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Putting Patients First


Welcome to Fifth Avenue Urology, the practice of Drs. Michael S. Brodherson and 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. Brodherson has been the Interim Chief of Urology at Lenox Hill Hospital and Dr. Larish served as the former chief resident in the same department. They are both focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. Both physicians view the ability to practice medicine as a privilege, not a right. They treat their patients with respect, professionalism and compassion.


Call 212-675-3186 to schedule an appointment today


Michael S. Brodherson, M.D.

dr-michael-brodherson-top-urologist-nycDr. Brodherson has been in the private practice of urology on New York’s Upper East Side since 1979 when he finished his training at Lenox Hill Hospital. He is known throughout the New York metropolitan area as a senior, highly skilled, capable and compassionate general urologist with vast expertise in his field.

Besides a full office practice, he has a special interest in the urologic care and treatment of complex surgical and gynecological operative procedures involving urology secondarily. Since Dr. Brodherson has extensive experience in open urologic procedures he is an ideal expert consultant for these complicated cases of other specialties and is well known to be available on an emergency basis for immediate consultation in such matters.

Read more about Dr. Brodherson >

Yaniv M. Larish, M.D.

top-urologist-nyc-larishDr. 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.

Read more about the Dr. Larish >

What is Urinary Incontinence?

Urinary incontinence is a condition where a person is unable to hold urine in the bladder.  This is caused by a loss of voluntary control.  Patients lose their ability to control the urinary sphincters, causing unwanted leakage of urine.  This condition can affect both young people and the elderly, but the elderly commonly suffer the most.  Below, we are going to learn more about urinary incontinence and how it can be treated.  So, if you think you or your loved one may be suffering from this life-changing condition, please pay close attention to the information below.

Causes

Urinary incontinence can be caused by several different reasons.  Age is a big factor that can contribute to this condition.  Menopause is another leading cause of this condition.  Additional causes of urinary incontinence include prostate cancer, hysterectomy, childbirth, pregnancy, obstructions, and an enlargement of the prostate.  Other causes of urinary incontinence come with lifestyle choices.  Drinking large amounts of caffeine or alcohol may cause temporary incontinence, which can often be easily corrected.

Signs

Those that are suffering from urinary incontinence may start to notice they can’t make it to the bathroom in time. They may also have minor leakage that causes wet spot in their undergarments.  Others may notice leakage when they cough or sneeze.  Sudden urges to urinate can also be a sign and can be brought on by a stressful situation.  If you think you are suffering from urinary incontinence, you should tell your doctor if you are having any of these signs.

Treatment

There are several different ways to treat urinary incontinence.  First, your doctor may suggest that you have a lifestyle change.  You may be advised to avoid coffee and alcohol or other things that can trigger an episode of incontinence.  Also, you may be prescribed a medication to treat the condition. There are a wide variety of drugs that may be helpful. Some doctors will suggest that you do pelvic floor muscle training in order to gain more control and reduce leakage. Surgery is also a treatment option that many people choose and it can be highly effective. On the other hand, many people deal with incontinence by simply wearing an adult diaper.

If you are suffering from urinary incontinence, we can help.  Call us today and schedule an appointment with the best urologist doctor in NYC. Our team of dedicated professionals is here for you.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

How Often Should You See a Urologist?

How Often Should You See a UrologistHave you ever wondered how often you should see a urologist?  Maybe you are getting older and you have never seen a urologist before and you feel now is the time?  Today, we are going to learn how often you should see a urologist. Below, you will learn valuable information that you can use to answer any questions you may have.

When You Turn 40

At the age of 40, urologists suggest that you pay them a visit.  If you are not having urinary issues, most people can put off going to the urologist until their 40th birthday.  After that, you should see a urologist and have a prostate exam.  This will help promote urinary health and detect prostate cancer so that it can be quickly treated.  While most men dread a prostate exam, the truth is, the exam is not as bad as it seems.  So, if you have turned 40 or are getting close, make sure that you seriously consider going to a urologist.

If You Have Had Urinary Issues

How Often Should You See a UrologistNo matter how old you are, if you are having urinary issues such as urinary tract infections or blood in your urine, you will need to see a urologist.  These can be signs of serious underlying conditions that can only be treated by a medical professional.  There are many different causes of urinary problems and getting to the bottom of what is going on just might save your life! If you have blood in your urine, pain in your penis or testicle, or any other urinary issues, going to a urologist as soon as possible is a wise decision.

After 40

After your first prostate exam has been completed and you are healthy, there won’t be a need to have another exam for at least 10 years. This is very good news! But, depending on the condition of your health, you may need to see a urologist once a year or more often.  If you do have urinary issues, you will need to be checked out by your doctor. This will help prevent the development of serious conditions such as prostate cancer and other conditions that could threaten your way of life.

How Often Should You See a UrologistIf you would like to be seen by one of the best urologist doctors in NYC, please give us a call.  Our team of dedicated professionals will help you with any urinary issues you may be having.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

What is the Best Erectile Dysfunction Treatment?

erectile dysfunctionErectile dysfunction, or the inability to achieve an erection and sustain it, is a problem that men are finally starting to open up about. While erectile dysfunction can sometimes be related to lifestyle, you could be perfectly healthy before it begins to impact your lifestyle. The best way to treat erectile dysfunction can only be determined once you try different solutions. You may want to try relaxing, taking various prescriptions, get a penile implant or have your enlarged prostate operated on before you get to learn what works best in your situation.

How Erectile Dysfunction May Impact Your Life

Some men who have erectile dysfunction may only have periodic episodes. This means that erectile dysfunction might only complicate their lives on occasion rather than every time they wish to engage in sexual activity. Sometimes, erectile dysfunction is constant in that you are unable to ever attain an erection. Either way, the disorder may make you feel upset, frustrated, or embarrassed about your lack of performance.

Ways to Cure Erectile Dysfunction

erectile dysfunctionWhen you are diagnosed with erectile dysfunction, your doctor can usually find the most likely cause of your erectile issues. For example, if you have recently gained a good amount of weight just before being diagnosed with erectile dysfunction, your doctor might let you know that weight loss could help dissipate the symptoms. If you are recovering from a stroke, diminished blood flow could also be the culprit behind your erectile dysfunction. Those who know what has caused their erectile dysfunction can generally find the best treatment and get on their way to curing it completely when they visit a urologist.

Is Surgery Necessary to Treat Erectile Dysfunction?

Although penile implantation is a solution for erectile dysfunction that almost certainly clears up the negative symptoms, it isn’t always necessary. In fact, you may want to try a change in exercise and diet, have your prostate checked, and take at least one kind of erectile dysfunction medication before considered getting a penile implant. No type of surgery is bad but, generally, non-surgical solutions should be attempted before going under the knife.

You simply need to work with a urologist to find the best erectile dysfunction treatment. Contact our offices at 212-675-3186 to meet with one of the best urologists in all of New York City.

Premature Ejaculation Treatment

premature ejaculationAccording to medical experts, premature ejaculation is a disorder that may be found in approximately 30% of all adult males. While men with premature ejaculation can be healthy, father children, engage in intercourse, and lead happy relationships, they may feel like something is always missing. First and foremost, men with premature ejaculation may not even know that they have an issue until someone else brings it to their attention. Whether knowledge of premature ejaculation becomes apparent during their youth or the latter stages of their lives, they can inadvertently feel that their sexual performance is not up to scratch. The good news is that premature ejaculation is treatable and patience is often the key ingredient.

How Do You Know If You Have Premature Ejaculation?

Premature ejaculation is a medical condition, but it is more based on a feeling than a scientific definition. If you are engaging in sexual relations and you repeatedly ejaculating before you want to, then you probably have a premature ejaculation issue. If your partner brings it to your attention that you seem to be finishing quicker than average, you might also have a reason for concern. Your doctor can diagnose you, but that is generally based on your own verbal description of symptoms rather than physical observations.

Can You Have Premature Ejaculation and Erectile Dysfunction?

Strangely enough, premature ejaculation and erectile dysfunction can appear in the same patients. Despite the fact that erectile dysfunction sufferers have a hard time attaining erections, it is still possible. If after a short period of time ejaculation occurs, you have a case wherein a patient may have both of these disorders. Premature ejaculation and erectile dysfunction can be treated using similar methods.

How Can a Urologist Help with Premature Ejaculation?

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When you express to your urologist that you have been having trouble with erectile dysfunction, you may need to fill out a questionnaire or even have to give a blood sample. Eventually, your urologist will make some concrete findings and tell you what can be done to prevent premature ejaculation from being a problem. The fix could be surgical in nature or it may even be for you to avoid over stimulating yourself.

Some patients have concerns about premature ejaculation because of depression or having other medical issues. Sometimes when those problems clear up, premature ejaculation stops.

Contact our offices at 212-675-3186 to meet with one of the best urologists in all of New York City.

What is Peyronie’s Disease?

Penises do not all look alike, but there are some variations in size, shape, and projection that are a bit less common than others. For example, there’s Peyronie’s disease, which causes the penis to curve at angles that make it difficult for the passing of urine as well as sexual relations. Sometimes this disorder occurs at birth, in which case doctors can correct it relatively easily. When Peyronie’s disease develops in older patients, more invasive steps are usually necessary. Here’s what Peyronie’s disease is and how patients can recover from the symptoms.

Diagnosing Peyronie’s Disease

It is possible to be diagnosed with Peyronie’s disease during a routine physical examination or after you go to a urologist. Ultimately, the doctor examining you will look for signs of diminished functionality, not just differences in anatomy. In other words, a male with a curved penis is not automatically thought to have Peyronie’s disease. Unless your penis is functionally compromised in some way because of a distinctive curvature or size differentiation, you will not be diagnosed with Peyronie’s disease by a competent doctor.

Is a Full Recovery from Peyronie’s Disease Possible?

peyronie-diseaseYou can function perfectly well after getting diagnosed and being treated for Peyronie’s disease. Most of the time, a penile implant will be inserted to help straighten the penis out and reduce the symptoms of this disorder. There may also be various minor penile surgeries that can be performed that might help to reduce the angle of your penile curvature, but you should discuss with your urologist what your personal options are for treating Peyronie’s disease.

Is it Possible to Confuse Peyronie’s Disease for a Simple Curvature of the Penis?

As stated earlier, penises do not all look the same. On the other hand, a severely curved penis just won’t function normally. When the urethra makes a sharp turn, urine may be partially blocked or completely unable to pass. A severely curved penis is also not conducive for engaging in sexual relations. The only way that you could confuse Peyronie’s disease for a curved penis is if you were to try and diagnose yourself. Always depend on the advice and knowledge of trained urologists when dealing with penile disorders.

Peyronie’s disease encompasses all severe penile curvatures that impact the way that they function. Surgical solutions including penile implants can completely alleviate their symptoms.

Contact our offices at 212-675-3186 to meet with one of the best urologists in all of New York City.

When Do You Need to Visit a Urologist?

Urologists usually treat patients who have disorders related to the urethra, which can be related to incontinence, overactive bladder, erectile dysfunction, trauma, and even infertility. Although the urethra exists in both males and females, its structure and function are different between the two genders. You’ll need to make an appointment with a urologist under the guidance of your doctor or if you experience issues when you need to relieve your bladder. Here are some simple ways to tell when you should be making an appointment with a urologist as opposed to a general care physician.

Pain When Emptying Your Bladder

top urologistIf you hold your urine for far too long, you might feel a burning sensation when you finally relieve yourself. Repeatedly going too long in between trips to the bathroom can also cause a bladder infection. Though most bladder infections only require some cranberry juice and time to go away, you might need the help of a urologist to get your urethral issues cleared up. Going to a urologist can’t hurt if you have frequent, repeated, or lengthy bladder infections.

Taking a Long Time to Use the Bathroom

top urologistWhen you feel the urge to empty your bladder, there should be a steady stream of urine that does not stop and start involuntarily. If you need to take several minutes to use the facilities, you might have an enlarged prostate. Proper prostate health is very important, particularly in older men. Your urologist will be able to detect whether or not you are suffering from an enlarged prostate and can tell you if you’ll need surgery or medication to help you use the bathroom as usual. Don’t let a potential enlarged prostate issue keep you in the bathroom for longer than you need to be.

Having Frequent Bladder Related Accidents

It may be embarrassing to admit, but having a one-off accident isn’t something that you necessarily need to consult with a urologist about. However, if you are using adult diapers or soiling your sheets every few nights, you need to accept the fact that you are having incontinence issues. This is a serious issue that you should discuss with a urologist.

If you’re having issues holding or passing urine, visit with a urologist as soon as you can. More than likely, your bathroom problems aren’t going to get better by themselves.

Contact our offices at 212-675-3186 to meet with one of the best urologists in all of New York City.

What Are the Symptoms of Kidney Cancer?

Often times, men and women struggle with kidney problems. You may be one of the many people who have had kidney stones. You may have urinary tract infections. Some people struggle with incontinence. All of these instances can lead to quality of lie concerns and, in some cases, they can cause numerous symptoms. Yet, some people worry that their condition is worse than it is.

If you suspect you may have kidney cancer, or you are at a higher risk of developing it for any reason, it is important to know what the underlying symptoms are.

What Symptoms Can Occur?

What Are the Symptoms of Kidney Cancer?Most of the time, the kidneys operate normally without any indication of pain. However, if you notice changes in your urine or you develop pain in your abdomen, you may want to turn to a specialized urologist to help you to better understand what is occurring within your kidneys and what can be done about it. The following are some of the most common symptoms associated with the development of kidney cancer.

    • You have blood in your urine. It is important to talk to your doctor about this especially if it is new.
    • You have pain or strong pressure located at your side or in your lower back.
    • You have any type of lump or a mass in the side or on your lower bac.
    • You have high blood pressure and other symptoms.
    • You have swelling occurring in your legs and ankles.
    • You have little to not appetite.
    • You have developed anemia. This indicates that your red blood count is low and it could be a sign of internal bleeding.
    • You are fatigued often.

What Are the Symptoms of Kidney Cancer?If you have any of these symptoms, it is important for you to take steps to see improvement. With the help of your doctor, it may be possible to rule out the presence of any type of health complication including kidney cancer. However, kidney cancer can be treatable in many situations especially when it is caught early.

If you have any of these symptoms, schedule a consultation with a doctor to discuss them. Simple tests can often provide the information you need to learn if there is a risk of cancer.Contact our offices today to schedule an exam. Work with one of the best urologists in New York city to learn more about your kidney function and health.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

How Can You Prevent Urinary Tract Infections?

How Can You Prevent Urinary Tract InfectionsUrinary tract infections are nothing to overlook. They occur for a lot of reasons, but generally result from bacteria overgrowth within the urinary tract.

They can happen to men and women. They can also occur in children. When they do occur, they can be painful or mild. In all situations, though, they need to be properly treated to ensure that you remain healthy and that the condition does not spread upwards and cause problems with your kidney function. If you have a urinary tract infection now, it is important to seek out medical attention to treat it. Then, it may be time to talk about preventing them from coming back.

How to Prevent UTIs

How Can You Prevent Urinary Tract InfectionsThe first step is to understand what is causing you urinary tract infections. Talk to your doctor about them as well as how frequently you get them. Then, determine what steps are right for you to take to reduce the risk of developing them again. The good news is you may be able to reduce these risks quickly and significantly. Some ways to reduce urinary tract infection risks include:

    • Drink a great deal of fluids. These fluids, especially water, are vital to your kidney function. It also helps to flush out the bacteria that is built up in the urinary tract that is causing the infection to occur. In some cases of mild infections, this may be all you need to do.
    • Be sure that you empty your bladder all of the way each time you urinate. Removing as much from your bladder as possible each time helps to keep your kidneys working properly.
    • Do not hold your urine for too long. Go to the bathroom as soon as your body tells you that you need to do so. This urge to go isn’t one to avoid since this can worsen your symptoms.
    • Proper cleanliness of this area is also important. Bathing properly, avoiding the use of cosmetic products or those with floral scents, and ensuring the area is cleaned with each use can also help. For men that are uncircumcised, it is also important to ensure the foreskin is cleaned.

TakiHow Can You Prevent Urinary Tract Infectionsng each one of these steps is important to protecting your kidney and urinary tract health. If you do experience urinary tract infections, schedule a consultation with our urologist in New York to learn more about the options available to you for treating it.

Filed Under: UTI

What Causes Peyronie’s Disease?

peyroniesMany men develop Peyronie’s Disease, though many men do not realize that so many others have it. This condition occurs when a fibrous scar tissue develops along the inside tissues of the penis. This causes the penis to become more curved when you have an erection. It can also cause pain in this area. When you have a curved erection that is more than normal – some men have a naturally curved penis from birth – that may be an indication that it is time to see a urologist about Peyronie’s Disease.

What Should You Know About Peyronie’s Disease?

In a small number of men, Peyronie’s Disease can go away on its own. This is not often the case, though. In some cases, it remains stable and doesn’t change after an initial period of changes. In other men, it can worsen over time. It does not necessarily mean there is anything wrong with a man’s health. However, it can cause some men to struggle to have sex. Some men may be unable to have a strong erection as a result of Peyronie’s Disease as well. And, for many others, it can cause anxiety and stress.

What Can Be Done About Peyronie’s Disease?

The first step is to come in to see your doctor. When you do, we’ll determine how severe the condition is. In some cases, no treatment is necessary, but in others surgical procedures may be helpful to you. This will depend on the amount of curve in your penis, whether or not you can and still want to have sex, any pain you have, and if you have good erectile function overall.peyronies

If treatment is warranted, it generally will start with the use of medications. These can help to reduce the amount of plaque present and, over time, reduce the amount of curve present. If this treatment does not work, surgical options are available. This may include suturing in the unaffected side, incisions and grafting procedures, and the use of penile implants. The good news is that there are treatment options that may help you.

Your first step is to see a specialized urologist in New York that can help you with Peyronie’s Disease. When you come in for an examination with our team, we’ll help you determine what your treatment options are and help you to get the support you need. Schedule an appointment with us today.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

Is Low testosterone the Cause of Erectile Dysfunction?

erectile dysfunctionAre you struggling with erectile dysfunction and you don’t know why? You are not alone. Many men have ED and many times this is one of the symptoms of low testosterone. You may have other symptoms as well including physical and emotional changes. Testosterone is also linked to arousal, making it one of the most common symptoms for men who have ED or a low sex drive. What does this mean for you and what can be done about it?

What Causes ED?

The underlying problem tends to be more complex than just having low testosterone. When a drop in this sex hormone occurs, it definitely will play a role in creating ED since it turns down your sexual desire and can lead to problems obtaining and maintaining an erection. Some of the causes of this can include:

  • Problems with blood flow to your penis including as a result of diabetes, heart problems, and high blood pressure.
  • Alcohol and tobacco use can also create this concern.
  • It may be due to psychological factors as well including stress, depression, and anxiety.
  • In some cases, men experience ED as a result of medications they take or medical procedures they’ve had.

erectile dysfunctionAnd, low testosterone is often a cause. If this is a cause, your doctor will work with you to determine what the best underlying option is for improvement of it. Testosterone replacement therapy is considered a very safe and effective solution for many men. In fact, testosterone replacement alone is all that is necessary to restore sexual drive and reduce the occurrences of ED. However, this is not always the case. Your doctor may recommend this treatment if you are suffering from ED that is directly linked to a drop in testosterone levels. If your levels are normal and you have ED, replacement therapy isn’t the option. Additionally, some men have a much more serve form of this condition requiring medication and hormone replacement therapy combined.

If you are struggling with erectile dysfunction or you’ve been told you have low testosterone, it may be time to talk to your urologist. When you come in to see one of the best urologists in New York, you’ll learn that we can often help you to see improvements quickly. You do not have to suffer with this condition in many cases. Call our offices to schedule a consultation.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.