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-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: Top Urologist NYC

How to Choose the Best Urologist

If you suffer from problems relating to the bladder, kidneys, and related areas, the usual professional that can provide expert help and treatment is a urologist. In this article we will discuss how to choose the best Urologist. These medical specialists have expert knowledge and training to deal with issues such as these. This is why they can deal with a variety of issues and arrange swift, effective treatment as well as providing expert advice and information.

Tips on making your choice

In order to gain maximum benefit, it is important to choose the right urologist for your needs. There are various tips that can help you to make the right choice.

Some of the key ones include:

Qualifications and Credentials

You should make sure you check the qualifications and credentials of the urologist you are considering. You can get information about their specialist qualifications and training by going on to the website. However, if there is not enough information on there or you have other questions, it is worth ringing and speaking with someone in person.

Their Reputation

It is vital to check on the reputation of the urologist before you make your decision. This is something you can do by checking the testimonials on the website. However, in addition to this you should also look at online reviews from other consumers that may have used the same urologist. This will enable you to benefit from unbiased reviews from those that have personal experience with the urologist.

Experience in the Field

Another important factor to look at is how much experience the professional has in the field of urology. Finding someone with plenty of experience will provide you with peace of mind as well as ensuring you get quality care from someone that is well versed in the field of urology.

The Location of the Urologist

If you are looking for convenience as well as a reputable, experienced urologist, you may want to take location into consideration. This will enable you to get to your urologist with speed and ease as and when the need arises rather than being stuck in traffic for hours on end.

Speak to one of our experts

If you would like to find a urologist with experience, a great reputation, and expertise, you can speak to the best urologist in Manhattan today. We will be happy to provide you with more information about our services as well as arrange a consultation.

For more information, please visit our main website at: www.FifthAvenueUrology.com

Can Microphallus be Treated Successfully?

Microphallus, otherwise known as a micropenis, is a disorder that most people don’t really understand. This is a legitimate medical disorder that can affect sufferers both physically and psychologically. First and foremost, microphallus should not be confused with having a penis that is smaller than average. Most sufferers of microphallus are not able to urinate normally and they are too self-conscious to attempt to engage in romantic relationships. Because most schools do not cover microphallus in human biology, the majority of patients don’t realize that their conditions are reversible.

What Are the Symptoms of Microphallus?

top urologist nyc Most of the symptoms of micropenis relate back to penis size and functionality. Any penis that measures less than 1 inch in length while rigid is considered to fall into microphallus category. At that size, most functions would be severely diminished. It is also thought that microphallus sufferers may also have problems with fertility and have a low sperm count. Since the majority of males with microphallus are self-conscious about the size of their penis, they can also have severe sexual dysfunction.

What Treatments Are Available for Micropenis?

top urologist nyc

Many men have learned to live with microphallus, but there are solutions available if you want to attain a better quality of life. Penile implantation can be used to lengthen the penis, as well as aid erections. Technically, no type of physical medical treatment is necessary for microphallus. You may want to work with a counselor to learn how to cope and you can work on speaking to your partner about your physical differences. At the same time, if this condition is really making you suffer then you can go to a urologist and see if penile implantation can help to increase the size of your penis.

What Will Life Be Like After Being Treated for Microphallus

top urologist nyc You should see a very large difference in the size of your penis after having penile implantation. First of all, a micropenis is a condition where the penis is less than one inch in length, so any increase in size will be highly noticeable. Second, you should feel a lot more positive about your life and your decision to undergo penile implantation after you see the results.

Microphallus can be treated most successfully with penile implantation. Speak to your doctor about getting referred to a urologist and learn if you are a good candidate for a penile implant. Call us to today to meet with our expert penile implant specialist in New York City.

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

The Most Common Urological Problems in Children

Adults aren’t the only ones who need to see a urologist for disorders that can’t be treated effectively by primary care physicians. The difference in treating and diagnosing a child with a urological problem is that they aren’t as adapted to articulating what their physical symptoms are. If you’re a parent who is wondering if your child needs to see a urologist, here are three of the most common urological issues that adolescents have.

1. Nocturnal Enuresis

Also known as bedwetting, nocturnal enuresis is often hard to diagnose at first because it is very common for small children to have accidents at night. It is only when bedwetting becomes persistent and goes beyond the age of pre-school that a parent and doctor can decide that going to the urologist is in order. Bedwetting can also be related to psychological issues, such as stress or fear. With that said, nocturnal enuresis is still one of the most common childhood urological problems that experts see.

2. Urinary Tract Infection

Urinary tract infections are common in adulthood but they’re even more prevalent in kids. Most urologists seeing adolescent urinary tract infection patients will have female children come into their practice as opposed to boys. Female children are also more prone to develop recurrent urinary tract infections that require antibiotics and follow up appointments for positive resolution.

3. Hernia

Hernias can develop before birth but they can also be seen in small children after severe strain or minor injury. Umbilical hernias are rarely reason for concern and generally will heal all the way on their own by the time a child is two years old. Hernias that happen after birth, however, may lead to difficulties urinating and require the assistance of a urologist.

Children can have problems going to the bathroom and need to see a urologist for many different reasons, it’s just that some are more common than others. If your child has been going to elementary school for a few years and is still wetting the bed it might be time to see a urologist. Hernias can be concerning in children especially if they were not pointed out at birth. Lastly, it is natural for children to sometimes have urinary tract infections but they also should clear up within a week on their own and they’re not expected to persist.

Call us today to schedule an appointment to meet with the best NYC urologist 212-675-3186

A Look at the 3 Most Common Prostate Problems

The prostate is one of the male sex organs. It’s shaped like a walnut and is located under the bladder, just ahead of the rectum. It’s a key part of male functionality because it is used both during sexual procreation and urination. Sometimes problems occur with the prostate which are common for men and fairly easy to determine.

Let’s look at what these three problems in detail.

Big Three Prostate Problems

The three issues that come up with the prostate are:

Prostatitis
Prostate cancer
Benign prostatic hyperplasia
Prostatitis

Prostatitis is an inflammation around the prostate area or the prostate itself. It is medical condition that causes considerable pain.

There are four distinct types:

- Acute bacterial prostatitis
- Chronic bacterial prostatitis
- Chronic pelvic pain syndrome/chronic prostatitis
- Asymptomatic inflammatory prostatitis

With asymptomatic inflammatory prostatitis, there are zero observable symptoms, it causes no major health issues and doesn’t need medical treatment.

Prostatitis is most often seen in men under the age of 50. For those over 50, it’s the third most common prostate problem. About two million Americans seek health care services for prostatitis every year.

Prostate Cancer

For U.S. men, prostate cancer is the second most likely cancer to get. It is also unfortunately the second most likely cancer to lead to early death. The condition affects black men somewhat more than it does white men; it’s also more dangerous to the black population.

There are no symptoms to determine the onset of prostate cancer. When reaching a more advanced stage, urination will sometimes become either weaker or more frequent. However, these same symptoms are evident with men who have benign prostate problems too.

The growth rate of prostate cancer is slow. The onset is most often in the above 65 age group and in this age group few men die from it. It is still unclear whether early detection helps resolve the issue or lengthens lifespan. There are screening tests available for prostate cancer.

Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (otherwise known as BPH) is an enlargement of the gland itself. It is not cancerous, but the enlargement causes medical issues. The prostate grows twice; once at the onset of puberty and secondly starting at around 25 years old. Growth is then progressive over a man’s life.

Unfortunately, the larger the prostate gets, the more likely it is to come into contact with the urethra. The contact causes related issues such as the bladder not being able to fully empty which in turns causes other health problems and discomfort.

If you have any doubts about your prostate health, it’s a good idea to schedule an appointment with the best urologist specialist in NYC to get checked out.

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

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?

Have 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

No 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.

If 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.

Peyronie’s Disease

At Dr. Arnold Melman’s Office in NYC, we are pleased to offer the most up to date treatment by a top NYC urologist, Dr. Yaniv Larish, for Peyronie’s disease. Peyronie’s Disease is the result of scar tissue that forms in the penis, and it causes the penis to bend. This can make sexual intercourse difficult to achieve, and can even result in pain with intercourse. This condition is probably caused by trauma to the penis over time that results in small amounts of bleeding inside the penis. The injury may not even be noticeable when it occurs. Other causes can include medications, although the chance of developing Peyronie’s disease from a medication is very small. There may also be genetic causes for the disorder.

Who Might Have Peyronie’s Disease?

Peyronie's Disease Peyronie’s disease usually occurs in middle-aged men, and it’s estimated to occur in 1% of men. Symptoms can often take a long period of time to develop, but in some cases, symptoms can develop rapidly and result in pain and an bend in the penis during erection. Although the pain usually resolves with time, the bend can remain. In up to 19% of cases, the disease will resolve without treatment.

An experienced urologist can often feel the hardened scar tissue, or may need to do a biopsy to make the diagnosis. Dr. Arnold Melman often suggests that patients wait for a period of time to see if the condition resolves, and if the condition is mild, then no treatment may be necessary. However, in many cases Peyronie’s Disease can interfere with the pleasure of sexual intercourse. This is something you should discuss with your doctor.

There are treatments available for this condition, and you can be restored to normal sexual health. Treatments include both medications and surgical options. Dr. Yaniv Larish, one of NYC’s leading urologists, can discuss the best option for your treatment.

Xiaflex® is the first medication that is FDA approved for treatment of Peyronie’s disease, and it works by breaking down scar tissue. The drug is injected twice into the penis during each of four treatments. Surgeries to treat Peyronie’s disease include removal of the scar tissue plaque, or removal of tissue on the opposite side of the penis, to counter the effect of the scar tissue. Penile implants may also be helpful in the treatment of this problem.

Dr. Yaniv Larish has successfully treated many patients who suffer from Peyronie’s Disease. If you have this condition, you should call our clinic today at 212-675-3186 for a consultation. Help is available. If you are in the New York City area, you can arrange your appointment today with one of the city’s leading urologists.

Female Pelvic Pain

Female pelvic pain is pain below a woman’s navel and is considered chronic if it lasts more than 6 months. The pain can vary in intensity from woman to woman. Some may have mild pain which comes and goes, while others have a steady, unrelenting pain that can become so severe it interferes with their quality of life.

Common Causes of Female Pelvic Pain

•   Reproductive system conditions such as; Endometriosis, Adenomyosis or uterine fibroids.
•    Scar tissue due to an infection, injury or surgery to the pelvic region.
•    Urinary tract or bowel diseases- irritable bowel syndrome, bladder irritation, bladder stones and kidney stones.
•    Tumors, growths, or cysts of the reproductive system or bladder.

Sometimes the causes of pelvic pain remain unknown even after testing has been done by your urologist doctor. Even after an injury or surgery of the pelvic region has healed the affected nerves can keep sending pain signal to your brain. The nerves become confused.

Diagnosis of Pelvic Pain

During your first visit to see your urology doctor, your urologist will do a pelvic examination to look for problems of your reproductive system.
Other tests may include:
•    Urine and blood tests to test for urinary tract infections
•    A pregnancy test
•    Sexually transmitted disease testing

Finding the cause and treating pelvic pain can be a long tedious process. If your urologist discovers a reason for your pelvic pain they may prescribe:
•    Birth control pills or hormones to regulate your periods
•    Surgery to remove a tumor, growth or cyst located in your reproductive system
•    Over-the-counter medication to relieve pain, such as ibuprofen, naproxen which you will take on a regular basis, not just when you have pain and/or antibiotics to cure an infection and for some medication for anxiety may be required.

If you have been suffering from pelvic pain, please contact our office today to schedule an appointment with the best urology doctor in NYC.

Cystoscopy

What is a Cystoscopy?

Cystoscopy is a test which allows your urologist to look inside of the bladder and the urethra using a lighted instrument called a cystoscope.

The cystoscope is inserted into your urethra and slowly advanced into the bladder. The cystoscopy allows the urologist to look at areas of the bladder and urethra which usually do not show up well on x-rays. Tiny surgical instruments are then inserted through the cystoscope which allows your urologist to remove tissue samples or urine samples.

Reasons for a Cystoscopy

There are various reasons why your urologist may wish to perform a cystoscopy, one of the most common reasons is to find the cause of symptoms such as:

· Blood in the urine, pain while urinating, urinary incontinence, and an inability to pass urine or an urgency of urine.

· Often a cystoscopy is done when a person has reoccurring urinary tract infections or medications are ineffective when treating the urinary tract infections.

· Looking for blockages in the urethra caused by an enlarged prostate, kidney stones or tumors.

· To remove tissue samples for biopsy

· To remove foreign objects

· For the placement of a urethral stent to help urine to flow from the kidneys to the bladder.

Cystoscopy can be performed in the urology procedures area of a urology clinic or in the hospital if an overnight stay is required. Most often a cystoscopy is done as an outpatient procedure unless spinal or general anesthesia is needed.

For further information about the Cystoscopy procedure, contact us today to make an appointment with the best urologist in NYC, and get the answers you need.

What is Hematuria?

Hematuria is the presence of blood in your urine, and though it may alarm you at first, there are often benign reasons for this occurrence. Yet, blood in urine can be a sign of a serious medical condition; nonetheless, it shouldn’t be ignored. All cases of Hematuria should be evaluated by an urologist who can order tests to verify or rule out a primary cause. The most common symptoms of Hematuria include blood clots or red, pin, orange or brown color in urine.

Hematuria Tests

Most causes of blood in the urine are not serious, but some may be. Your urologist may order one or more of these tests:
• Urinalysis: to test for a possible urinary tract infection or kidney disease

• Blood test: to test for kidney disease

• Kidney imaging studies: to test for a tumor, kidney or bladder stone, inflamed or enlarged prostate, or obstruction to urine flow

• Cystoscopic examination: to check for a tumor or kidney stones
Frequent causes of blood in urine include:
• Infections of the bladder or kidneys

• Bladder or kidney stones

• Certain inflammatory kidney diseases

• An enlarged prostate (prostatis) or prostate cancer

• Diseases such as sickle cell anemia and kidney disease

• Medications such as aspirin, an antibiotic or heparin

• A tumor of the kidneys, bladder, or prostate

• Injury of the kidneys due to an accident or sports

• Vigorous exercise-in some cases people who engage in athletic training can experience Hematuria

Treatment of Hematuria

Treatment is aimed at the primary cause. After treatment, your urologist will recheck your urine to see if the blood is still present. If you continue to have blood in your urine, you may need additional tests. Usually, no treatment is required unless a serious condition is causing the Hematuria.

Consult a Doctor

If no primary cause is found during the preliminary evaluation, you may be advised to have follow-up urine testing and blood pressure monitoring every three to six months, especially if you have possible risk factors for bladder cancer, such as being over the age of 50, cigarette smoking, or daily contact with certain industrial chemicals.

Call us today to set up a prompt appointment with the best urologist in NYC, because even if you only see blood once in the urine, it is important for your health and well being to have it checked out, and be sure to inform our staff about the blood when you call.

Penile Implant Surgery in NYC

Erectile Dysfunction and Penile Implant Surgery NYC Have you been experiencing erectile dysfunction, been prescribed medications and still having difficulty maintaining an erection during sexual activity? Or do you have scarring, which has curved your penis or makes erections painful? You should consider a penile implant as it may be the answer to your problem.… Continue Reading

Vasectomy the Permanent Birth Control for Men at Urologist NYC

Have you decided to take steps towards birth control? Have you thought about what form of permanent birth control your partner and you desire? Are you wondering if a Vasectomy may be the right choice for you? At Urologist New York City you will receive urologic care in a warm and sensitive environment. Here you… Continue Reading

What is Urethroplasty?

Urethroplasty is the repair of scar tissue located in your urinary channel from the bladder to out the penis. This scar tissue can occur after an injury such as from a prior surgery, catheter placement or a sexually transmitted disease. When you experience a buildup of scar tissue you will notice a slowing of… Continue Reading

No Scalpel Vasectomy

Getting a Vasectomy without the Scalpel You may have heard of no-scalpel vasectomy and wondered if it was right for you? Your partner and you have decided that it is the right time to consider permanent birth control. You’ve decided to have a vasectomy and you’re doing your research. Most patients wish is to choose… Continue Reading

Penile Implants – Top Urologist NYC 2013

When men suffer from erectile dysfunction, their quality of life is significantly diminished. If you are suffering from ED, you can find a permanent solution with penile implants. Dr. Melman is one of the most highly experienced urologist in the country, and offers the entire spectrum of penile implants. Erectile dysfunction can be caused by… Continue Reading

BPH – Benign Prostatic Hyperplasia–Enlarged Prostate

The symptoms of BPH are the reason why most men come to a Urologist’s office for help. So, what is BPH, and what do the letters represent? The B stands for benign that is, a non-cancerous condition that can make you miserable but not kill you. The P stands for prostate, the gland in front… Continue Reading

What is a vasectomy and who should consider having one?

A vasectomy is a simple, safe, 15 minute procedure done under local anesthesia in the doctor’s office that can prevent unwanted pregnancies and the problems associated with pregnancy. I had a sign in my office that said, “If you had a vasectomy you never have to say, “I’m sorry.” Thousands of vasectomies later it’s still… Continue Reading

Is Erectile Dysfunction Reversible?

One of the common questions is whether or not the ED is reversible? Unfortunately, with a few exceptions* the answer is NO. This makes it such that treatment is needed to resume intercourse. *The exceptions are Psychogenic ED Vascular ED Hormonal ED Smoking related ED Psychogenic ED: Is more common in younger men. Anxiety is… Continue Reading

What is Erectile Dysfunction? Top Urologist for ED in NYC, Drs. Brodherson and Larish

ED, or erectile dysfunction, is defined as the inability to obtain or maintain an erection of sufficient hardness and for a long enough time to satisfy your partner sexually. Erectile Dysfunction The effects of Erectile Dysfunction on the man and his partner go beyond the inability to have sex. Most men who have the problem… Continue Reading