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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212-675-3186

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:

Tag Archives: Best Urologist NYC

A Guide to Selecting the Right Urologist

A urologist doctor is a specialist who can determine daunting problems associated with your urinary tract. Apart from this, the specialist doctor can assist men and women regarding their reproductive health. Moreover, once you notice signs such as pain in urination, urge to urinate frequently or even erectile dysfunction you need to visit a urologist. That is where you think about finding a right urologist doctor regarding your health condition. In case of experiencing urinary tract problems for the first time, patients find it difficult to look for an experienced urologist. But not anymore, here’s how you can find a good doctor:

Your Primary Care Doctor Can Help

You can start your journey by asking your primary care doctor. If he identifies your symptoms are indicating a serious problem, he must know a urologist who specializes in treating urinary tract problems associated with kidneys, prostate, bladder, and certain cancers. Therefore, your general physician can provide a list of an experienced urologists. You can also take references from your friends or family.

Look for Certifications

Selecting the right urologist doctor also involves his board certifications. By learning your doctor’s credentials, you will identify whether he has got training, skills, and experience to assist and to provide you with required urologic care or not. This way you will get a chance to learn about the urologist’s history in the respective field.

Prefer an Experienced Urologist

Another leading factor associated with choosing the right urologist doctor is his experience. It is evident that an experienced doctor has plenty of knowledge regarding health problems as he dealt with similar patients numerous times before. He will provide practical solutions that will result in your better health. An experienced urologist doctor can also suggest whether your health condition needs surgery or medication would be enough.

Hospital Quality

Top Urologist Considering the reputation of the hospital is necessary for you to determine how urologists treat patients there. It includes pre and post-surgical care, professionalism of the staff and other services. A high-quality hospital pays attention to factors like these that result in fewer complications and an increased rate of survival.

Communication

You need to communicate with your urologist regarding your condition. Your doctor should provide you enough information in this regard and should be able to understand your complications rather than prescribe a solution. You can evaluate his professionalism by asking a couple of question. If he answers with concern and determines to learn about your family history, you should precede otherwise look for an experienced urologist doctor.

Gender

Urologists often specialize in specific urologic conditions such as stress incontinence in women and an enlarged prostate in men. Therefore, ask about his training and experience regarding your health.

Bottom Line

Urinary tract complications are daunting and should be tackled with extra care. Therefore, schedule an appointment immediately with the best urologist doctor in New York.

Call our offices today at 212-675-3186.

Doctor for Kidney Stones NYC

The Painful Truth about Kidney Stones

When asked if you would prefer to be in labor or have a kidney stone I bet you would state that you would prefer childbirth over a kidney stone any day. This is an answer which I have heard many times. It’s no lie Kidney stones are one of the most painful of most urological disorders and also one of the most common problems treated in urology clinics by your urologist and emergency rooms annually.

What is a Kidney Stone?

A kidney stone is a hard mass which can develop from crystals that separate from the urine within the urinary tract. If the crystals stay small they can travel through the urinary tract and can pass out of your body in your urine without even knowing it.

Kidney stones are a combination of chemicals, the most common kidney stone is composed of calcium combined with oxalate or phosphate-chemical which is a normal part of our body composition.

Symptoms of Kidney Stones

Usually a kidney stone doesn’t cause any noticeable symptoms, but when it does it can be extremely painful, which is caused due to the stone moving into the urinary tract and blocks the flow of urine. The most common symptoms of a kidney stone is a sharp cramping pain in your back or in your lower abdomen, later the pain may spread to the groin. If the kidney stone is large and cannot pass the pain can intensify; as the wall of the ureter tries to squeeze the kidney stone into the bladder. During this time, you may see blood in your urine and have burning when you urinate. Do not try to ride this out alone, seek the help of your urologist.

If you are experiencing kidney stone symptoms and/or have a fever and chills contact us immediately to schedule an appointment with the best Urologist in New York City!

Prostate Enlargement

Prostatitis/Prostate enlargement is an abnormal swelling of the prostate gland often due to an infection. Your prostate is located below the male’s bladder and is responsible for making some of the semen fluid.

Prostate Enlargement Symptoms

The prostate enlargement symptoms are: Prostatitis
•    An urge to urinate often, but you only void small amounts of urine each time
•    Difficulty starting the urine flow or keeping the flow steady
•    Dribbling after urinating
•    A need to get up and go to the bathroom often during the night
•    Lower back pain
•    Testicle and anus pain which become worse when having a bowel movement
•    In some cases a fever and chills may be present

An urologist can often make an accurate diagnosis of prostate enlargement just by your description of your symptoms and your health history. Your urologist will want to do a physical examination first, followed by a digital rectal examination to determine which treatment will ease your discomfort and pain.

Treatment of prostate enlargement

Usually treatment for an enlarged prostate begins with taking an antibiotic to cure the infection involved and prevent further complications. If you are unable to urinate you may be admitted to the hospital for treatment for several days.

Depending upon the severity of the prostate enlargement treatment can last from 4 to 12 weeks. If prostate stones are causing he condition you may need surgery to remove them; although this condition is rare.
The key goal of treatment is to alleviate the symptoms such as:
•    Muscle relaxants for prostate spasms
•    Pain medications such as NSAID’s
•    Medications to reduce anxiety
•    Antibiotics to cure the infection, which may be the primary cause of your prostate enlargement

Contact us immediately if you develop a sudden fever, chills, pain, pus or blood in your urine, to schedule an appointment with the best urology doctor in NYC.

Pelvic Prolapse

Pelvic prolapse is a urological condition where a pelvic organ such as the vagina may fall out of its normal position due to weakening of the muscles and skin of the vagina walls. This is a condition which you need to seek treatment from your urologist and possibly surgery or it can become worse causing the structures to fall further into the vagina or its opening.

30%-40% of women older than 40 years may develop some form of pelvic prolapse. Pelvic prolapse occurs more often after menopause or a hysterectomy.

What are the Symptoms of a Pelvic Prolapse?

Some women never experience any symptoms when pelvic prolapse occurs, but most women will experience pelvic pressure, pain and discomfort which can affect their sexual functions and make urination and defecation painful and uncomfortable. You may experience urinary incontinence and leakage as a result of the pelvic prolapse.

Forms of Pelvic Prolapse

Rectocele

Is a prolapse of the rectum. This involves a prolapse of the vaginal wall. When the vaginal wall weakens, the rectal wall will push against the vaginal wall, creating a bulge. When having a bowel movement the bulge can be seen in many cases.

Cystocele

Is a prolapse of the bladder. This can occur when the face wall of the vagina fails; as a result, the bladder may collapse into the vagina. When this happens, the urethra may prolapse, as well. This may cause urinary incontinence or a leakage of urine.

Prolapsed Uterus

This involves a deterioration of the ligaments at the top of the vagina; this causes the uterus to fall, which causes the weakening of the vagina.

Call Us Today!

Women often fail to seek treatment due to embarrassment, this condition is more common than not and to prevent further damage, you must call us today to schedule an appointment with the best urologist in NYC. Your quality of life depends upon this

Cystoscopy

What is a Cystoscopy?

Cystoscopy is a test which allows your urologist to look inside of the bladder and the urethra using a lighted instrument called a cystoscope.

The cystoscope is inserted into your urethra and slowly advanced into the bladder. The cystoscopy allows the urologist to look at areas of the bladder and urethra which usually do not show up well on x-rays. Tiny surgical instruments are then inserted through the cystoscope which allows your urologist to remove tissue samples or urine samples.

Reasons for a Cystoscopy

There are various reasons why your urologist may wish to perform a cystoscopy, one of the most common reasons is to find the cause of symptoms such as:

· Blood in the urine, pain while urinating, urinary incontinence, and an inability to pass urine or an urgency of urine.

· Often a cystoscopy is done when a person has reoccurring urinary tract infections or medications are ineffective when treating the urinary tract infections.

· Looking for blockages in the urethra caused by an enlarged prostate, kidney stones or tumors.

· To remove tissue samples for biopsy

· To remove foreign objects

· For the placement of a urethral stent to help urine to flow from the kidneys to the bladder.

Cystoscopy can be performed in the urology procedures area of a urology clinic or in the hospital if an overnight stay is required. Most often a cystoscopy is done as an outpatient procedure unless spinal or general anesthesia is needed.

For further information about the Cystoscopy procedure, contact us today to make an appointment with the best urologist in NYC, and get the answers you need.

What is Hematuria?

Hematuria is the presence of blood in your urine, and though it may alarm you at first, there are often benign reasons for this occurrence. Yet, blood in urine can be a sign of a serious medical condition; nonetheless, it shouldn’t be ignored. All cases of Hematuria should be evaluated by an urologist who can order tests to verify or rule out a primary cause. The most common symptoms of Hematuria include blood clots or red, pin, orange or brown color in urine.

Hematuria Tests

Most causes of blood in the urine are not serious, but some may be. Your urologist may order one or more of these tests:
• Urinalysis: to test for a possible urinary tract infection or kidney disease

• Blood test: to test for kidney disease

• Kidney imaging studies: to test for a tumor, kidney or bladder stone, inflamed or enlarged prostate, or obstruction to urine flow

• Cystoscopic examination: to check for a tumor or kidney stones
Frequent causes of blood in urine include:
• Infections of the bladder or kidneys

• Bladder or kidney stones

• Certain inflammatory kidney diseases

• An enlarged prostate (prostatis) or prostate cancer

• Diseases such as sickle cell anemia and kidney disease

• Medications such as aspirin, an antibiotic or heparin

• A tumor of the kidneys, bladder, or prostate

• Injury of the kidneys due to an accident or sports

• Vigorous exercise-in some cases people who engage in athletic training can experience Hematuria

Treatment of Hematuria

Treatment is aimed at the primary cause. After treatment, your urologist will recheck your urine to see if the blood is still present. If you continue to have blood in your urine, you may need additional tests. Usually, no treatment is required unless a serious condition is causing the Hematuria.

Consult a Doctor

If no primary cause is found during the preliminary evaluation, you may be advised to have follow-up urine testing and blood pressure monitoring every three to six months, especially if you have possible risk factors for bladder cancer, such as being over the age of 50, cigarette smoking, or daily contact with certain industrial chemicals.

Call us today to set up a prompt appointment with the best urologist in NYC, because even if you only see blood once in the urine, it is important for your health and well being to have it checked out, and be sure to inform our staff about the blood when you call.

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.

Top Urologist NYC introduction

Welcome to my new blog. My goal is to educate, enlighten and entertain my readers about all things Urology related.

With over 25 years of experience in practicing and teaching Urology, Dr. Melman, is one of the top urologists in NYC.

He is at the forefront of research and treatment of all urological problems and treatments. These subjects include:

Erectile Dysfunction
BPH – Benign Prostate Hyperplasia
Urinary Incontinence
Penile Implant Surgery
AMS 700
Vasectomy
Penile Curvature
Peyronie’s Disease
Prostate Cancer
Urethral Stricture
Enlarged Prostate
And many more topics

Check back often to read my new blogs on all things Urology. Feel free to comment and post questions or request future blog topics.