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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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Tag Archives: Enlarged prostate

Understanding BPH (Enlarged Prostate) and Treatment Options in New York

Benign Prostatic Hyperplasia (BPH), commonly referred to as an enlarged prostate, is one of the most frequent urological conditions affecting men, particularly those over the age of 50. The condition involves the non-cancerous enlargement of the prostate gland, which can put pressure on the urethra and affect urinary function. If you’re experiencing symptoms of BPH in New York, it’s important to understand your treatment options and seek care from a qualified urologist.

Symptoms of BPH

The symptoms of BPH typically develop gradually and can vary in severity. Men often seek treatment when symptoms interfere with daily life or sleep.

Frequent urination, especially at night (nocturia)
Weak urine stream or difficulty starting urination
Sensation of incomplete bladder emptying
Urgency or inability to delay urination
Dribbling at the end of urination

These symptoms are not only uncomfortable but can also lead to urinary tract infections or bladder damage if left untreated.

Diagnosis of BPH

To diagnose BPH, a urologist will typically perform a combination of tests, including:

Digital rectal exam (DRE)
Urinalysis to rule out infections
PSA (Prostate-Specific Antigen) blood test
Uroflowmetry and post-void residual urine test
Imaging tests such as ultrasound or cystoscopy

These tests help determine the severity of the condition and rule out other possible causes like prostate cancer or urinary stones.

Non-Surgical Treatment Options for BPH

For many men with mild to moderate symptoms, lifestyle changes and medications can offer relief.

Medications: Alpha-blockers such as tamsulosin (Flomax) and 5-alpha-reductase inhibitors like finasteride (Proscar) are commonly prescribed to relax prostate muscles or reduce prostate size.

Behavioral Modifications: Reducing fluid intake before bedtime, avoiding caffeine and alcohol, and practicing double-voiding (urinating twice in a row) may also help manage symptoms.

Minimally Invasive and Surgical Options

When medications fail to provide sufficient relief or side effects become intolerable, minimally invasive or surgical options may be considered. Advances in urological surgery now offer several effective approaches:

UroLift® System: This procedure lifts and holds the enlarged prostate tissue so it no longer blocks the urethra. It’s often performed in-office and doesn’t require ongoing medication.

Transurethral Resection of the Prostate (TURP): Considered the gold standard for BPH surgery, TURP involves removing a portion of the prostate through the urethra to relieve pressure.

Laser Therapy: Laser treatments like GreenLight™ use concentrated light to remove excess prostate tissue with minimal bleeding and faster recovery.

Understanding BPH (Enlarged Prostate) and Treatment Options in New York: Conclusion

If you’re experiencing urinary symptoms associated with BPH, timely diagnosis and treatment can dramatically improve your quality of life. In a city like New York, access to advanced diagnostic tools and minimally invasive treatments makes managing BPH more efficient than ever. Don’t wait for symptoms to worsen—consult with an experienced urologist to explore your best options.

Personalized BPH Care with Dr. Yaniv Larish

At Fifth Avenue Urology, Dr. Yaniv Larish specializes in diagnosing and treating benign prostatic hyperplasia using both medical and advanced surgical techniques. He offers expert guidance tailored to each patient’s needs, helping New Yorkers manage urinary symptoms and improve bladder function.

Whether you’re seeking non-surgical treatments or the latest in minimally invasive BPH procedures, Dr. Larish provides compassionate, cutting-edge care.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com/

What is Benign Prostate Hyperplasia (BPH)?

What is benign prostate hyperplasia (BPH)? We’ve outlined relevant details about BPH in this article, including common symptoms, causes, risk factors, diagnosis methods, and treatment options.

Benign prostate hyperplasia (BPH)

Benign prostate hyperplasia (BPH) implies a urological condition where the bladder becomes enlarged. BPH exclusively affects men aged 51-60 who experience a blockage in the smooth release of urine. Benign prostatic hyperplasia could also lead to renal (kidney), urinary tract, and urinary bladder issues.

A men prostrate grows to twice its original size during the early phase of puberty. The gland experiences a second growth phase when a man becomes 25, and it continues to develop consistently with age. An enlarging prostate creates pressure on the urethra, causing the latter to become narrowed or constricted.

The urinary bladder is unable to empty itself owing to urethral narrowing leading to the occurrence of BPH. The word ‘benign’ preceding prostatic hyperplasia implies that the condition is not cancerous. However, a man with BPH could always be vulnerable to cancer, not necessarily because he’s suffering from the former.

BPH Symptoms

As per our experience, the symptoms of BPH and their acuteness could vary from one individual to another. With time, the symptoms tend to deteriorate. The most common symptom is the urge to urinate frequently. Other usual symptoms of BPH comprise:

Nocturia or the increasing urge to urinate more often at night
Streamlined and intermittent urination, i.e., thin discharge that starts and stops time and again
Finding it difficult to urinate
Trickling after urination
Experiencing difficulty in emptying the bladder

The less common symptoms include:

Hematuria (blood in urine)
Urinary tract infection (UTI)

Causes

bph-symptonms-treatment-options-nyc-specialists-02 BPH tends to be idiopathic; researchers are yet to pinpoint the exact cause or causes behind the condition. The functioning of the testes and aging are generally regarded as the chief causative factors of benign prostate hyperplasia. The fact that men whose testes were surgically excised before they attained adolescence do not develop BPH lends credence to the above postulations.

As men grow older, the production of male hormone testosterone decreases, which tilts the balance in favor of estrogen. Incidentally, men also produce a small proportion of the female sex hormone estrogen. This imbalance leads to a proliferation of substances that trigger the incidence of BPH.

A large number of medical experts also feel that increased levels of DHT (dihydrotestosterone) could also cause BPH. Other potential causes of BPH are:

Bladder or prostate cancer
Kidney or bladder stones
Urethral stricture (narrowing)
Prostatitis
UTI

Complications or risk factors of BPH

The likely complications of benign prostate hypertrophy are:

Kidney damage
Bladder damage
Bladder stones
UTIs
Urinary retention (the inability to empty the bladder)

The possible risk factors comprise

Obesity
Heart disease
Diabetes
Genetic predisposition
Aging

Diagnosis

Our urologists review patients’ medical history and analyze the symptoms and perform one or more of the following assays for confirming BPH:

PSA
Urinalysis
Urinary blood exam
Physical exam
Digital rectal exam (DRE)
Prostate ultrasound
Urodynamic pressure test
Cystoscopy

We also carry out another diagnostic test for establishing whether a patient has BPH.

Treatment

We offer a range of treatment options at Fifth Avenue to BPH patients, including medicines (alpha blockers and alpha reductase inhibitors), self-catheterization, surgical procedures, and lifestyle changes.

Schedule a Confidential Consultation Today

Our urologists at Fifth Avenue Urology, Drs. Michael Brodherson, Leonard Glickman, and Yaniv Larish provide exemplary urological care. We’re fully conversant with the issues involving the human urological system, starting from the kidneys up to the reproductive system. At the same time, we’re aware of the physical and psychological aspects of urological conditions.

We treat all urological issues. The urological services we proffer comprise treatment for prostatitis, incontinence, kidney, prostate, testicular, and bladder cancers, vasectomy, circumcision, and BPH.

Talking about BPH, we regularly offer consultation and treatment to men in their fifties and sixties with an enlarged prostate.

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

References

Enlarged Prostate Information

Seeking Advice for an Enlarged Prostate

There are many men that suffer with various problems with their prostate gland and for some it can cause a lot of issues. This gland is one that is only found in men and as men get older, the risk of prostate problems can increase. One of the issues that can affect men is an enlarged prostate and this problem is very common in middle-aged and older men. For those that do develop an enlarged prostate, seeking expert help as early on as possible is important so that the problem can be addressed without delay.

Some of the symptoms and signs of an enlarged prostate

While an enlarged prostate is most common in older men, it is important to note that it can also affect some younger men as well, so it is a problem that you shouldn’t rule out just because you are in your twenties or thirties. Some of the signs and symptoms that are associated with this medical issue include:

Difficulties when trying to urinate
Urinating more regularly
Takes longer for the urine to come out
Difficult sleeping due to a sensation of wanting to urinate
Possible lower back pain
Possibility of erectile dysfunction

A combination of these signs and symptoms could indicate you have an enlarged prostate and that you need to see a specialist so that a form diagnosis can be made.

Diagnosis and Treatment of Enlarged Prostate

In order to get an enlarge prostate firmly diagnosed, you need to go and see a urologist as they specialize in this type of medical issue. A range of tests are then performed so that the condition can be confirmed and this includes an examination of the prostate.

The causes of an enlarged prostate can vary and as a result so can the treatments. Once the urologist has examined your prostate and confirmed that it is enlarged, further tests will be carried out to determine the cause. Treatment is then arranged according to the cause of the problem. The earlier you get in touch with a urologist with regards to a possible enlarged prostate, the more quickly a diagnosis can be made and treatment arranged.

Come and see the best urologist in Manhattan for your Enlarged Prostate

If you are experiencing some or all of the symptoms of an enlarged prostate, you should make arrangements to see a urologist as soon as possible. Get in touch with the best urologist in Manhattan today and we will be happy to schedule a consultation.

Benign Prostatic Hyperplasia (BPH) – Enlarged Prostate

Do you suffer from an enlarged prostate also known as benign prostatic hyperplasia? Also known as BPH, this is somewhat of a common condition and one that should involve a consultation and treatment with your doctor. The prostate gland is located around the urethra. This is the tube that moves urine from your bladder out of your body. In some situations, this gland can get larger. When this happens, it puts pressure on the urethra and even blocks it. This can create problems for men during urination.

What Causes BPH?

Benign Prostatic Hyperplasia–Enlarged Prostate

There are various causes of this condition and one of the first things your doctor will do is to determine what the cause is if possible. It’s important to know that this is generally a normal part of the aging process. It is brought on, in most cases, by changes in hormones that are flowing through the body and in cell growth. For many men, it just happens as they get older.

What Can BPH Cause in Men?

Though the condition will impact men in different ways, it is likely to cause some of the following circumstances:
It can make it harder for men to get a urine stream started. In addition to this, it can also be harder for men to completely stop urinating. They may dribble.

It can create a weak stream of urine.
Men may feel the need to urinate more often. This may even cause them to wake up in the middle of the night.
You may feel as though your bladder is not fully empty even after urinating.

enlargedprostate2 In some cases, this condition can cause the bladder to become blocked. This makes it very difficult or even impossible for men to urinate. When this happens, it creates a backup that can damage the kidneys, create bladder stones or lead to bladder infections. That’s why it is important for men to seek out treatment from their doctors should they believe that they have this condition.

If you believe you may be suffering from BPH or an enlarged prostate, talk to your doctor about your symptoms. It is important to notice and take action to treat this condition if present to prevent it from worsening and leading to complications in urinary system health.

Learn more about your condition and contact the leading NYC urologists today at 212-675-3186.