About the Doctors

Dr. Michael Brodherson has been a practitioner in General Urology for over 30 years in New York City. He is highly committed to offering the most personalized service to his patients. This includes 24/7 availability as well as immediate cell phone access. Urologic house calls can be arranged by appointment.

Dr. Brodherson is affiliated with Lenox Hill Hospital. He sees patients for Frequent Urination, Prostate Cancer, Kidney Stones, Urinary Tract Infection, etc.

Dr. Yaniv Larish is a urologist and surgeon treating both men and women. His expertise is in treating complex kidney stones, enlarged prostates (BPH), incontinence, erectile dysfunction, infertility, and urological cancers.

Dr. Larish’s dedication to patients and their families drives from his belief in prompt evaluation and care – “That is what I would want for my own family.” As such, same day appointments are available for urgent issues.

Dr. Larish accepts most forms of insurance including Medicare. House calls are available on a case by case basis.

Peyronie’s Disease 

What is Peyronie’s disease and could it be impacting your health? This condition involves the development of scar tissue in the penis. With the presence of this scar tissue, there is also a painful, curved erection. The condition can occur in many men and happens more commonly in men over the age of 40. While the shape of a man’s penis varies significantly from one person to the next, this condition occurs when there is a change in the shape of the penis. This condition can often prevent men from having sex or may make it hard, or impossible, to maintain an erection. This can lead to ED.

What Are the Symptoms of Peyronie’s Disease?

peyronie'sIn men, Peyronie’s disease can come on suddenly or develop over time. Generally, the symptoms of this condition include:

  • A significant bend in the penis, which could include bending upward, downward or to one side.
  • Some men notice narrowing or indentations or even an hourglass shape.
  • Scar tissue development is common. This can be felt under the skin of the penis. It may be a band-like feel or a flat lump.
  • Pain is also a common symptom, though not all men have pain with an erection.
  • A shortening of the penis is common because of the curvature.
  • Most men with this condition suffer erection problems including getting and maintaining it.

What Causes Peyronie’s disease?

Doctors aren’t fully sure what causes this condition to occur in some men and not others. Generally, it is thought to be the result of repeated injury to the penis, such as damage occurring during sex, an accident or athletic activity. Most men don’t remember a specific traumatic event causing it.

What Treatments Are Available for Peyronie’s Disease?

peyroniesThere are several treatment options available for many men suffering from this condition. Your doctor will pursue treatment if the curvature is large enough, if you cannot have sex without pain, if you have pain during erections or if you have poor erectile function overall. Treatment options may include medications, surgery, and penile implants.

If you believe you are suffering from Peyronie’s disease, it is important to schedule an appointment with an urologist to discuss the condition at length. This isn’t something to put off or to feel embarrassed about since millions of men suffer from this condition. To learn more about your condition, call the best urologist in NYC today at 212-675-3186.

Urologist for Infertility

male infertilityIf you are male, it may be best to speak to an urologist for infertility problems. Men can be infertile. There are various causes of this condition. It is estimated that about 1 percent of couples struggle to conceive and this is brought on by some type of infertility problem. The most common cause of this has to do with the production of sperm or the delivery of that sperm. This often means that your urinary system is playing a role in your infertility and an urologist is the best person to speak to about this condition.

When Should You Schedule an Appointment with an Urologist for Infertility?

Most men do not know that they are infertile until they try to conceive and find it difficult to do so. Unfortunately, the main sign of infertility in men is the inability to conceive. This may be brought on by a hormonal disorder, inherited conditions or even dilated veins located in the testicle. Most men do not have symptoms but if you do they may include:

  • Sexual function problems such as the inability or difficulty in ejaculation or the production of small volumes of fluid
  • Pain or swelling located in the testicle
  • Inability to smell
  • Recurrent respiratory infections
  • Abnormal breast growth in men
  • Decreased levels of body or facial hair

What Can You Expect from Meeting with Your Urologist?

infertilityYour doctor will meet with you to discuss your specific thoughts and concerns. He or she will need to know your personal medical history and that of your family. You’ll also want to talk about any significant changes in your life, any symptoms you are experiencing or the presence of undecided testes in either you or your parents.

Your doctor will perform a physical. He or she will ask questions about sexual activity. He or she will also talk about your use of illegal drugs or alcohol in the past. Your urologist also needs to know about any anabolic steroid use or other medications you may be taking.

If you have been trying to conceive for several months and are not having success, it is best to see an urologist for infertility. When you do so, you will learn if there is a problem as well as what options are available to offer you treatment.

Contact our offices at 212-675-3186 to speak to an experienced NYC urologist.

Urologist for UTI NYC

Do you need an urologist for UTI? If you have a urinary tract infection, or believe that you do, it is often best for you to seek out the help of a doctor. An urologist specializes in the treatment of all types of conditions related to the urinary tract. A UTI can be an important problem to have a specialist to look at since it can be very painful and it can lead to complications if you do not treat it quickly and effectively. What should you know about an urologist for UTIs?

What Is a UTI?

urinary tract infectionA urinary tract infection occurs when bacteria enters into the urinary tract and is not immediately treated by the body. This leads to inflammation. The urinary tract is made up of your kidneys and the tubes that move urine from your kidneys to your bladder as well as those that lead the urine out of your body. Generally, urine is sterile. However, bacteria can enter into these tubes and, when it does, it can create a painful infection.

What Is Causing Your UTI?

To see the importance of having UTIs treated, it is important to know what can bring them on. Often times, these conditions themselves need treatment to ensure you remain healthy. Some conditions that can cause a UTI include:

  • Diabetes
  • Sexual activity
  • Having a catheter
  • Being present in a nursing home or hospital setting where bacteria levels are higher
  • Having some type of abnormality in the urinary tract system
  • Previous surgeries
  • Kidney and bladder stones

When Should You Go to the Doctor?

If you think you may have a urinary tract infection, it is best to turn to your doctor right away. The most common symptom is a burning sensation especially urinary tract infectionduring urination. If it hurts to use the restroom, chances are good there is a problem present. If you have any type of urinary tract pain, it is best to turn to an urologist. Though a family doctor can help with treatment options, a urologist is a must for anyone that has suffered from UTIs frequently or that are suffering from any that is serious and creating a significant amount of pain.

If you have pain and you believe you may have a urinary tract infection, contact the best urologist in New York City by scheduling an appointment and consultation with our team today. Call us at 212-675-3186!

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.

enlargedprostate2In 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.

Filed Under: BPH

Urinary Incontinence in Men 

Uurinary incontinencerinary incontinence in men can occur for various reasons. In most cases, this is a treatable problem and one that men should feel they can speak freely about to their doctors. Urinary incontinence, often called UI for short, is the accidental leaking of urine. It can occur in both men and women and it can occur at any age. In men, it is less common and becomes more common as men age. However, not all men will suffer from this condition as they get older.

What Is the Cause of Urinary Incontinence in Men?

In order for doctors to provide treatment for urinary incontinence in men, it becomes important to understand the underlying cause of it. Some of the potential causes of this condition include:

Stress: Stress incontinences is one of the most common forms of this condition. In it, involuntary loss of urine occurs at specific times such as when a man sneezes, during lifting, or when he coughs. This creates pressure in the abdomen that leads to pressure on the bladder and the release of urine.

Overflow: Overflow incontinence is another type of incontinence in men. In this condition, there is a constant dribbling of urine. This also usually involves frequent needs to urinate with small amounts.

Urge: A third form is urge incontinence. In this instance, men will have an overwhelming urge to urinate. He usually cannot halt the process from occurring.

What Is the Cause of Urinary Incontinence in Men?

urinary incontinenceThere are many factors that can contribute to this condition. Generally, it is a failure of the urinary system that relies on muscles and nerves working together to hold urine in the bladder until the appropriate time for it to be released. Nerve problems are the most common cause. This can be brought on by men who have suffered stroke, multiple sclerosis, or Parkinson’s disease. It can also be brought on by prostate problems including BPH or other conditions in which the prostate becomes enlarged.

For men who suffer from this condition, it becomes important to speak to their doctor about it. Some may feel overwhelmed or embarrassed by it, but there are treatment options available to many men. To learn more about this condition and whether or not you have it, contact our experienced urologist in New York City to schedule a full consultation and exam to discuss your options.

Varicocele Repair

landscape-1445725707-g-erectile-dysfunction-doctor-107429830Varicocele repair is sometimes needed for men who are struggling with infertility. The varicoceles are large varicose veins that form in the scrotum, making infertility a problem. According to experts, the condition is not uncommon. It is present in about 15 percent of men overall and about 40 percent of men that are known to have infertility. It is also more common to occur in a man’s left testicle. There are sometimes treatment options for this condition including varicocele repair.

Why Do Men Need Varicocele Repair?

The most common reason for varicocele repair is to improve fertility. The procedure is not as invasive as it used to be and is considered highly effective. It is done in an outpatient setting using general or local anesthesia.

How Is Varicocele Repair Done?

During this procedure, a small incision is made along the abdomen. This is done close to the location of the testicles, and along the area where the testicles originally descended through the wall of the abdomen. Once the doctor makes the incision, he or she will then cut the veins that are causing the varicocele to occur. This stops the blood flow to them and, as a result, shrinks them in size allowing the movement of sperm more freely.

Additionally, there is a non-surgical option available. This procedure is called percutaneous immobilization. It is also a method of repairing the varicocele. In this procedure, the doctor will insert a small catheter into the large vein that’s closed in the groin or the neck. This will then travel through the body to the varicocele. Once in place, the doctor can enlarge a balloon in the catheter, coil or use medication to treat the condition.

What Are the Risks of Varicocele Repair?

ErectileDysfunction_DrPaul_091115_FullRes-img_1280x720There are some risks associated with this treatment, but they are the same risks associated with any type
of surgery. There is a possibility that infection can occur at the site of the surgery. In some cases, men will have a buildup of fluid in the scrotum. This may require draining. Additionally, there is a risk that there will be damage to the nerves or arteries in the area of the incision.

For men that may need varicocele repair, it is possible to find outstanding support and the latest advances. Contact our offices today at 212-675-3186 to learn more about the options available to you in varicocele repair in NYC.

Sphincter Incontinence

How Do You Control Bladder Flow? 

Bladder control results from use of three sets of muscles. The bladder itself makes up one of these muscle sets, and the muscles of the pelvic floor support the rectum and bladder. The bladder sphincter muscles open and close the urethra, the tube that carries urine from the bladder to the outside. If your sphincter muscles are not working, you may be experiencing urinary incontinence. This can occur in both men and women, and affects over 30 million Americans. The urinary sphincter must remain closed until you are ready to release urine when you decide to urinate. When you are ready to urinate, nerve signals will go from the bladder to the brain and back to signal the muscles of the bladder to relax and the sphincter muscles to release control of the ureter. Control of urination depends upon both the brain and the muscles that respond to nerve signals.

What is Sphincter Incontinence? 

There are several different types of incontinence, which can be correctly diagnosed by simple tests that are performed by urologist, a doctor that specializes in diseases and disorders of the genitourinary tract. Urge incontinence can result from bladder irritability, infection, spinal cord damage, and brain injury, but may also be the result of a sphincter malfunction. If you have urge incontinence, you will suddenly experience an uncontrollable urge to urinate, followed by involuntary urination. If your urge incontinence results from a problem with the bladder sphincter, your urologist will determine that and may recommend medications, exercises, or bladder training. If you have severe symptoms of incontinence that are the result of a sphincter dysfunction, and you are unable to achieve resolution with more conservative therapies, you may be a candidate for implantation of an artificial sphincter.

Sphincter incontinence can result in embarrassment and may affect your relationships and your self-esteem. Incontinence can result in damp clothing, skin irritation, and diaper rash. It can curtail many enjoyable activities. If you are experiencing any type of incontinence, it’s important to consult a specialist. Dr. Melman is one of New York’s top urology doctors, and has years of experience treating many patients successfully with resolution of their incontinence. Call today to schedule an appointment to discuss evaluation and treatment of your incontinence. Our staff will be happy to assist you with this uncomfortable and disruptive problem.

Call 212-675-3186 to schedule your appointment with Dr. Melman, on of New York’s top urology doctors.

Who Should Get a Vasectomy?

img-vasectomy-before-after_000A vasectomy is a very common procedure, which around 500,000 men in the US choose every year. It is a minor surgical procedure performed under local anesthetic, with a short recovery time and very few potential complications. Long term, a vasectomy is the most reliable form of birth control there is (excluding sexual abstinence), and the cost of the procedure can end up being significantly less than the accumulated cost of other forms of birth control over time.

If you have been considering a vasectomy, here we look at what you can expect, and whether it is the right thing for your situation:

Who Are the Best Candidates for Vasectomy?

vasectomyA vasectomy should be viewed as a permanent form of birth control. While it is possible to have a vasectomy reversed if you change your mind later on, this can be both complicated and costly, so you should consider other methods of birth control if you think you are likely to want to be able to get a woman pregnant in the future.

Vasectomies also offer no protection against STIs, so are not as good an option as condoms if this is a concern for you.

The best candidates therefore are men in long term relationships who have decided with their partners that they don’t want any risk of future pregnancy. Men of all different ages make this choice, and these include men who already have children and men who don’t want children at all.

When Is a Vasectomy the Best Choice of Birth Control?

There are several things that make a vasectomy a better option for couples who don’t want to worry about pregnancy than other forms of birth control.

Firstly, if you are looking for permanent birth control, a vasectomy is less invasive, less costly, and has a far shorter recovery time than a tubal ligation for a woman. Additional, it can be reversed, though as we’ve said, you should not go into your vasectomy seeing it as a temporary option.

A vasectomy is also far more convenient and also reliable than things like birth control pills, injections and implants, and offers obvious benefits to those who prefer not to use condoms.

Do bear in mind, however, that it takes around three months for the vasectomy to properly take effect, due to residual sperm that can still make it into the semen for this time. While you can start having sex again after your procedure as soon as you feel comfortable (usually within a week), you need to continue using another form of birth control for this period.

If you think a vasectomy is the right choice for you and your partner, then there is no reason not to go ahead! Book an appointment right away at 212-675-3186, and we can talk through the procedure in more detail and get you ready for permanent, hassle free birth control.

AMS Penile Implant

At Dr. Melman in NYC, we successfully treat many patients with erectile dysfunction. One option for treatment, after other options have failed, is implantation of a penile prosthetic device. There are several different penile prosthetic devices available for patients who suffer from erectile dysfunction. We have experienced great results with the penile implants from American Medical Systems, one of the leading providers of penile implants in the world.

The AMS penile implants consist of a 3 piece inflatable device. It consists of an inner layer of silicone, a woven layer in the middle that controls expansion of the implant, and an outer silicone layer. The pumps that are available come in three different types, including a standard pump, the Tactile Pump, and the Momentary Squeeze. The pump is often pre-connected to the implant prosthesis, but can be ordered separately for connection.

An inflatable penile implant is easy to use. You pump it for an erection and then release a valve to deflate the implant after intercourse. An inflatable implant is most comfortable and similar to the flaccid penis when not in use. The device is totally concealed within your body, and your penis will appear normal. Your partner may not be aware that you have an implant. Dr. Melman, on of NY’s top urologists, will work together with you to educate you on all options available within the AMS penile implant family.

Dr. Melman chooses AMS penile implants above other brands, because of the clinical success he has observed in many patients with erectile difficulties. Large studies of patients with AMS penile implants have shown that 92% of the implants remain functional after 3 years, and 88% of all patients would recommend the procedure to someone else. In fact, a large study found that 86% of patients treated for erectile dysfunction with an AMS penile implant would undergo the same procedure again, if necessary. Partner satisfaction rates were 96% with AMS Penile Implants.

At Dr.Melman’s Office in NYC, we have found that many of our patients achieve lasting satisfaction with their AMS Penile Implant. Dr. Melman can help you determine which of the AMS Penile Implant systems is best suited to your lifestyle. We maintain a large inventory and will assist you with the selection after determining your overall penile size, any prior history of implantation or abdominal surgery, your body type, circumcision status, and other anatomic considerations.

Consultation with an experienced top NYC urologist like Dr. Melman can be the difference between success and failure. Sexual dysfunction can cause difficulties in many areas of your life. Why wait? If you’ve tried all medical remedies for erectile dysfunction without success, don’t give up hope. We’ve had many satisfied patients who had tried other treatments without results.

Call Dr. Melman, a top NYC urologist, today, at 212-675-3186 for your initial consultation, and begin your journey back to enjoyable sexual intercourse.

Is Erectile Dysfunction Reversible?

Erectile dysfunction is a fairly common problem for men, and one that we have plenty of options for treating. If you are concerned about erectile dysfunction, then an appointment for a consultation with a specialist is always the best first step toward regaining a fulfilling sex life.

Here, we take a look at what causes erectile dysfunction, and the ways the problem can be resolved:

When Are Sexual Performance Problems Defined as Erectile Dysfunction?

Almost all men have trouble getting or keeping an erection from time to time, however if you have had multiple regular, recent occasions when you have been unable to sustain an erection sufficient for sexual penetration, this could be regarded as erectile dysfunction.

Psychological Causes of Erectile Dysfunction

There are various causes of erectile dysfunction, which can be seen as medical, psychological, or a combination of the two. Psychological issues such as anxiety around sex, depression and stress can lead to erectile dysfunction, and in these cases, because there is nothing physically wrong with the systems that cause erections, the treatment in the long term needs to address these issues. In the short term, medication such as sildenfil (commercially known as Viagra) can help you achieve erections.

Psychological causes actually account for only around 10% of diagnoses, with physical issues far more common. However, the two are not mutually exclusive, and sometimes having erectile dysfunction can actually cause psychological issues like anxiety. It really isn’t necessary for you to go through this, so please book an appointment if you are in any way concerned about your erections!

Organic Causes of Erectile Dysfunction

There are all kinds of physical reasons why you may struggle to get or maintain an erection, with most of them relating to your circulatory system, your nerves, or your hormones. If you have other problems such as diabetes, these can often be involved in causing your erectile dysfunction. Equally, if you have had surgery that may have caused nerve damage (neuropathy), this could be a cause. There are many things that could be to blame or contributing to the issue, so it is important to seek out an expert medical diagnosis.

Conditions relating to blood flow to the penis can often be early warning signs of other arterial problems, which is another good reason to book an appointment to have your erectile dysfunction investigated right away.

The treatment options vary, because in many cases it is the underlying cause that needs treatment, rather than the penis itself. However, there are both medical and surgical options that can make erections possible again for almost all patients.

The short answer then, is yes – erectile dysfunction is certainly reversible. Set up an appointment today by calling 212-675-3186 and we can start solving your case!