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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.


Tag Archives: Bladder Control

Sacral Neuromodulation: Restoring Bladder Control for Urge Urinary Incontinence

Sacral Neuromodulation for bladder controlLiving with urge urinary incontinence (UUI) can be a daily challenge, impacting your comfort and confidence. But there’s hope. Sacral neuromodulation, a cutting-edge treatment, offers a way to regain control over your bladder and significantly improve your quality of life. Let’s explore how this remarkable procedure is restoring bladder control for those with UUI.

Understanding Urge Urinary Incontinence (UUI)

UUI, also known as overactive bladder (OAB), is characterized by sudden, intense urges to urinate, often leading to involuntary leakage. It can disrupt your daily routine, social activities, and overall well-being. UUI can result from various factors, including bladder muscle overactivity and neurological conditions.

What Is Sacral Neuromodulation?

Sacral neuromodulation is a minimally invasive procedure that involves the implantation of a small device, similar to a pacemaker, near the sacral nerves in the lower back. These sacral nerves play a vital role in controlling bladder function. The device delivers mild electrical impulses to modulate the nerve signals, helping to regulate bladder activity.

The Sacral Neuromodulation Procedure

The sacral neuromodulation procedure typically involves the following steps:

  1. Trial Period: Before permanent implantation, a trial period is conducted to determine if sacral neuromodulation is effective for the patient. During this phase, a temporary lead is placed through the sacral foramina and connected to an external device.
  2. Permanent Implantation: If the trial period proves successful, a permanent implantation is performed. A small device is implanted under the skin, usually in the upper buttock area, and connected to the lead.
  3. Programming: The device is programmed to deliver electrical impulses that help regulate bladder activity. The patient can adjust settings as needed to achieve optimal results.

Benefits of Sacral Neuromodulation

UUI Sacral Neuromodulation treatment 2024Sacral neuromodulation offers several advantages for individuals with UUI, including:

  • Improved Bladder Control: The procedure helps reduce sudden urges to urinate and episodes of leakage.
  • Enhanced Quality of Life: Patients can regain the confidence to engage in daily activities without fear of accidents.
  • Minimally Invasive: The procedure is minimally invasive, with a relatively short recovery time.

Consultation with a Urology Specialist

If you’re considering sacral neuromodulation for UUI management, it’s crucial to consult a urologist who specializes in urological conditions. Dr. Yaniv Larish at Fifth Avenue Urology has extensive experience in diagnosing and treating UUI and can help determine if this treatment is the right choice for you. Don’t let UUI control your life.

Contact Fifth Avenue Urology today to schedule a consultation and explore restoring your bladder control.

FIFTH AVENUE UROLOGY
5 East 83rd Street
New York, NY 10028
Phone: 212-675-3186
https://www.fifthavenueurology.com/

Discover how this treatment is revolutionizing UUI management. Contact us today and take the first step toward a life with improved bladder control and confidence.

Bladder Control Problems: How are They Treated?

Bladder control problems sound trivial, but for those affected, it can cause immense psychological distress. Millions of people suffer from some form of incontinence ranging from needing to pee all the time, needing to pee within seconds of experiencing the urge to go, to stress incontinence; an inability to control bladder function.

Many people are too embarrassed to visit a urologist, but there are treatments available for bladder control problems.

Diet

The first thing to try if you suffer from an overactive bladder or urinary urgency is to cut out alcohol, caffeine and anything else that might be triggering your symptoms. For some people, this does the trick.

Medication

For those patients who suffer from an overactive bladder, medication can be effective. Anticholinergic medications block the signals between the bladder and the brain. In a normal person, the bladder only sends a signal to the brain when it’s full. In a person with an overactive bladder, something goes wrong and the brain thinks the bladder is full, even when it’s not.

Speak to your urologist about medications that might help ease the symptoms of an overactive bladder, but be aware that some medications have side-effects.

Behavioral Therapy

Cognitive behavioral therapy can be effective if medication isn’t working. It involves re-educating the brain and teaching the sufferer to go longer between trips to the toilet. Instead of reacting to the first bladder contraction and rushing to the nearest restroom, the patient has to wait a bit longer. In time, the urge to urinate lessons and the person is able to make fewer bathroom visits.

Pelvic Floor Therapy

Women with stress incontinence, i.e. an inability to hold urine when exercising, sneezing, or laughing often find their symptoms improve if they perform pelvic floor exercises. Often, bladder control problems are caused by weakness in the pelvic floor muscles, either because of childbirth or the natural aging process. A new treatment called is proving especially effective in pediatric patients.

If none of these treatments are effective, there are surgical options. Botox injections in the bladder can help to reduce urinary urgency by blocking the receptors between the bladder and brain. It is also possible to insert a surgical sling to support the urethra or bladder so it returns to its normal position.

Are you are suffering from bladder control problems? Don’t suffer in silence. Speak to an experienced NYC urologist today and find the right treatment for you.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.