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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: prostate cancer treatment

Prostate Cancer: Risk Factors, Screening, and Top Treatment Options

In this article, we will delve into the risk factors associated with prostate cancer, the importance of screening, and the various top prostate cancer treatment options available. Prostate cancer is a significant health concern for men worldwide. As the second most common cancer in men, understanding the risk factors, importance of screening, and available treatment options is crucial for early detection and effective management.

prostate problems

Risk Factors for Prostate Cancer

Several factors can contribute to an increased risk of developing prostate cancer, including:

1) Age

Prostate cancer risk increases with age, particularly after the age of 50.

2) Family History

Having a close relative, such as a father or brother, with prostate cancer increases the risk.

3) Ethnicity

African-American men have a higher incidence of prostate cancer compared to men of other ethnic backgrounds.

4) Diet

A diet high in red meat and high-fat dairy products and low in fruits and vegetables may contribute to an increased risk.

5) Obesity

Obesity has been linked to a higher risk of aggressive prostate cancer.

Screening for Prostate Cancer

Screening for prostate cancer involves regular evaluations to detect any abnormalities in the prostate gland. The two primary methods of screening include:

1) Digital Rectal Exam (DRE)

During a DRE, a urologist examines the prostate gland by inserting a gloved, lubricated finger into the rectum to feel for any irregularities or abnormalities in the size, shape, or texture of the gland.

2) Prostate-Specific Antigen (PSA) Test

The PSA blood test measures the levels of a protein called prostate-specific antigen in the blood. Elevated PSA levels may indicate the presence of prostate cancer, although further testing is required to confirm the diagnosis.

Top Treatment Options for Prostate Cancer

Top prostate cancer treatment NYC 2023Treatment for prostate cancer depends on various factors, including the stage and aggressiveness of the cancer. Common treatment options include:

1) Active Surveillance

For slow-growing or early-stage prostate cancer, closely monitoring the cancer through regular check-ups may be appropriate.

2) Surgery

Surgical removal of the prostate gland, known as a prostatectomy, may be recommended to remove the cancerous tissue.

3) Radiation Therapy

High-energy X-rays or other forms of radiation are used to target and destroy cancer cells.

4) Hormone Therapy

This treatment aims to suppress the production of hormones that fuel the growth of prostate cancer cells.

5) Chemotherapy

In advanced cases, chemotherapy may be used to kill cancer cells or slow their growth.

Contact Fifth Avenue Urology for Top Prostate Cancer Treatment

If you or a loved one has been diagnosed with prostate cancer or is concerned about the risk factors, the experienced team of urologists at Fifth Avenue Urology, led by Dr. Yaniv Larish, is here to provide comprehensive and compassionate care.
Our dedicated team will work with you to develop a personalized treatment plan based on your specific needs and the stage of prostate cancer. We understand the importance of early detection and are committed to providing you with the highest level of care and support throughout your journey.

Don’t face prostate cancer alone. Our compassionate team is here to support you every step of the way. Reach out to Fifth Avenue Urology now and take control of your prostate health.

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

Urology: Prostate Cancer Treatment

The prostate gland is present in the pelvis area behind the bladder. It is responsible for producing seminal fluid, which nourishes and helps transport sperm. The urethra in the middle of the prostate gland, and it’s responsible for carrying sperm out of the penis during ejaculation. Prostate cancer can occur when cells grow abnormally inside the prostate gland.

Urologist for prostate cancer treatment NYC
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However, there are few incidents of prostate cancer being fatal. In fact, in many cases, patients of prostate cancer and their doctors might even be unaware.

Types of Prostate Cancer

The most common prostate cancer is Adenocarcinoma. Others include:

  • Sarcoma
  • Small Cell Sarcoma
  • Neuroendocrine Tumors
  • Transitional Cell Carcinoma (TCC)

Prostate Cancer: Symptoms

It is advisable that you visit your doctor or have contact with Dr. Larish at Fifth Avenue Urology to work out the diagnosis and find out if you have prostate cancer or not. Initially, there are no significant symptoms of Prostate cancer. Nevertheless, some symptoms do develop at later stages of prostate cancer.

  • Frequent urge to urinate
  • Straining during urination
  • Pain in urination
  • Blood in urine or semen
  • Pain in the pelvic and lower abdominal area
  • Back pain
  • Infertility, in chronic cases
  • Swelling of one or two testicles

Although swelling of a testicle appears as a symptom of prostate cancer, it is not always the case. On the contrary, some men experience testicle enlargement due to their physical growth.

  • Erectile Dysfunction may occur due to prostate cancer or its treatment.
  • Prostate Cancer can metastasize. This means the spreading of cancer cells to other organs and parts of the body. It can spread to bones through lymph nodes and even affect the urinary tract system or the bladder.

Risk Factors

  • Family history- cancerous diseases, especially in close relatives such as siblings or parents, pose the probability of getting prostate cancer
  • Aging
  • Smoking and drugs
  • STDs
  • Various research is underway to confirm that after vasectomy, a man increases the chances of getting prostate cancer

Diagnoses

If you have experienced any of the symptoms above or feel that you might have prostate cancer, it is a good idea to visit a professional Urologist. Dr.Larish at Fifth Avenue Urology is a top nyc urologist with immense expertise in the field. Some of the diagnostic procedures are as mentioned below.

  • Urologist will assess your previous cancer history if there is any
  • He might also assess your family’s history of cancerous diseases
  • Urine sample for lab tests
  • Sperm samples for lab tests
  • Blood sample test to check the level of Prostate-Specific Antigen (PSA)

Under a high PSA level in your blood, the urologist may also advise MRI scans.

Best NYC Urologist | Prostate Cancer
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Prostate Cancer: Treatment

Your urologist will work with you to produce various combinations of treatment techniques and methods depending on the stage of your prostate cancer. Some common treatment methods of prostate cancer are as below.

  • Radiation Therapy; involves the use of high-energy x-rays to vaporize and cauterize the excess and abnormal cancerous cells present in the prostate gland or around it.
  • Chemotherapy; involves administering a drug that disperses throughout the body to prevent the progression and further spread of the cancerous cells.
  • Surgery; Safe surgical procedures also take place in order to remove the tumor(s) of the prostate gland entirely.
  • Hormone therapies; involve the urologist administering drugs that lower the testosterone levels in the body. Testosterone might serve as a fuel for cancerous cell development in the prostate gland. Therefore, reducing levels of testosterone can prevent the further progression of cancer.

Prevention of Prostate Cancer

Researchers and urologists advise certain prevention techniques to reduce the risk of prostate cancer. These areas are mentioned below.

  • A healthy diet involving a variety of colorful fruits and vegetables to provide anti-oxidants, which prevent the production of cancerous cells in the body
  • Exercising regularly or frequently every week to sustain a healthy blood flow
  • Avoiding sedentary lifestyles (excessive sitting, obesity, or unnecessary cycling)

Conclusion: Consult with an Urologist

At Fifth Avenue Urology, Dr. Larish provides extremely professional and compassionate care to his patients. He can diagnose prostate cancer and find suitable treatments.

Fifth Avenue Urology
5 East 83rd Street
New York, NY 10028

Book an appointment: 212-675-3186

Or Contact us on our main website.


References:

  1. https://www.nhs.uk/conditions/prostate-cancer/diagnosis/#:~:text=The%20GP%20is%20likely%20to,bottom%20%E2%80%93%20called%20digital%20rectal%20examination
  2. https://www.cancer.gov/types/prostate
  3. https://www.cancercenter.com/cancer-types/prostate-cancer/symptoms?invsrc=non_branded_natural_search_google
  4. https://www.medicalnewstoday.com/articles/150086
  5. https://www.nhs.uk/conditions/prostate-cancer/
  6. https://www.uclahealth.org/urology/prostate-cancer/what-is-prostate-cancer
  7. https://www.pcf.org/about-prostate-cancer/prostate-cancer-treatment/hormone-therapy-prostate-cancer/
  8. https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/how-diagnosed.html
  9. https://www.cancer.org/cancer/prostate-cancer/about.html
  10. https://www.cancer.org/cancer/prostate-cancer/causes-risks-prevention/risk-factors.html
  11. https://www.urologyhealth.org/urology-a-z/p/prostate-cancer
  12. https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087

Future Outlook for Prostate Cancer Treatment

future-prostate-cancer-treatment-outlook-01All patients diagnosed with prostate cancer who visit our urology clinic, inevitably ask ‘what is the future outlook for prostate cancer treatment?’ Prostate cancer, like any other type of cancer, can be life-threatening, especially when it is an advanced stage. However, even the most experienced cancer specialists and urologists may not be able to say exactly how long prostate cancer will live.

Basic factors affecting the outlook for prostate cancer

Though it may be impossible to make an accurate prediction, an expert may be able to guesstimate a prostate cancer patient’s lifespan, following treatment. We predict the lifetime based on specific factors including:-

  • Effectiveness of the treatment: Effectiveness of the treatment is evidenced by whether the therapy helps to get rid of cancer or prevent it from metastasizing
  • PSA level: PSA assays, following diagnosis, could help keep a strict watch on the state of cancer as well as review whether the treatment is proving effective
  • Overall health: Patients with health issues may not be in a position to undergo treatment.
  • Consequently, they’re at greater risk of dying from cancer or other diseases
  • Treatment options: Treatment options could help remove cancer or keep it from spreading further
  • The cancer stage: When a patient reports for diagnosis, his cancer could be an advanced stage, locally advanced or localized

Outlook for Advanced Prostate Cancer

Research and studies indicate that advanced stage prostate cancer is by and large incurable. Additionally, we know from experience that patients diagnosed with advanced prostate cancer have only a few years to live. However, if such patients opt for treatment periodically, they can control their affliction, and prolong their lifetime.

Treatment could also go a long way in monitoring and controlling the prostate cancer symptoms when it comes to choosing a treatment process, one-size-does-not-fit-all.  In other words, what works for one patient may not work for another. In this context, if a patient does not respond well to a specific treatment procedure, he should not feel dejected.

He could opt for other therapies, and more often than not, one of these will surely prove effective.

Outlook for Locally Advanced Prostate Cancer

Men diagnosed with locally advanced prostate cancer could opt for treatment either to remove the tumor or keep it under wraps. We’ve observed that in many cases, cancer recurs within a few months after treatment. We recommend patients with recurrent patients to go for repeat treatments to prevent the malignancy from progressing.

Resorting to hormone therapy can be quite effective in controlling metastasis, often for many years. There are other therapeutic options in case hormone treatment does not work for some patients.

Outlook for Localized Prostate Cancer

Localized prostate cancer pertains to the first stage of this type of cancer. At this stage, cancer progresses very slowly, and usually, the patient can do without any form of treatment. However, patients with localized prostate cancer can undergo treatment for getting rid of the carcinoma at the outset.

In rare cases, cancer can return, even after undergoing treatment. In such instances, choosing additional treatments seems to be the way to go.

Conclusion

Fortunately, if prostate cancer can be detected in the initial stages, the majority of patients could go on to live their normal lifespan.

At Fifth Avenue Urology, our urologists have the experience and capability to deal with all forms of prostate cancer. For a consultation, schedule an appointment with our specialists in NYC today.

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References

  1. https://www.webmd.com/prostate-cancer/prostate-cancer-survival-rates-what-they-mean#1
  2. https://prostatecanceruk.org/prostate-information/just-diagnosed/what-is-my-outlook