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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.

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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.

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What to Expect During a Cystoscopy Procedure

What to Expect During a Cystoscopy Procedure male and female bCystoscopy is a diagnostic procedure used to examine the inside of the bladder and urethra. For patients experiencing urinary issues—such as blood in the urine, frequent urinary tract infections, or unexplained pelvic pain—this test offers a clear and direct view of the urinary tract to help identify potential conditions. Understanding what to expect during a cystoscopy can help ease anxiety and ensure you’re fully prepared for your visit to a urologist in NYC.

What Is a Cystoscopy?

A cystoscopy involves the use of a thin, flexible or rigid tube called a cystoscope. This instrument is equipped with a camera and light, allowing the urologist to visually inspect the lining of the bladder and the urethra. Depending on the reason for the procedure, your doctor may perform a diagnostic cystoscopy or a therapeutic one—used to carry out minor treatments during the examination.

Preparing for the Procedure

Before the cystoscopy, your doctor will review your medical history and any medications you’re taking. In many cases, no major preparation is required, though you may be advised to:

  • Avoid blood thinners or anticoagulants temporarily
  • Empty your bladder before the procedure
  • Take a prescribed antibiotic to prevent infection (if recommended)

In-office cystoscopies are typically done under local anesthesia, while more complex or therapeutic procedures might require sedation or general anesthesia, usually in an outpatient surgical setting.

During the Cystoscopy

The entire process usually takes between 5 and 15 minutes. If a flexible cystoscope is used:

  • You’ll lie on an examination table while a numbing gel is applied to your urethra
  • The scope is gently inserted through the urethra into the bladder
  • Sterile water or saline may be introduced to expand the bladder and improve visibility

The doctor will then examine the bladder lining and urethra for abnormalities, such as inflammation, tumors, stones, or signs of infection. In some cases, tissue samples (biopsies) may be taken for further testing.

After the Procedure

Most patients can resume normal activities the same day, although some mild side effects are common:

  • A burning sensation during urination
  • Blood-tinged urine for a day or two
  • Increased urgency or frequency

Drinking plenty of fluids can help flush the bladder and reduce irritation. Your doctor may recommend taking a mild pain reliever, like acetaminophen, if discomfort persists.

When to Contact Your Doctor

While complications are rare, it’s important to reach out to your urologist if you experience:

  • Fever or chills
  • Severe abdominal or pelvic pain
  • Heavy bleeding
  • Inability to urinate

What to Expect During a Cystoscopy Procedure: Conclusion

A cystoscopy is a safe and effective way to diagnose urinary tract conditions and monitor ongoing urological health. Understanding the procedure, preparation steps, and what to expect afterward can empower you to approach the test with confidence.

Expert Urological Care in NYC

At Fifth Avenue Urology, Dr. Yaniv Larish provides advanced diagnostic procedures—including cystoscopy—with precision, experience, and patient-centered care. Whether you’re dealing with urinary symptoms or need a thorough evaluation, Dr. Larish offers expert insight and cutting-edge technology to deliver clarity and relief. If you’re preparing for your first cystoscopy or want a second opinion, Fifth Avenue Urology is here to help.

FIFTH AVENUE UROLOGY
4 East 76th Street
New York, NY 10021
212-675-3186

Minimally Invasive Treatments for Kidney Stones in NYC

Kidney stones are hard mineral and salt deposits that form inside the kidneys and can cause severe pain, urinary issues, and infection risks if left untreated. In a bustling city like New York, access to advanced and efficient care is crucial. Fortunately, modern urology offers a range of minimally invasive treatments for kidney stones in NYC, helping patients recover quickly with minimal discomfort and downtime.

Minimally Invasive Treatments for Kidney Stones in NYC

When Are Minimally Invasive Treatments Necessary?

While small kidney stones may pass naturally with increased hydration and pain management, larger or obstructive stones often require medical intervention. Minimally invasive procedures are typically recommended when:

  • Stones are too large to pass on their own
  • There is persistent pain or urinary tract obstruction
  • Infection or kidney damage risk is present
  • Stones have recurred despite preventive measures

Types of Minimally Invasive Treatments

NYC urology centers offer state-of-the-art treatment options to effectively break down and remove kidney stones while preserving kidney function and ensuring patient comfort.

1. Extracorporeal Shock Wave Lithotripsy (ESWL)

ESWL is one of the most common non-invasive procedures. It uses high-energy sound waves to break kidney stones into smaller pieces that can be passed naturally through the urine. This is an outpatient procedure requiring no incisions and offers quick recovery.

2. Ureteroscopy with Laser Lithotripsy

This endoscopic technique involves guiding a thin scope through the urethra and bladder into the ureter or kidney. A laser fiber is used to break stones into fragments for removal or natural passage. It is ideal for mid-sized stones and offers high success rates with minimal trauma to surrounding tissues.

3. Percutaneous Nephrolithotomy (PCNL)

PCNL is used for large or complex kidney stones that cannot be treated with ESWL or ureteroscopy. A small incision is made in the back to allow access to the kidney using a nephroscope. Stone fragments are removed directly. Despite being slightly more invasive, it is still far less traumatic than traditional open surgery and allows for quicker recovery.

Advantages of Minimally Invasive Kidney Stone Procedures

  • Reduced pain and scarring
  • Shorter hospital stays and faster return to normal activities
  • Lower risk of complications compared to open surgery
  • High success rates for stone removal

Choosing the Right Urologist in NYC

For New Yorkers seeking the most advanced care, selecting a urologist with expertise in stone disease and minimally invasive techniques is critical. Look for board-certified specialists with access to high-end technology and a strong record of successful procedures.

Minimally Invasive Treatments for Kidney Stones in NYC: Conclusion

Thanks to technological advancements, minimally invasive treatments for kidney stones in NYC offer effective, efficient solutions with significantly less discomfort than traditional surgery. From ESWL to PCNL, patients can benefit from faster recovery times and better outcomes with the right care plan.

Consult with Dr. Yaniv Larish at Fifth Avenue Urology

Dr. Yaniv Larish of Fifth Avenue Urology offers expert diagnosis and treatment for kidney stones using cutting-edge minimally invasive procedures. His personalized approach ensures that each patient receives the most appropriate and effective care — whether it’s laser lithotripsy or PCNL. If you’re struggling with kidney stones in NYC, Dr. Larish provides compassionate, evidence-based treatment to help you return to wellness.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com/

How to Choose the Best Urologist in Manhattan

How do you go about choosing the best urologist in manhattan? When it comes to sensitive health issues like urinary problems, male reproductive health, prostate conditions, or kidney concerns, choosing the best urologist in Manhattan is essential for proper diagnosis and effective treatment. A highly qualified urologist not only brings medical expertise but also provides compassionate, individualized care that makes a significant difference in a patient’s experience and outcomes.

How to Choose the Best Urologist in Manhattan

Key Factors to Consider When Selecting a Urologist

Finding the best urologist in Manhattan involves more than a quick online search. Here are some essential elements to evaluate:

1. Credentials and Experience

Look for a board-certified urologist who has extensive experience treating the specific condition you are facing. Urologists with fellowship training or subspecialty certifications in areas like male infertility, prostate cancer, or minimally invasive surgery bring an added level of expertise.

2. Reputation and Patient Reviews

Explore verified patient reviews on trusted medical platforms like Healthgrades, Zocdoc, or Vitals. Consistently positive feedback regarding communication, professionalism, and successful outcomes can offer reassurance when narrowing down your choices.

3. Range of Services Offered

Choose a urology practice that offers a comprehensive array of diagnostic tools and treatments. This includes:

  • Advanced imaging (e.g., ultrasound, cystoscopy, CT scans)
  • Minimally invasive and robotic-assisted surgical procedures
  • Medical management for BPH, kidney stones, and erectile dysfunction
  • On-site laboratory and pathology services

Having access to state-of-the-art equipment and a wide spectrum of services ensures you receive streamlined, effective care in one place.

4. Communication Style and Accessibility

A great urologist should be easy to talk to, responsive to your concerns, and willing to explain your diagnosis and treatment options clearly. Also, evaluate the practice’s accessibility — do they offer same-day appointments, virtual consultations, or extended hours?

5. Hospital Affiliations

A reputable urologist is typically affiliated with top-rated hospitals in Manhattan. This can be important for patients needing inpatient procedures or specialized care in a hospital setting.

Red Flags to Watch Out For

  • Vague or inconsistent information about services offered
  • Lack of board certification or specialty training
  • Overly aggressive treatment recommendations without clear explanation
  • Inadequate post-treatment follow-up or patient education

These issues can signal a less-than-ideal patient experience and should be taken into account during your search.

How to Choose the Best Urologist in Manhattan: Conclusion

Choosing the best urologist in Manhattan is a crucial step toward maintaining your urinary and reproductive health. By prioritizing experience, technology, patient reviews, and clear communication, you can make an informed decision that ensures you receive expert, respectful, and personalized care.

Consult with Dr. Yaniv Larish at Fifth Avenue Urology

If you’re seeking a top-tier urologist in NYC, consider scheduling a consultation with Dr. Yaniv Larish at Fifth Avenue Urology. With a reputation for excellence in treating a wide range of urological conditions — from prostate health to male infertility and beyond — Dr. Larish combines expertise with compassionate care. His practice uses advanced diagnostics and the latest treatment techniques to help patients return to full health with confidence.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com/

 

Advanced Treatments for Erectile Dysfunction in NYC

What are the current advanced treatments for Erectile Dysfunction in NYC? Erectile dysfunction (ED) is a prevalent condition affecting millions of men, especially those over 40. In a fast-paced city like New York, men often delay addressing ED due to stress, stigma, or lack of awareness of the modern treatments available. Fortunately, advancements in urology have transformed ED management, offering men a path toward restored confidence and quality of life.

Advanced Treatments for Erectile Dysfunction in NYC

Causes of Erectile Dysfunction

Erectile dysfunction can stem from a variety of physical and psychological causes, including:

  • Vascular diseases such as atherosclerosis (hardening of the arteries)
  • Diabetes and high blood pressure
  • Neurological conditions like Parkinson’s disease or multiple sclerosis
  • Hormonal imbalances, particularly low testosterone levels
  • Psychological factors including anxiety, stress, or depression
  • Lifestyle choices such as smoking, excessive alcohol consumption, or lack of physical activity

Accurate diagnosis is the first step to determining the most effective treatment path.

Latest Medical Therapies

New York City urologists now offer several state-of-the-art treatment options for ED that go far beyond traditional oral medications like sildenafil (Viagra) or tadalafil (Cialis).

Penile Injections and Urethral Suppositories

When oral medications prove ineffective, alternatives such as intracavernosal injections or intraurethral alprostadil can stimulate blood flow to the penis and produce erections within minutes. These methods are safe, effective, and customizable based on patient response.

Shockwave Therapy (Li-ESWT)

Low-intensity extracorporeal shockwave therapy (Li-ESWT) is a non-invasive treatment that uses acoustic waves to improve blood flow by promoting new blood vessel formation. This regenerative approach addresses the root cause of ED for many men and has shown promise in clinical studies.

Penile Implants

For men with severe ED unresponsive to medication, surgical penile implants offer a permanent solution. These devices are discreet, easy to use, and deliver high satisfaction rates. Options include inflatable and malleable implants, chosen based on individual needs.

Emerging Therapies

Innovative treatments like platelet-rich plasma (PRP) injections and stem cell therapy are being explored in clinical settings. While these are not yet standard practice, ongoing research may soon make them viable mainstream options.

Lifestyle and Integrated Care

Many ED treatment plans now include holistic and lifestyle-based interventions. Weight loss, improved diet, exercise, smoking cessation, and management of underlying conditions like diabetes or hypertension can significantly improve erectile function.

Additionally, psychological counseling or sex therapy is recommended for patients experiencing performance anxiety, low libido, or relationship-related factors contributing to ED.

Advanced Treatments for Erectile Dysfunction in NYC: Conclusion

Erectile dysfunction is no longer a condition men need to suffer through in silence. In New York City, a wide range of advanced treatments can help patients regain control of their sexual health and overall well-being. If you’re struggling with ED, seeking care from a skilled urologist is the key to effective, personalized treatment.

Expert Erectile Dysfunction Treatment at Fifth Avenue Urology

Dr. Yaniv Larish at Fifth Avenue Urology offers cutting-edge solutions for erectile dysfunction in NYC, including advanced diagnostics, medication alternatives, and surgical options like penile implants. With a patient-centered approach and years of specialized experience, Dr. Larish ensures each patient receives a treatment plan tailored to their specific needs.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com/

Prostate Cancer Screening Guidelines for Men Over 50

What are the Prostate Cancer Screening Guidelines?

Prostate cancer is one of the most commonly diagnosed cancers among men in the United States, particularly in those over the age of 50. As men age, the likelihood of developing prostate issues—including cancer—increases, making proactive screening an essential part of long-term health. In New York and beyond, updated guidelines emphasize early detection, especially for men at higher risk.

Prostate Cancer Screening Guidelines for Men Over 50

When Should Men Start Screening?

According to the American Urological Association (AUA) and the U.S. Preventive Services Task Force (USPSTF), routine screening for prostate cancer is recommended for:

Men over 70 should discuss screening with their physician, as recommendations may vary depending on overall health and life expectancy.

Types of Prostate Cancer Screenings

Screening typically involves two primary methods:

  • PSA Blood Test: Measures the level of prostate-specific antigen in the blood. Elevated PSA levels may suggest prostate cancer or other prostate conditions.
  • Digital Rectal Exam (DRE): A physical exam in which the doctor manually checks the prostate for lumps or abnormalities.

If either test indicates an abnormality, follow-up procedures like imaging or biopsy may be recommended.

Balancing Risks and Benefits

While prostate cancer screening can save lives, it also comes with potential downsides. False positives may lead to unnecessary biopsies and anxiety, while overdiagnosis can result in treatment for slow-growing cancers that may never become life-threatening.

That’s why shared decision-making is crucial. Your urologist will consider your age, risk factors, family history, and overall health before recommending a screening plan.

Current Guidelines by Leading Medical Organizations

Several trusted sources offer slightly varying recommendations based on evolving research. Here’s how a few major institutions approach prostate cancer screening:

These recommendations emphasize the importance of personalizing the screening approach.

Prostate Cancer Screening Guidelines for Men Over 50: Conclusion

Screening for prostate cancer is not one-size-fits-all. For men over 50, especially those in high-risk groups, regular consultations with a qualified urologist can make all the difference in early detection and treatment outcomes. Understanding the current screening guidelines helps you make informed decisions about your health and longevity.

Expert Prostate Screening with Dr. Yaniv Larish at Fifth Avenue Urology

At Fifth Avenue Urology, Dr. Yaniv Larish offers cutting-edge diagnostic tools and compassionate, individualized care for prostate health. Whether you’re ready to begin prostate cancer screening or are seeking guidance on managing an enlarged prostate or elevated PSA levels, Dr. Larish ensures that your health is prioritized with expert precision and discretion in the heart of New York City.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com/

Understanding BPH (Enlarged Prostate) and Treatment Options in New York

Benign Prostatic Hyperplasia (BPH), commonly referred to as an enlarged prostate, is one of the most frequent urological conditions affecting men, particularly those over the age of 50. The condition involves the non-cancerous enlargement of the prostate gland, which can put pressure on the urethra and affect urinary function. If you’re experiencing symptoms of BPH in New York, it’s important to understand your treatment options and seek care from a qualified urologist.

Understanding BPH Enlarged Prostate and Treatment Options in New York

Symptoms of BPH

The symptoms of BPH typically develop gradually and can vary in severity. Men often seek treatment when symptoms interfere with daily life or sleep.

  • Frequent urination, especially at night (nocturia)
  • Weak urine stream or difficulty starting urination
  • Sensation of incomplete bladder emptying
  • Urgency or inability to delay urination
  • Dribbling at the end of urination

These symptoms are not only uncomfortable but can also lead to urinary tract infections or bladder damage if left untreated.

Diagnosis of BPH

To diagnose BPH, a urologist will typically perform a combination of tests, including:

  • Digital rectal exam (DRE)
  • Urinalysis to rule out infections
  • PSA (Prostate-Specific Antigen) blood test
  • Uroflowmetry and post-void residual urine test
  • Imaging tests such as ultrasound or cystoscopy

These tests help determine the severity of the condition and rule out other possible causes like prostate cancer or urinary stones.

Non-Surgical Treatment Options for BPH

For many men with mild to moderate symptoms, lifestyle changes and medications can offer relief.

Medications: Alpha-blockers such as tamsulosin (Flomax) and 5-alpha-reductase inhibitors like finasteride (Proscar) are commonly prescribed to relax prostate muscles or reduce prostate size.

Behavioral Modifications: Reducing fluid intake before bedtime, avoiding caffeine and alcohol, and practicing double-voiding (urinating twice in a row) may also help manage symptoms.

Minimally Invasive and Surgical Options

When medications fail to provide sufficient relief or side effects become intolerable, minimally invasive or surgical options may be considered. Advances in urological surgery now offer several effective approaches:

UroLift® System: This procedure lifts and holds the enlarged prostate tissue so it no longer blocks the urethra. It’s often performed in-office and doesn’t require ongoing medication.

Transurethral Resection of the Prostate (TURP): Considered the gold standard for BPH surgery, TURP involves removing a portion of the prostate through the urethra to relieve pressure.

Laser Therapy: Laser treatments like GreenLight™ use concentrated light to remove excess prostate tissue with minimal bleeding and faster recovery.

Understanding BPH (Enlarged Prostate) and Treatment Options in New York: Conclusion

If you’re experiencing urinary symptoms associated with BPH, timely diagnosis and treatment can dramatically improve your quality of life. In a city like New York, access to advanced diagnostic tools and minimally invasive treatments makes managing BPH more efficient than ever. Don’t wait for symptoms to worsen—consult with an experienced urologist to explore your best options.

Personalized BPH Care with Dr. Yaniv Larish

At Fifth Avenue Urology, Dr. Yaniv Larish specializes in diagnosing and treating benign prostatic hyperplasia using both medical and advanced surgical techniques. He offers expert guidance tailored to each patient’s needs, helping New Yorkers manage urinary symptoms and improve bladder function.

Whether you’re seeking non-surgical treatments or the latest in minimally invasive BPH procedures, Dr. Larish provides compassionate, cutting-edge care.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Website: https://www.fifthavenueurology.com/

Top Signs You Should See a Urologist in NYC

Understanding When to Consult a Urologist

What are the top signs that you should see a urologist in NYC? The urinary tract and male reproductive system are crucial to overall health, yet many individuals put off seeing a urologist until symptoms become severe. In a city as fast-paced as New York, it’s easy to ignore signs that could point to urological conditions—but early detection can make a world of difference. If you’re wondering when to make an appointment with a urologist in NYC, here are the top signs to watch for.

Top Signs You Should See a Urologist in NYC

1. Frequent or Painful Urination

Experiencing pain, burning sensations, or an urgent need to urinate often may be signs of a urinary tract infection (UTI), bladder inflammation, or even more serious conditions like interstitial cystitis. While UTIs are more common in women, men who develop them should seek evaluation from a urologist, as they can indicate underlying issues like prostatitis or urinary blockages.

2. Blood in Urine (Hematuria)

Seeing blood in your urine is never normal and should prompt immediate medical attention. This symptom can be caused by kidney stones, infections, or in some cases, urological cancers such as bladder or kidney cancer. A urologist will perform diagnostic tests, such as a cystoscopy or imaging, to determine the source.

3. Erectile Dysfunction (ED)

While many men may feel embarrassed to discuss erectile dysfunction, it’s a common condition that urologists regularly treat. ED can be a symptom of hormonal imbalances, cardiovascular disease, or prostate issues. New York urologists offer advanced therapies for ED, including medications, injections, and penile implants.

4. Male Infertility

If you and your partner have been trying to conceive for over a year without success, a urologist can help identify and treat male-factor infertility. Conditions like varicoceles, hormonal imbalances, or blockages can often be corrected, restoring fertility and improving reproductive outcomes.

5. Testicular Pain or Mass

Any lump, swelling, or persistent pain in the testicles should be evaluated by a urologist. These could be signs of infection, cysts, or in some cases, testicular cancer. Early diagnosis and treatment greatly improve outcomes for such conditions.

6. Incontinence or Difficulty Controlling Urine

Urinary incontinence affects both men and women and can significantly impact quality of life. Whether it’s stress incontinence, urge incontinence, or overflow, a urologist can perform specialized evaluations to determine the cause and suggest treatments ranging from pelvic floor therapy to surgery.

7. Kidney Stones

If you’ve ever had a kidney stone, you know how painful it can be. Symptoms include severe side or back pain, nausea, and blood in urine. A urologist can help manage and prevent future stone formation through dietary guidance and medical therapies.

8. Abnormal Prostate Test Results

Men over 50—or earlier if at high risk—should undergo routine prostate exams. If you’ve had abnormal PSA (prostate-specific antigen) levels or felt a lump during a digital rectal exam (DRE), a urologist can investigate further to rule out prostate cancer or other disorders.

9. Pain in the Lower Abdomen or Pelvis

Chronic or unexplained pelvic pain could be related to the bladder, prostate, or reproductive organs. A urologist will conduct appropriate tests to find the underlying cause and create a personalized treatment plan.

10. Changes in Urine Stream or Bladder Function

Slow urine flow, dribbling, or straining to urinate may signal benign prostatic hyperplasia (BPH) or urethral stricture. Both conditions can be treated with medication or minimally invasive procedures offered by skilled NYC urologists.

Top Signs You Should See a Urologist in NYC: Conclusion

If you’re experiencing any of the symptoms mentioned above, don’t wait. Early intervention by a qualified urologist can significantly improve your health outcomes and quality of life. Living in NYC gives you access to some of the best urological care in the country—use it to your advantage.

Looking for Expert Urological Care in NYC?

At Fifth Avenue Urology, Dr. Yaniv Larish offers compassionate, expert care for a wide range of urological issues, from kidney stones to prostate health, male infertility, and more. With cutting-edge diagnostic tools and personalized treatment plans, Dr. Larish is one of NYC’s trusted urology specialists for both men and women.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
212-675-3186

Schedule a consultation today and take the first step toward better urological health.

How to Prepare for Your First Visit to a Urologist

How to Prepare for Your First Visit to a UrologistYour first visit to a urologist, such as Dr. Yaniv Larish at Fifth Avenue Urology in New York City, is an important step toward understanding and managing your urinary or reproductive health. Whether you’re dealing with urinary symptoms, kidney stones, prostate concerns, or male infertility, being well-prepared can help make your appointment more efficient and productive.

Urologists specialize in diagnosing and treating conditions involving the urinary tract in both men and women, as well as the male reproductive system. A first-time consultation often includes a detailed medical review, a physical exam, and, when appropriate, lab tests or imaging studies.

What to Bring with You

To help your urologist understand your condition and provide the best care, it’s helpful to come prepared. Here’s what you should bring:

  • A list of current medications (including over-the-counter drugs and supplements)
  • A summary of your medical and surgical history
  • Copies of relevant test results, imaging, or previous specialist reports
  • Your insurance information and referral (if required)
  • A written list of symptoms, questions, or concerns

Having this information ready ensures that you won’t forget important details during your appointment, and it can speed up the diagnostic process.

Questions Your Urologist May Ask

Be ready to answer a range of questions that will help your urologist pinpoint the issue. Some examples include:

  • When did your symptoms start?
  • How frequently do they occur?
  • Are your symptoms affecting your daily life?
  • Do you have a family history of urological conditions?

Honesty and detail in your answers are key. Even topics that feel uncomfortable to discuss are critical for a proper diagnosis and successful treatment plan.

Diagnostic Tests and Physical Exams

Depending on your symptoms, Dr. Larish may recommend a physical examination that includes abdominal, pelvic, or genital inspection. In men, this could involve a prostate exam. Women may be asked about pelvic discomfort or bladder issues. Diagnostic tests may include:

Blood or urine tests, a bladder scan, a cystoscopy, or imaging studies like an ultrasound or CT scan. These tools help identify conditions like urinary tract infections, bladder cancer, enlarged prostate, or kidney stones.

How to Prepare Emotionally and Physically

It’s natural to feel nervous before your first urologist visit, especially if the subject matter is sensitive. Remember, urologists like Dr. Larish are highly trained professionals who deal with these issues daily in a confidential and compassionate manner.

Depending on the test you’re scheduled for, you may be asked to arrive with a full bladder, avoid food before a procedure, or stop certain medications temporarily. Be sure to follow any pre-visit instructions given when you schedule the appointment.

How to Make the Most of Your Visit

Take notes during the appointment, and don’t hesitate to ask for clarification on medical terms or treatment plans. If you’re prescribed medication or scheduled for a procedure, ask about side effects, recovery time, and alternatives.

Being proactive and involved in your care will help you feel more in control and confident in your treatment decisions.

How to Prepare for Your First Visit to a Urologist: Conclusion

A successful first urology appointment starts with preparation. By organizing your medical records, writing down your symptoms and questions, and understanding what to expect, you can help your urologist make the most accurate diagnosis and recommend the most effective treatment options. If you’re experiencing urinary symptoms, prostate concerns, male infertility, or any related issue, scheduling a consultation with a trusted specialist is the right first step.

Expert Urological Care from Dr. Yaniv Larish

At Fifth Avenue Urology, Dr. Yaniv Larish offers expert, patient-centered care for a wide range of urological conditions. Whether it’s your first appointment or you’re seeking a second opinion, Dr. Larish provides advanced diagnostic evaluations and individualized treatment plans in a discreet, compassionate environment. His experience in treating complex urological conditions ensures you’re in capable hands from the start.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
212-675-3186

Bladder Cancer Awareness: Symptoms, Risk Factors, and Care

Understanding Bladder Cancer

Bladder cancer is one of the most common cancers affecting the urinary system. It typically begins in the urothelial cells lining the bladder and can vary widely in aggressiveness. Early detection and appropriate treatment are crucial for a favorable outcome. At Fifth Avenue Urology in New York City, Dr. Yaniv Larish provides comprehensive urologic evaluations and personalized cancer care, ensuring patients receive timely diagnoses and effective treatment options.

Bladder Cancer Awareness Symptoms Risk Factors and Care

Common Symptoms to Watch For

The symptoms of bladder cancer can sometimes be subtle in the early stages, but recognizing them early is essential. The most frequently reported symptom is blood in the urine (hematuria), which may be visible or microscopic.

  • Blood in urine (pink, red, or cola-colored)
  • Frequent urination
  • Pain or burning during urination
  • Urgent need to urinate even when the bladder isn’t full
  • Lower back pain (particularly if cancer has spread)

It’s important to note that these symptoms can also indicate non-cancerous conditions like infections or bladder stones. That’s why a thorough evaluation by a urologist is necessary to determine the cause.

Major Risk Factors

Several risk factors increase the likelihood of developing bladder cancer. While not all can be controlled, understanding them helps patients make informed decisions about their health.

  • Smoking: Smokers are at least three times more likely to develop bladder cancer than non-smokers.
  • Age and Gender: Most cases occur in adults over 55, and men are more commonly affected than women.
  • Chemical Exposure: Workplace exposure to chemicals used in manufacturing, rubber, leather, or paint products increases risk.
  • Chronic bladder irritation: From infections, catheters, or certain medications.
  • Family or personal history: A history of bladder cancer or other urologic conditions can increase susceptibility.

Dr. Larish emphasizes the importance of risk assessments and routine checkups, especially for those with known risk factors. His practice uses state-of-the-art diagnostics to detect early signs of cancer.

Diagnosis and Evaluation

When bladder cancer is suspected, a combination of imaging, urine tests, and cystoscopy is used to confirm the diagnosis. Cystoscopy allows direct visualization of the bladder lining, and if needed, a biopsy may be taken for analysis. Additional imaging such as CT urograms or ultrasounds may be used to determine the stage and extent of the disease.

Treatment Options

Bladder cancer treatment varies based on the type, grade, and stage of the tumor. Common treatment approaches include:

  • Transurethral Resection (TURBT): A minimally invasive procedure used to remove early-stage tumors.
  • Intravesical Therapy: Medication delivered directly into the bladder to treat early-stage cancer.
  • Radical Cystectomy: Surgical removal of the bladder in advanced or aggressive cases.
  • Systemic Chemotherapy: For advanced or metastatic bladder cancer.

Dr. Larish works closely with each patient to develop an individualized treatment plan that may involve collaboration with oncologists and radiologists, ensuring a multidisciplinary approach to care.

Bladder Cancer Awareness: Conclusion

Raising awareness about the symptoms, risk factors, and treatment options for bladder cancer can lead to earlier detection and better outcomes. Men and women alike should be vigilant and seek prompt evaluation if symptoms arise. Through advanced diagnostics and a patient-centered approach, Fifth Avenue Urology offers expert care for patients facing bladder cancer and other urological concerns.

Contact Fifth Avenue Urology

If you’re concerned about symptoms or are at high risk for bladder cancer, Dr. Yaniv Larish at Fifth Avenue Urology offers expert diagnostic and treatment services in a compassionate and discreet setting. As a board-certified urologist with a focus on urologic oncology, Dr. Larish provides comprehensive care backed by the latest medical advances.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186

Website: https://www.fifthavenueurology.com

Common Causes of Blood in Urine and When to Seek Help

Hematuria, or blood in the urine, can be a startling and concerning symptom for many individuals. While it is not always a sign of a serious condition, it should never be ignored. Recognizing the common causes and knowing when to seek medical evaluation is essential for safeguarding your urinary health. In this blog, we’ll examine the reasons behind hematuria and when it’s time to consult a urologist like Dr. Yaniv Larish at Fifth Avenue Urology.

Common Causes of Blood in Urine and When to Seek Help

Types of Hematuria

Hematuria is generally categorized into two types:

  • Gross Hematuria: Visible blood in the urine that gives it a pink, red, or cola-colored appearance.
  • Microscopic Hematuria: Blood in the urine that is not visible to the naked eye but is detected during a urine test.

Both types warrant medical attention, even if they are not accompanied by pain or other symptoms.

Common Causes of Blood in Urine

Hematuria can stem from a range of benign or serious conditions. Some of the most common causes include:

Urinary Tract Infections (UTIs)

UTIs are a leading cause of hematuria, particularly in women. When bacteria infect the bladder or urethra, inflammation can lead to visible or microscopic bleeding.

Kidney Stones

Sharp, hard mineral deposits that form in the kidneys can cause irritation, pain, and bleeding as they pass through the urinary tract.

Enlarged Prostate (Benign Prostatic Hyperplasia – BPH)

In men, an enlarged prostate can press on the urethra and affect bladder function, sometimes resulting in blood in the urine.

Kidney Disease

Various forms of kidney disease, such as glomerulonephritis, can cause microscopic bleeding. Often, this is detected during routine lab tests even in the absence of other symptoms.

Bladder or Kidney Infections

Infections that reach the bladder or kidneys can irritate tissue and cause bleeding. These may be accompanied by fever, back pain, or frequent urination.

Trauma or Injury

A blow to the kidneys or lower abdomen, often from contact sports or accidents, can lead to bleeding into the urinary tract.

Exercise-Induced Hematuria

Intense physical activity, especially high-impact sports like running, can sometimes cause temporary hematuria due to bladder trauma or dehydration.

Urological Cancers

Though less common, cancers of the kidney, bladder, or prostate may first present as blood in the urine. Early diagnosis is key to successful treatment.

When to Seek Medical Help

While some causes of hematuria are benign, it’s important to be evaluated by a urologist if you experience:

  • Visible blood in your urine (especially if persistent or recurring)
  • Pain or burning with urination
  • Lower back or abdominal pain
  • Unexplained weight loss or fatigue
  • Frequent or urgent urination

A thorough evaluation may include urine analysis, blood tests, imaging studies such as ultrasound or CT scans, and in some cases, cystoscopy (a visual examination of the bladder).

Common Causes of Blood in Urine and When to Seek Help: Conclusion

Blood in the urine can be a sign of many different conditions—some minor and others requiring urgent medical care. Prompt evaluation is essential for proper diagnosis and peace of mind. At Fifth Avenue Urology, Dr. Yaniv Larish offers expert evaluation and treatment of hematuria using advanced diagnostic tools and patient-focused care.

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021
Phone: 212-675-3186
Visit: https://www.fifthavenueurology.com

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Pelvic Floor Disorders in Women: Causes and Treatments

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The Importance of Prostate Health: What Every Man Should Know

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Managing Overactive Bladder: Tips and Treatment Options

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Advanced Treatments for Kidney Stones: What to Expect

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How to Recognize the Symptoms of Urinary Tract Infections

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Understanding Common Urological Conditions in Men and Women

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Urological Health in Aging Men

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Robotic Surgery in Urology

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Life After Treatment: Stories of Overcoming Urinary Incontinence

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Understanding and Treating Kidney Stones

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The Importance of Regular Urological Check-Ups

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Addressing Male Infertility

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Managing Overactive Bladder

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Innovations in Prostate Cancer Treatment

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The Role of Nutrition in Urological Health

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Preventive Measures for Urological Health

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