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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-urology2 Dr. 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.

See our Main Site at www.FifthAvenueUrology.com

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Category Archives: pelvic prolapse

Pelvic Floor Disorders in Women: Causes and Treatments

Pelvic floor disorders (PFDs) in women are a group of conditions that affect the muscles, ligaments, and connective tissues supporting the pelvic organs. These disorders can lead to problems with bladder control, bowel function, and sexual health. While often associated with aging or childbirth, pelvic floor disorders can affect women at any stage of life. Understanding the causes, symptoms, and available treatments is crucial for early intervention and improved quality of life.

top urologist for pelvic floor disorders in women

What Are Pelvic Floor Disorders?

The pelvic floor is a group of muscles and connective tissues that support the bladder, uterus, vagina, and rectum. When these structures become weakened or damaged, they may result in various pelvic floor disorders, including:

Urinary Incontinence: Involuntary leakage of urine, especially during coughing, sneezing, or exercise.
Pelvic Organ Prolapse: Descent or bulging of pelvic organs into or outside of the vaginal canal.
Fecal Incontinence: Inability to control bowel movements, leading to accidental stool leakage.
Pelvic Pain: Chronic discomfort or pressure in the pelvic region.

Causes and Risk Factors

Several factors can contribute to the development of pelvic floor disorders. While some are unavoidable, others can be managed or mitigated through lifestyle choices and medical care.

Common Causes

Childbirth: Vaginal delivery, especially of large babies or after prolonged labor, can stretch and damage pelvic floor muscles and nerves.
Aging and Menopause: Decreased estrogen levels after menopause can weaken the tissues supporting the pelvic organs.
Chronic Pressure: Constipation, chronic coughing, obesity, or heavy lifting can increase pressure on the pelvic floor over time.
Surgery or Trauma: Pelvic surgeries or injuries can alter muscle and nerve function.

Symptoms to Watch For

Pelvic floor disorders may present gradually or suddenly. Some common symptoms include:

Sensation of pelvic pressure or fullness
Urinary urgency, frequency, or leakage
Difficulty with bowel movements or fecal leakage
Visible bulge from the vagina (in cases of prolapse)
Pain during intercourse

If you’re experiencing these symptoms, a pelvic exam and additional testing from a urologist or urogynecologist may be necessary.

Treatment Options for Pelvic Floor Disorders

Treatment depends on the specific condition, its severity, and individual patient factors. Fortunately, a wide range of effective therapies are available.

Conservative Treatments

Non-surgical options are often the first line of treatment, particularly for mild to moderate symptoms.

Pelvic Floor Physical Therapy: A specialized physical therapist can guide exercises (like Kegels) to strengthen pelvic muscles and improve control.
Pessary Devices: A small device inserted into the vagina to support pelvic organs and reduce prolapse symptoms.
Medications: Depending on the condition, medications may be prescribed to manage bladder symptoms or improve bowel function.

Minimally Invasive and Surgical Treatments

When conservative treatments aren’t effective, minimally invasive procedures or surgery may be necessary.

Urethral Sling Surgery: A sling is placed to support the urethra and prevent urinary incontinence.
Sacral Neuromodulation: A small device is implanted to regulate nerve signals to the bladder and bowel.
Pelvic Organ Prolapse Repair: Surgery can restore the normal position of prolapsed organs, either through the vagina or abdomen, sometimes using mesh for added support.

For detailed treatment options, visit the American Urogynecologic Society.

Pelvic Floor Disorders in Women: Conclusion

Pelvic floor disorders are common but treatable conditions that can greatly affect a woman’s daily life and confidence. Whether you’re managing symptoms of urinary incontinence, pelvic organ prolapse, or chronic pelvic pain, effective treatments are available—from physical therapy to advanced surgical options. Early diagnosis and the right care plan are essential.

For comprehensive evaluation and expert treatment, contact Dr. Yaniv Larish at Fifth Avenue Urology. Dr. Larish provides personalized care using the latest techniques to help women restore function and improve quality of life.

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

Sacrocolpopexy vs. Traditional Surgery: Which Surgery for Pelvic Organ Prolapse?

How do you choose which surgery to get for pelvic organ prolapse? Pelvic organ prolapse (POP) is a prevalent condition among women, often resulting from weakened pelvic floor muscles and tissues. It can lead to uncomfortable symptoms, including pressure, urinary issues, and vaginal bulging. If you’re considering treatment for POP, you’ll likely come across two primary surgical approaches: sacrocolpopexy and traditional surgery. In this comprehensive guide, we’ll explore the differences between these approaches to help you make an informed decision about the best treatment for your pelvic organ prolapse.

Surgery for Pelvic Organ Prolapse?

Sacrocolpopexy: An Innovative Solution

Sacrocolpopexy is a surgical procedure that has gained popularity for its effectiveness in treating pelvic organ prolapse. Here’s what you need to know about it:

Minimally Invasive Approach

Unlike traditional surgery, sacrocolpopexy is minimally invasive. It involves making small incisions in the abdomen, through which a skilled surgeon can perform the procedure with the assistance of robotic technology. This approach reduces scarring and typically leads to a quicker recovery.

Mesh Support

Sacrocolpopexy utilizes synthetic mesh to provide support to the prolapsed organs, helping to restore them to their natural position. The mesh is durable and offers long-term results with a low risk of recurrence.

Precision and Control

Robotic technology enhances the surgeon’s precision and control during sacrocolpopexy. This allows for more accurate placement of the mesh and better outcomes for patients.

Traditional Surgery: An Established Approach

Traditional surgery for pelvic organ prolapse has been practiced for many years. Here’s a brief overview:

Open Surgery

Traditional surgery for POP often involves open abdominal or vaginal approaches. It may require larger incisions, leading to more noticeable scarring and a potentially longer recovery period.

Suturing Techniques

In traditional surgery, sutures are typically used to repair and reposition prolapsed organs. While effective, this approach may not offer the same long-term durability as synthetic mesh.

Choosing the Right Approach

The choice between sacrocolpopexy and traditional surgery depends on various factors, including your specific condition, surgeon’s recommendation, and your preferences. Here are some considerations:

Severity of Prolapse

The severity of your pelvic organ prolapse can influence the choice of procedure. In some cases, traditional surgery may be sufficient, while more complex cases may benefit from sacrocolpopexy.

Desired Recovery Time

If you prefer a quicker recovery with smaller incisions and less scarring, sacrocolpopexy may be the preferred choice.

Long-Term Outlook

Sacrocolpopexy tends to offer better long-term durability, making it a preferred option for those looking for a lasting solution.

Which Surgery for Pelvic Organ Prolapse? Consult a Specialist

Ultimately, the decision between sacrocolpopexy and traditional surgery should be made in consultation with a specialist. Dr. Yaniv Larish at Fifth Avenue Urology is an expert in diagnosing and treating pelvic organ prolapse. He will assess your condition, discuss your preferences, and recommend the most suitable treatment option for your individual needs.

Don’t let pelvic organ prolapse impact your quality of life. Contact Fifth Avenue Urology today to schedule a consultation and explore the right approach for your pelvic organ prolapse treatment.

Contact Information

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

Understanding Pelvic Organ Prolapse Treatment

Are you seeking information about pelvic organ prolapse treatment? Pelvic organ prolapse (POP) is a common condition that predominantly affects women, often as they age or after giving birth. It can have a significant impact on a woman’s quality of life. Several factors contribute to this condition:

Vaginal Childbirth: The stresses of vaginal childbirth can strain and weaken the pelvic floor muscles and tissues.

Aging: As women age, hormonal changes can reduce tissue elasticity and muscle strength in the pelvic region.

Hormonal Changes: Reduced estrogen levels, particularly during menopause, can weaken pelvic tissues.

Chronic Straining: Straining during bowel movements due to chronic constipation can contribute to pelvic organ prolapse.

Obesity: Excess weight can exert pressure on pelvic organs, increasing the risk of prolapse.

Symptoms of Pelvic Organ Prolapse

The symptoms of pelvic organ prolapse can vary in intensity, and individuals may experience a combination of the following:

Pelvic Pressure: Many women report a feeling of fullness or pressure in the pelvic area.

Vaginal Bulging: Prolapsed organs can lead to noticeable bulges in the vaginal canal.

Urinary Issues: POP can result in urinary incontinence, frequent urination, and difficulty emptying the bladder.

Bowel Problems: Some women may struggle with bowel movements, often experiencing constipation.

Pelvic Discomfort: Pelvic pain or discomfort is a common symptom of pelvic organ prolapse.

Robotic Sacrocolpopexy: A Revolutionary Treatment

Robotic sacrocolpopexy stands out as an innovative surgical procedure designed to effectively address pelvic organ prolapse. Its increasing popularity is attributed to several key advantages:

Minimally Invasive: Robotic sacrocolpopexy involves small abdominal incisions, which minimizes scarring and speeds up the recovery process.
Robotic Precision: Skilled surgeons employ robotic technology to enhance precision and control during the procedure.
Mesh Support: The procedure utilizes synthetic mesh to provide durable support to the prolapsed organs, returning them to their natural position.
Long-Term Results: Robotic sacrocolpopexy offers long-lasting relief with a low risk of recurrence.

Pelvic Organ Prolapse Treatment: Consult a Specialist

If you are experiencing symptoms of pelvic organ prolapse, seeking consultation with a specialist in urogynecology or urology is essential. Dr. Yaniv Larish at Fifth Avenue Urology is an expert in diagnosing and treating pelvic organ prolapse. He offers personalized treatment plans tailored to your unique needs, ensuring that you receive the best care possible.

Do not let pelvic organ prolapse control your life. Take the first step toward regaining your comfort, confidence, and quality of life by contacting Fifth Avenue Urology today to schedule a consultation. Explore how robotic sacrocolpopexy can transform your journey to treat pelvic organ prolapse.

Contact Information

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

Website: https://www.fifthavenueurology.com/

Robotic Sacrocolpopexy: A Breakthrough in Pelvic Organ Prolapse Treatment

Robotic Sacrocolpopexy treatment for pelvic organ prolapse NYC In this comprehensive guide, we will delve into the intricate details of pelvic organ prolapse, its causes, and how robotic sacrocolpopexy is transforming its treatment landscape. Pelvic organ prolapse (POP) is a prevalent yet distressing condition that affects a significant number of women, especially as they age or after childbirth. It can lead to discomfort, pain, and a decreased quality of life. Thankfully, the field of urogynecology has witnessed significant advancements, and one such innovation is robotic sacrocolpopexy.

Understanding Pelvic Organ Prolapse (POP)

Pelvic organ prolapse occurs when the pelvic floor muscles and tissues weaken, allowing pelvic organs like the bladder, uterus, or rectum to sag or protrude into the vaginal canal. This condition can result in a range of distressing symptoms:

Pressure and Heaviness: Women often report feeling pressure or a sensation of heaviness in the pelvic area.
Vaginal Bulging: Prolapsed organs can cause a noticeable bulge in the vaginal canal.
Urinary Incontinence: POP can lead to urinary leakage, making daily life uncomfortable.
Bowel Issues: Bowel movements can become challenging and uncomfortable.
Pelvic Pain: Many women experience pelvic pain or discomfort.

Causes of Pelvic Organ Prolapse

Understanding the causes of POP is essential in developing effective treatment strategies. Several factors contribute to the development of pelvic organ prolapse:

Childbirth: The stresses placed on the pelvic floor during childbirth, particularly vaginal deliveries, can weaken the supporting muscles and tissues.
Aging: As women age, hormonal changes can lead to reduced tissue elasticity and muscle strength.
Hormonal Changes: A drop in estrogen levels, particularly during menopause, can weaken the pelvic tissues.
Chronic Constipation: Straining during bowel movements can strain the pelvic floor.
Obesity: Excess weight can exert pressure on pelvic organs and contribute to prolapse.

Robotic Sacrocolpopexy: A Revolutionary Approach

Robotic sacrocolpopexy is an advanced surgical procedure designed to correct pelvic organ prolapse effectively. It stands out as a remarkable solution because of its precision, minimally invasive nature, and long-lasting results:

Minimally Invasive: The procedure involves making only a few small incisions in the abdomen, minimizing the need for extensive surgical cuts.
Robotic Assistance: A skilled surgeon controls a robotic system with advanced dexterity and precision, ensuring optimal outcomes.
Mesh Placement: Synthetic mesh is used to provide support and restore prolapsed organs to their normal positions.
Durability: Robotic sacrocolpopexy offers durable results with a low risk of recurrence, providing women with long-term relief.

Consultation with a Specialist

If you’re grappling with the discomfort and symptoms of pelvic organ prolapse, it’s imperative to seek consultation with a specialist in urogynecology or urology. Dr. Yaniv Larish, an expert at Fifth Avenue Urology, specializes in diagnosing and treating pelvic organ prolapse. He offers personalized treatment plans tailored to your unique needs, ensuring you receive the best care.

Don’t allow pelvic organ prolapse to control your life. Take the first step toward regaining your comfort, confidence, and quality of life. Contact Fifth Avenue Urology today to schedule a consultation and explore how robotic sacrocolpopexy can transform your journey to treat pelvic organ prolapse.

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

Discover how this treatment is revolutionizing the treatment of pelvic organ prolapse. Reach out to us today and take the first step toward lasting relief and an improved quality of life.

What Is Pelvic Organ Prolapse?

Have 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.

Other 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.

Pelvic Prolapse

Pelvic prolapse is a urological condition where a pelvic organ such as the vagina may fall out of its normal position due to weakening of the muscles and skin of the vagina walls. This is a condition which you need to seek treatment from your urologist and possibly surgery or it can become worse causing the structures to fall further into the vagina or its opening.

30%-40% of women older than 40 years may develop some form of pelvic prolapse. Pelvic prolapse occurs more often after menopause or a hysterectomy.

What are the Symptoms of a Pelvic Prolapse?

Some women never experience any symptoms when pelvic prolapse occurs, but most women will experience pelvic pressure, pain and discomfort which can affect their sexual functions and make urination and defecation painful and uncomfortable. You may experience urinary incontinence and leakage as a result of the pelvic prolapse.

Forms of Pelvic Prolapse

Rectocele

Is a prolapse of the rectum. This involves a prolapse of the vaginal wall. When the vaginal wall weakens, the rectal wall will push against the vaginal wall, creating a bulge. When having a bowel movement the bulge can be seen in many cases.

Cystocele

Is a prolapse of the bladder. This can occur when the face wall of the vagina fails; as a result, the bladder may collapse into the vagina. When this happens, the urethra may prolapse, as well. This may cause urinary incontinence or a leakage of urine.

Prolapsed Uterus

This involves a deterioration of the ligaments at the top of the vagina; this causes the uterus to fall, which causes the weakening of the vagina.

Call Us Today!

Women often fail to seek treatment due to embarrassment, this condition is more common than not and to prevent further damage, you must call us today to schedule an appointment with the best urologist in NYC. Your quality of life depends upon this