur.

For men that may have a need for urethroplasty, it is important to talk to an experienced doctor who specializes in this type of care. Contact our offices in NYC to learn more about your options and needs.

What is Urethroplasty?

Best Ureologist for Urethroplasty NYC1 Urethroplasty 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?

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?

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