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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: vasectomy procedure

How Does the Vasectomy Procedure Work?

A doctor may recommend the vasectomy procedure when you decide that you’re not looking to have children anymore. In this procedure, the urologist will block sperm cells from mixing with semen. Consequently, a vasectomy results in an ejaculation that is free of sperms to avoid pregnancy. You may also undergo treatment for various health diseases, such as scrotal skin infection, swelling in the penis, testicles, or sperm duct. A common misconception is that once you get a vasectomy, you can’t have orgasms, but this is not true. This procedure does not affect your ability to ejaculate and have sex either.

vasectomy procedure nyc
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A vasectomy is a routine procedure for a professional doctor. It will only take about 30 minutes to complete the procedure. The doctor will perform the surgery in their office and you can go home once you are done. You can also refer to this treatment as male sterilization, getting snipped, or the snip. You can consult with Dr. Yaniv Larish, a renowned urologist in NYC, by contacting Fifth Avenue Urology.

Effectiveness of Vasectomies

Vasectomy is almost 100% effective but, only in rare conditions, the vas deferens tubes can rejoin, which reinstates your ability to cause a pregnancy. After the reattachment of the tube, you will ejaculate the sperm along with semen.

Once you undergo treatment, you have to visit the doctor for follow-up tests. The urologist will analyze your semen to check if you are still ejaculating sperms or not. It is okay to ejaculate sperm soon after the treatment, but if it persists, you have to go through the procedure again.

How Does the Vasectomy Procedure Works?

Men ejaculate millions of sperm in each ejaculation. These sperms fuse with the egg cell, causing pregnancy. Testicles produce these sperm cells and mix with the semen through vas deferens. Vas deferens are a pair of tubes stretching from testicles to the penis.

Semen without sperms cannot cause pregnancy. Therefore, urologists cut the vas deferens tube, so the sperm does not mix with the semen and leave the body. After vasectomy, the sperms stay in the testicles. It may take up to three months for your body to completely prevent ejaculating the sperms. Nevertheless, the production and ejaculation would be the same. The only difference is that it won’t include any sperm. You won’t feel any difference between ejaculating and having an orgasm after the procedure.

Before the Procedure

When you visit the doctor for the first time, they will perform a physical examination and review your medical history. If you take any medication that might disrupt the procedure, they will ask you to avoid taking it for a while. You need to be honest with your doctor while talking about the medication you take as this may affect the results of your treatment. The urologist will ask you to avoid some medication one week before the vasectomy. Here are some medications you should avoid before the procedure:

  • Warfarin, clopidogrel, or other blood thinners
  • Anti-inflammatory drugs including aspirin

Follow these tips for the day of the vasectomy:

  • Wear comfortable clothes
  • Arrange your ride for reaching home after the surgery.
  • Shower before you leave the home for vasectomy
  • Follow medications as recommended by the doctor. You may also need mild sedatives before the process.

Urologist for vasectomy procedure
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You may only require local anesthesia for the procedure because the treatment is less invasive and only requires a tiny incision. The urologist will numb only the area. Also, they might give you medication for relaxation.

Three Different Vasectomy Methods

The urologist will use one of these three procedures for the treatment:

1.     Conventional Approach

The conventional method of vasectomy includes a tiny incision on each scrotum. This will disclose the vas deferens from the opening. The urologist will then cut the tube and stitch the ends of the tube. They might also cut a tiny piece of the tube. Then, your doctor will place the vas deferens back in the scrotum and close the incision with stitches.

2.     No-scalpel Vasectomy

The doctor will locate and clamp the vas deferens on the scrotal skin. They will punch a hole in the skin using a special device. Then, they will pull out the tube from the hole. That way, they can easily cut and seal the vas deferens from both ends. After this, the doctor will place back the tube. In this method, the holes on the scrotum will heal naturally. The urologist will not stitch the holes themselves.

3.     Vas Clip Vasectomy

In this procedure, the urologists can use any of the above methods to expose the vas deferens. However, they will use special clips on the tube, blocking the sperm flow.

Vasectomy Procedure: Conclusion

Contact Fifth Avenue Urology and make an appointment with Dr. Yaniv Larish. Schedule a convenient and confidential consultation and to learn about the vasectomy procedure.

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

How Does the Vasectomy Procedure Work?

info-about-vasectomies-04We at Fifth Avenue Urology have several years of experience in providing urological care to individuals of all age groups. As highly experienced urologists, we offer various urological services including but not limited to vasectomy, prostate cancer, and erectile dysfunction treatments. Our medical specialists, Drs. Michael S. Brodherson, Leonard Glickman, and Yaniv M. Larish are well versed in performing the vasectomy procedure.

Before we perform a vasectomy on a patient, we take an undertaking from him that he doesn’t wish to become a father henceforth. We carry out the surgery in the operation theater or the office using local anesthesia or under sedation. Our urologists take all the necessary steps to ensure that the vasectomy is fully effective, maintaining a near 100% successful track record.

How does it work?

We recommend vasectomy to all men who have decided not to become a father in the future. At the same time, we suggest the surgical procedure to males looking for an efficient and secure birth control option. We can assure you that the surgery proves effective in checking pregnancy in nearly ten out of ten cases.

Our specialists conduct the operation as an outpatient process, and the risks of side effects or problems are almost zero. Once we complete the surgery, we can guarantee that the patient will never have to use a condom or any other contraceptive device or method before having sex.

What are the Steps in a vasectomy procedure?

The vasectomy procedure is usually complete in 15-30 minutes. To carry out the procedure, our urologists take the following steps:

  • We first inject a local anesthetic in an area around the scrotum for numbing the region
  • After the area becomes numb, we make two tiny incisions on either side of the scrotum
  • After that, we identify the tube (vas deferens) which transfers the semen from the testicles to your penis
  • Next, we pull out a section of the vas deferens via the incisions
  • Subsequently, we sever that section of the tube that we’ve withdrawn
  • We tie up the vas deference (for capping it) using the cauterization (heat) technique
  • Finally, we seal the incisions on the scrotum by suturing (stitch) or gluing. Sometimes, we leave the slits open to enable the incisions to heal and close on their own

vasectomy-procedure-info-urology-nyc-03From time to time, we resort to the non-scalpel vasectomy, where we make only one small puncture in the scrotal sac. This technique does away with the need to stitch the wound. The patient will experience a degree of pain, swelling, and contusion after the surgery.

Nevertheless, the pain will go away within 4-5 days, and the swelling will improve as well. We advise all our vasectomy patients to contact immediately if they notice any indication of infection on the operated area. The usual infection signs include bleeding, swelling, acute pain, and a body temperature is exceeding 38˚C (100.4F).

We give instructions to the patient on what to do and what not to if and when he notices a sign of infection. We recommend patients not to indulge in sexual intercourse for about a week following the vasectomy.

Conclusion

Our urologists make it clear to those undergoing vasectomy that the surgery will not offer immediate immunity against pregnancy. In the meantime, patients can use other birth control options for staying out of harm’s way until we conduct a semen analysis 2-3 months after the procedure.

You can get in touch with us for scheduling a vasectomy operation with the most acclaimed urologists in NYC.

212-675-3186

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References

  1. https://www.mayoclinic.org/tests-procedures/vasectomy/about/pac-20384580
  2. https://www.webmd.com/sex/birth-control/vasectomy-overview#1