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.

Yaniv M. Larish, M.D.

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.

Tag Archives: Vascular ED

Is Erectile Dysfunction Reversible?

One of the common questions is whether or not the ED is reversible?

Unfortunately, with a few exceptions* the answer is NO.

This makes it such that treatment is needed to resume intercourse.

*The exceptions are

Psychogenic ED
Vascular ED
Hormonal ED
Smoking related ED

Psychogenic ED:

Is more common in younger men. Anxiety is the hallmark of psychogenic ED. The anxiety can be based upon fear of failure, fear or intimacy, fear of sexual adequacy. When a person is anxious, his fight or flight hormones –the adrenalines- are released and those hormones can completely prevent or prematurely stop an erection.

Vascular ED:

Is caused by damage to the arteries going to the penis. In younger men this can happen after trauma, such as a pelvic fracture or a straddle injury ( when you jump over a fence and don’t make it). That injury can be corrected with micro-vascular surgery. Quitting smoking helps to decrease vascular compromise as well.

Hormonal issues:

This usually involve low testosterone levels. This is not a common cause of ED. However, particularly in men with a very low sex drive, this is a cause that needs to be ruled out and can be done with a simple blood test.

Smoking:

Smoking leads to plaque build up in the arteries. This is called atherosclerosis. The build up of plaque obstructs some of the blood flow to the penis. Smoking a pack a day or more lead to a 60% greater risk of ED when compared to non smokers in a recent study.

If you suffer from Erectile Dysfunction call Dr. Arnold Melman today. He is the leading Urologist in NYC for the treatment of ED.

Stay tuned for our next blog post on the Treatment of Erectile Dysfunction.

Putting Patients First

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