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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 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.

What Is the Link Between Erectile Dysfunction and Heart Disease?

Doctor talking with patient in doctorÂ?s officeMany men struggle with erectile dysfunction. Most of the time, when men begin to experience ED, they do not think there is anything wrong other than simply getting older or perhaps struggling with underlying conditions. But, there is a link between erectile dysfunction and heart disease. Your heart could be sending you a message through ED that something just is not right. The good news is, this could mean there are options available to you to help you to improve both concerns.

What Does ED Mean for the Heart?

The process that creates heart disease in most people can also cause erectile dysfunction and, when you begin to develop ED, you may also need to spend some time with a heart doctor ensuring you remain healthy.

Erectile dysfunction can actually be an early warning sign for heart concerns down the road. And, if you have heart disease, that could mean that getting treatment for it could help to improve your ED symptoms. But how is there a link here?

Doctor talking with patient in doctorÂ?s officeThe buildup of plaque in the arteries is one of the reasons why erectile dysfunction often occurs. And, this is also why it tends to happen before the presence of heart disease occurs or becomes noticeable. Plaque builds up and reduces blood flow to the penis, creating ED. In addition to this doctors also know that this dysfunction can also be due to complications of the inner lining of the blood vessels and the smooth muscle. This can cause inadequate blood supply to the heart, limiting blood flow to the penis as well.


What does this mean for you? The fact is, not all ED occurs because of the presence of heart disease and not everyone who suffers from heart disease will suffer from ED. However, when there is no obvious sign of ED, it is important for doctors to take a closer look at your heart function.

The good news is that we can help you. When you come in to see one of the best urologists in New York City, you’ll learn more about the risk factors you have for heart disease. Take the time to talk to our team about your overall health and what steps you can take to potentially improve ED symptoms that you may have or learn if you need more extensive treatment for heart-related concerns.

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

What Is Pelvic Organ Prolapse?

woman-with-doctorHave you been told you have pelvic organ prolapse? If so, you may be wondering what it means and what can be done about it. The muscles and the ligaments that support your pelvic organs can weaken for various reasons. When this happens, the organs in this location can slip out of place. This creases a bulge in the vagina. This bulge is called a prolapse. The most common reason for developing this condition is childbirth, but it can also occur for various other reasons including after a hysterectomy or after menopause. Because this condition can worsen over time, women with pelvic organ prolapse should seek out help.

What Treatment Options Exist?

When you meet with your urologist, he or she will discuss with you the types of causes and what may be causing your specific condition. Then, the treatment options for you will be dependent on the symptoms you have. In some cases, this condition does not create a lot (or any) symptoms. In this case, your doctor may recommend treatment that does not include surgery. However, the condition can worsen or may already be complex. In this case, your doctor may recommend surgery for the condition.

One of the first steps in treating this condition is with the use of medications. This is especially helpful in women experiencing the condition as a direct result of menopause. Some women will then benefit with the use of estrogens. However, there are limited benefits to this and some women may not be candidates for it.

o-woman-talking-to-doctor-facebookOther options exist as well. Your doctor may recommend physical therapy using pelvic floor exercises. This can help to improve the strength of the muscles in this area. Some individuals will see the use of silicone devices called pessaries as a tool for help. And, still others, will need surgery to correct the problem. This may be done through laparoscopic methods, which reduce how invasive they can be. In addition to this, your doctor may recommend losing weight, not smoking, and treating conditions that could be the underlying problem, such as a chronic cough or constipation.

When you come in to see the best urologist in New York City, you’ll learn more about why this is happening and what can be done about it.

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


Urinary Incontinence in Women

female-urinary-incontinenceUrinary incontinence in women is one of the most common complications for women having to do with the urinary system as women get older. This is not a disease specifically. Rather, it is a symptom of an underlying condition that is important for women to understand. There are many reasons women may suffer from this condition including due to physical problems, medical conditions, and everyday habits. It is not something to put off getting help for if you do suffer from it. Turning to a New York urologist can help you to overcome these types of complications.

What Causes It?

Most commonly, women experience temporary urinary incontinence. This may be due to the foods they consume (some foods work as diuretics, encouraging the bladder to work and increasing the amount of urine produced). This includes foods such as alcohol, caffeine, corn syrup, carbonated drinks, tea and coffee. In addition to this, temporary urinary incontinence can occur as a result of a urinary tract infection. These infections can irritate the bladder and cause strong sensations to urinate. Constipation can also cause this type of pressure.

For other women, the problem remains long term. For some, this is brought on by pregnancy. The hormonal changes occurring here and the increase in weight can cause stress incontinence. Childbirth can also be a concern. Delivery causes a weakening of the muscles that control the bladder and may damage the nerves that sense the need to urinate. Other causes of more long term development of urinary incontinence in women include:

  • The onset of menopause
  • Hysterectomy
  • Obstruction
  • Cancers
  • Neurological disorders

o-woman-toilet-facebookWhat can be done if you suffer from this condition? This depends on the cause and the underlying complications. Bladder training is one of the options for many women. Double voiding, scheduled trips to the bathroom, and fluid management can help. Improving the muscles in the pelvic floor can help many women as well. By strengthening these muscles, it becomes possible to tighten up control and to reduce the risk. Medications are available as well. And, for those experiencing more serious forms of the condition, medical devices and surgical procedures are available.

For most women, this isn’t something they want to talk about but it is something you should seek medical help for. Come in to see one of the best urologists in New York to learn more about all of your options for treatment.

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!