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: Urology for Men

Urological Health in Aging Men

This blog explores urological health in aging men, including common conditions, symptoms, and available treatments. As men age, they often face various urological health issues that can significantly impact their quality of life. Understanding these conditions and how to manage them is crucial for maintaining overall health and well-being.

Urological Health in Aging Men NYC

Common Urological Conditions in Aging Men

Several urological conditions become more prevalent as men age. Recognizing the symptoms and seeking timely medical advice is essential for effective management.

Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia (BPH) is a common condition where the prostate gland enlarges, causing urinary problems. BPH is not cancerous, but it can significantly affect the quality of life.

Symptoms: Frequent urination, especially at night (nocturia), difficulty starting urination, weak urine stream, and inability to completely empty the bladder.
Treatment: Medications such as alpha-blockers and 5-alpha reductase inhibitors can help. Minimally invasive procedures and surgery are options for more severe cases.

Prostate Cancer

Prostate cancer is one of the most common cancers among men. Early detection through regular screening is vital for effective treatment.

Symptoms: Often asymptomatic in early stages, but advanced stages may cause difficulty urinating, blood in urine or semen, and pelvic discomfort.
Treatment: Treatment options include active surveillance, surgery, radiation therapy, hormone therapy, and chemotherapy.

Erectile Dysfunction (ED)

Erectile Dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is a common issue in older men and can be linked to other health conditions.

Causes: Can include cardiovascular disease, diabetes, hypertension, and psychological factors.
Treatment: Oral medications (PDE5 inhibitors), lifestyle changes, psychological counseling, vacuum erection devices, and surgical options like penile implants.

Urinary Incontinence

Urinary incontinence, or the loss of bladder control, can range from occasional leakage to the inability to control urination.

Types: Stress incontinence, urge incontinence, overflow incontinence, and functional incontinence.
Treatment: Behavioral therapies, pelvic floor exercises, medications, and surgical interventions depending on the type and severity.

Maintaining Urological Health

Proactive measures can help maintain urological health and prevent complications.

Regular Screening

Regular check-ups and screenings for prostate health, including PSA tests and digital rectal exams (DRE), are essential for early detection of issues.

Healthy Lifestyle

Maintaining a healthy lifestyle can significantly impact urological health:

Diet: A balanced diet rich in fruits, vegetables, and whole grains supports overall health.
Exercise: Regular physical activity helps maintain a healthy weight and reduces the risk of conditions like BPH and ED.
Hydration: Drinking plenty of water helps prevent urinary tract infections and kidney stones.

Managing Chronic Conditions

Proper management of chronic conditions such as diabetes and hypertension is crucial as they are risk factors for many urological problems.

Urological Health in Aging Men: Conclusion

Urological health is a critical aspect of overall well-being for aging men. Regular screenings, a healthy lifestyle, and early intervention are key to managing and preventing common urological conditions.

For expert care and personalized treatment plans, consult with Dr. Yaniv Larish at Fifth Avenue Urology. Dr. Larish offers comprehensive urological care and consultation tailored to your specific needs, ensuring the best possible outcomes.

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

Urological Problems in Men: Trending Conditions

Urological problems are quite common in men. More often than not, these issues occur when people age. In some cases, urological diseases can cause complications, affecting your quality of life. A well-functioning urinary system is vital for men’s health. This system consists of the bladder, reproductive organs, and urethra.

Urological Problems in Men
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Some people suffer from urinary disorders because of aging, illness, trauma, congenital disabilities, etc. If you notice symptoms like blood in your urine, difficulty urinating, the pungent smell in your urine, urine leakage, too much pain in your abdomen, etc., consult with a urologist who specializes in treating and diagnosing urological disorders.

Older men are more likely to suffer from urological problems than younger ones. Mentioned below are some urological diseases that affect many males.

Urinary incontinence
Phimosis
Erectile dysfunction
Urinary bladder stones
Kidney stones
Urinary tract infection
Benign prostatic hyperplasia

Urinary Incontinence

Involuntary or sudden leakage of urine is referred to as urinary incontinence. Common symptoms of this condition include losing control of the urinary bladder. One of the biggest reasons behind urinary incontinence in men is an enlarged prostate, neurological disorders, or an obstructed urinary tract.

Phimosis

The condition is called phimosis when the penis’ foreskin can’t be pulled or retractable. It often results in various foreskin related issues like pain while passing urine, inflammation, and infections. In uncircumcised men, phimosis can be painful and prevent you from doing numerous activities.

Erectile Dysfunction

This urological condition can greatly impact men’s sexual life. Numerous reasons can result in erectile dysfunction, like low testosterone, excessive smoking, too many drugs, diabetes, nerve damage, blood pressure, etc. Besides these physical causes, emotional causes of erectile dysfunction include anxiety, depression, and stress.

Urinary Bladder Stones

This urological condition mostly happens when your bladder doesn’t empty itself properly. Men over the age of fifty often face this issue. Swelling inside the bladder, kidney stones, enlarged prostate, poor diet, lack of hydration, etc., are among the most common reasons behind bladder stones. Most people with bladder stones notice painful symptoms like pain while urinating, dark colored urine, discomfort when peeing, etc.

Kidney Stones

It is arguably the most common type of urological disorder and usually occurs because of stones forming due to salt in mineral crystallization in an individual’s kidney. Lack of hydration, obesity, and poor diet are among the most common reasons behind kidney stones. Here are some common signs and symptoms that highlight the presence of stones in your kidney:

Brown or red colored urine
Feeling feverish
Feeling nauseated
Sharp pain on the sides or back

Urinary Tract Infection

The urinary tract consists of the lower tract and the upper tract. The former consists of the prostate, urethra, and bladder, while the latter consists of the ureters or kidneys. The buildup of bacteria or germs in your urinary tract can result in certain symptoms like:

Frequent need to empty your bladder
Excessive pain in your stomach
Dark yellow or cloudy urine

Benign Prostatic Hyperplasia

Benign prostatic hyperplasia is essentially when one’s prostate becomes too enlarged. This condition is most common in older males aged fifty or above. Common BPH symptoms include:

Inconsistent urinary stream
Not being able to empty your bladder
Bloody urine

Urological Problems in Men: Final Thoughts

Urological problems can be quite painful and may even cause mental health issues. Being unable to control the bladder often causes people to isolate themselves to prevent embarrassment. If you want to steer clear of such issues, consider contacting a urology specialist right away. At Fifth Avenue Urology, our experts can check your medical history in detail to determine your ideal treatment.

Contact us to reserve an appointment, and you will be one step closer to living a happy and stress free life.

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

https://www.fifthavenueurology.com/

Common Male Urological Problems

What are the most common male urological problems? As men age, they develop various urological problems that disrupt with quality of life. People especially around the age of 40 develop these conditions. However, this doesn’t mean that young people can’t have these problems. Many people complain that they suffer from building a relationship because of urological problems. Fortunately, these problems are treatable.

Common Male Urological Problems
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Common Urology Problems in Men

Here are some common male urological problems that you must know:

1. Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia or BPH is a condition where the prostate grows bigger. Usually, older men suffer from an enlarged prostate. The prostate is a walnut-sized gland between the penis and bladder. Although this condition is not dangerous, it causes urination problems. Symptoms of this condition are:

Urge to urinate
Weak urination stream
Difficulty to urinate
Continuous dribbling
Fullness in the bladder

2. Erectile Dysfunction (ED)

Erectile dysfunction is a common condition when a man loses his ability to get or maintain an erection. A urologist treats this condition after proper evaluation. They identify the underlying condition before suggesting the treatment plan. The common treatment program includes:

Testosterone replacement
Medication
Acupuncture
Surgery
Psychological counseling

Furthermore, a urologist might also suggest lifestyle changes such as reducing stress, increasing exercise and losing weight.

3. Urinary Tract Infection (UTI)

If someone experiences cloudy burning and painful urination, they might have a urinary tract infection. A urologist conducts a urine test to diagnose the condition. A person with UTI might experience these symptoms as well:

Urgency to urinate
Low grade fewer
Cloudy urine
Frequent urination
Hematuria
Trouble urinating
Burning sensation while urinating

Bacteria cause urinary tract infections in any location in the urinary system. This system consists of the urethra, bladder, and kidneys. The infection commonly affects the bladder in men, which is a tube that flows urine outside the body. A urologist will prescribe antibiotics to treat UTIs.

4. Kidney Stones

Kidney stones are another common condition in men. Urologists refer to this condition as urolithiasis, nephrolithiasis, and renal calculi. The stones are minerals and salts deposits in the kidneys. Men develop kidney stones because of medical conditions, excess body weight, and certain supplements. Kidney stones may develop in any part of the urinary tract. This means from the kidneys to the bladder. The stones usually develop due to a high concentration of urine, which develops crystals and mineral deposits.

Kidney stones treatment depends on the size of the stone. Some patients with small kidney stones can pass the stones through urination. However, the process of naturally extracting kidney stones is extremely painful. The doctor will suggest excessive water intake and medication boost the extraction process. Urinating kidney stones is not a dangerous process and doesn’t involve any damage to the urinary system.

Common Male Urological Problems | Top Urologist
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In other instances, the doctor will perform surgery to eliminate stones from the body. Surgery is required when the stones are large or the deposits block the urinary tract. This can result in serious complications such as urinary infections. During surgery, the urologist will break the stones into small pieces using a sharp-beam laser. The laser heats the stone and breaks it into tiny pieces so the patient can eliminate it through urination.

5. Male Infertility

Male infertility occurs due to abnormal sperm function, low sperm production, or blockage. As a result, the sperms fail to leave the body. Common causes of male infertility are:

Chronic health problems
Illness
Injuries
Unhealthy lifestyle choices

Male infertility is a condition when a man loses his ability to conceive a child. The condition can be frustrating and stressful and lead to depression and anxiety. However, there are many treatments available to cure male infertility. A neurologist will suggest an effective treatment according to the cause of infertility.

6. Overactive Bladder

As the name suggests, an overactive bladder is a condition with a frequent urge to urinate. Patients suffering from overactive bladder might find it hard to control their urge to urinate. This may lead to incontinence, which is the involuntary loss of urine.

In this condition, the bladder nerves and muscles fail to function. This results in frequent and inaccurate urinating signals. Since the brain receives inaccurate signals it contracts the bladder muscles. So, a patient with an overactive bladder loses control over their bladder.

On average a healthy person urinates four to seven times a day. But, patients suffering from OAB might urinate about 30 times a day. Sometimes, they might not reach the bathroom before they urinate.

Common Male Urological Problems: Conclusion

If you think that you might have any of the above mentioned male urological problems, you should consult with a professional urologist. An experienced urologist carefully diagnoses the patient before they prescribe medication and treatment.

If you are looking for an expert, you should contact our clinic, Fifth Avenue Urology, or give us a call at 212-675-3186. You can set an appointment with our specialized urologist, Dr. Yaniv Larish. So, contact us now.

6 Common Urological Problems Men Face

What are the common urological problems that men have? Urology is a medicinal and doctoral branch that accounts for urinary tract-related conditions and diseases men and women experience. The body’s urinary tract system works to regulate and manage the passage of urine. In males, the reproductive organs are also part of this.

Urology pertains to organs like the bladder, ureter, urethra, kidney, and other reproductive organs inside the body. Men and women both can experience urological problems or diseases due to aging, injury, genetic problems, or even birth defects.

Urological diseases affect the urinary tract system and the body organs associated with it. These conditions can be acute or chronic depending on the age, injury, or for the time that these conditions have persisted.

Below are some of the most common urological problems and diseases that men experience at some point during their lifetime that often lead to a disturbing and unhealthy lifestyle causing stress and loss of focus.

Common Urological Problems In Men
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6 Common Urological Problems Men Face

Some urinary tract-related issues cause minor symptoms that do not significantly impact men’s lifestyle. On the contrary, some urological conditions do have the tendency to cause more pain and induce other effects on the male reproductive and urinary organs. If left untreated for long periods, these conditions can lead to serious illnesses.

1. BPH

Short for Benign Prostatic Hyperplasia or Benign Prostatic Hypertrophy, BPH is a condition most common for older men. Due to aging a prostate gland may start enlarging. The most common age for this condition is around 50 years in men. Researchers have not found clear reasons as to why this condition may occur in men. The symptoms of BPH include:

Fullness in the bladder
Difficulty starting or stopping urination
Urge to go urinate suddenly
Straining during urination
Dripping at the end of urination

These symptoms occur because the enlarged prostate weakens the urethra, causing a weaker flow of urine.

2. Erectile Dysfunction

Erectile Dysfunction causes men to struggle to maintain an erection. Most common in older men, it can affect younger men as well. This might be due to stress and fatigue in lifestyle or simply aging. Symptoms of this condition are not painful but they can cause embarrassment, humiliation, stress, and even weaken your relationship.

3. Prostatitis

This urological condition involves the inflammation and irritation in the prostate glands. This leads to difficulty in urination, often correlated with pain, fevers, pain in the abdomen or pelvic area, and Urinary Tract Infections (UTIs). Many urological problems in men affect the prostate.

Nonetheless, there can be misconceptions while figuring out what it is that you might experience. Therefore, seeking professional care and medicine may help well.

4. UTIs

A urinary tract infection may occur due to several reasons. Having prostate inflammation or prostatitis are some common reasons. Conversely, it is evident that the presence of bacterium in the urinary tract causes UTIs. Some common symptoms of UTIs are:

Pain in the lower belly
Difficulty urinating
Cloudy urine
Burning when urinating

Consulting a medical professional specializing in urology is the best way to counter such conditions.

5. Infertility and Testosterone Deficiency

Testosterone deficiency may occur due to a low sperm count in men. It may be genetic for some men. Causes for infertility may be the abnormality of sperm, weak sperm, low sperm count, or the inability of sperm to swim. Nonetheless, it can cause various difficulties for couples looking to conceive. This may be because of extreme stress or a loss in focus, but it can lead to a lack of sex drive.

6 Common Urological Problems In Men
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6. Prostate Cancer

This is the second-largest cause of death in men due to cancer. This is different from BPH. However, prostate enlargement does occur. The main cause that doctors detected is the production of abnormal cells in the prostate glands. These can form tumors that, if left untreated, lead to cancer.

Early treatment is one of the best options to treat prostate cancer. Early detection allows you to take quick measures to reduce tumors and keep them under control. Regular checkups might be necessary. However, some symptoms of prostate cancer are:

Semen containing blood
Urine containing blood
Erectile dysfunction
Infertility experienced when trying to conceive
Weight loss
Weak urination
Pain in lower abdomen and bones

Conclusion: Consult With An Experienced Urologist

There are various treatments and medications in effect to counter urological diseases and conditions in men. More are under development, requiring further testing. Nonetheless, the best measures are preventative, which means being self-aware. Reporting such symptoms and initiating medications and treatments can help you avoid losses and discomfort, alongside other difficulties.

At Fifth Avenue Urology, we work with the best professional urological experts who can treat you with patience and respect. Our doctors view these opportunities as privileges. So, if you are experiencing these symptoms and are unsure of the reasons you can visit our contact us page.

Give us a call to book an appointment at 212-675-3186. Or visit us in person for a detailed medical checkup at 4 East 76th Street, New York, NY 10021.

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