Dr. Yaniv Larish specializes in micro-surgery to reverse vasectomies.

Vasectomy Reversal NYC Couple with Baby 10

Dr. Larish performs vasectomy reversal micro-surgery at Gramercy Surgery Center. This state of the art facility utilizes the most modern and advanced high quality surgical microscope, micro-instruments and the most highly trained nurses and support staff.

Dr. Larish has helped many men successfully reverse their vasectomies.

Call today for a consultation:

(646) 862-5500

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What Procedures do Urologists Perform to Male Genitalia?

There are quite a few procedures urologists perform to male genitalia. Most of these procedures are minor but require a lot of techniques that only urologists are familiar with. Most of these procedures help in treating urological conditions, and a professional urologist can perform them. Mentioned below are a few procedures urologists perform for male genitalia.

What Procedures do Urologists Perform to Male Genitalia?


Cystoscopy is a urologic procedure in which the urologist examines the lining of the urethra and bladder. The urologist uses a cystoscope by inserting it into the urethra. It goes all the way to the bladder. A Cystoscope is a long thin tube that has a light and camera attached at the end. They perform a cystoscopy procedure to diagnose and treat all bladder conditions, and it is also used to diagnose an enlarged prostate.


Vasectomy is one of the most popular procedures carried out on the male genitalia. The procedure involves stopping or cutting off the supply of sperm to the semen. They do this by cutting and then sealing the vas deferens. The vas deferens holds the sperm from the testicles. This is an outpatient procedure that lasts for around 10-30 minutes. Around 500,000 men get vasectomies in the US, according to the American Urological Association

Vasectomy Reversal

Vasectomy reversal is another urological procedure that men opt for after getting a vasectomy. A vasectomy stops the supply of sperm through which you cannot get pregnant. However, if a man decides later on that he want to get pregnant, he can opt for a reversal procedure, known as vasectomy reversal. But even so, this procedure does not guarantee complete fertility. The procedure involves microsurgical techniques that repair the vas deferens to restore fertility.


Orchiopexy is also a urological surgical procedure that helps repair an undescended testicle. In the procedure, the urologist moves the testicle from the groin area or the abdomen into the scrotum. The next step involves attaching the testicle to the scrotum with the help of a tacking stitch.

Penile Implants or Prosthesis

Penile implants or prostheses are types of devices that are placed inside the penis. This device allows men with erectile dysfunction to get an erection. The penile implant device is usually only put if other ED treatments don’t work. Like if a man with a Peyronie disease isn’t able to get an erection due to the curvature of the penis, they then will be recommended to get a penile implant or prosthesis by a urologist.

Penile Plication

Penile Plication is a surgical procedure that helps treat the curvature of the penis, which is caused by Peyronie’s disease. Penile Plication is an outpatient procedure that involves placing permanent sutures on the opposite side of the scarring where the curvature of the penis occurs.

Male Circumcision

Male circumcision is quite a common procedure also carried out by urologists. This procedure involved the removal of the skin covering the penis top, also known as the foreskin. This procedure is usually performed on newborn babies all around the world. Some tend to get it done at a later age too.

What Procedures do Best Urologists Perform to Male Genitalia?

Prostate Procedures

Urologists perform numerous prostate procedures for men. This helps diagnoses and treat prostate conditions. Some of the procedures include:

  • Transurethral resection of the prostate (TURP): This is a small procedure in which the urologist uses a resectoscope, which is a special instrument designed to turn and seal the prostate tissue. This is done when the prostate tissue is enlarged and causes difficulty in urination.
  • Transurethral Incision of the Prostate (TUIP): This is a procedure that helps treat benign prostatic hyperplasia (BPH). This procedure involves the urologist inserting a small endoscope through the urethra also using other special instruments to create a small opening in the bladder neck. This is where the prostrate is connected and opens the urinary channel so that urine can easily pass.
  • Uro Lift: Uro lift is a small procedure carried out in-office to treat prostate enlargement that’s mild to moderate.
  • Transurethral needle ablation (TUNA): This procedure involves using radiofrequency ablation to shrink the prostate tissue that presses into the urethra and that causes urinary symptoms.
  • Prostate Biopsy: This procedure involves removing samples of tissue from the prostate. This is usually done for examination in a lab.

What Procedures do Urologists Perform to Male Genitalia? Final Words

Hopefully, with the help of this article, you are now familiar with the main procedures urologists perform on male genitalia. If you’re looking to undergo a safe and proper vasectomy, vasectomy reversal, or any other urological procedure then get in touch with Dr. Yaniv Larish today.

Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500

What Age is a Man Too Old to Have Children?

At what age is a man be too old to have children? Having children depends mainly on the fertility of a female, the health of a male’s sperm, and the will to procreate. When both are fertile and able to perform sexual intercourse, they will likely get pregnant. In general, many couples and partners want to enjoy a pregnancy-risk-free life. Some couples want to spend more time together rather than watching out and working for the children.

Other times, some people are not ready to become parents. Therefore, they may go for vasectomies which prevent the sperm from reaching the ejaculate that gets their partner pregnant. Still, people might realize the need to have children to begin a family. In this case, they go for vasectomy reversal.

When is Man Too Old to Have Children ?

But often, men wonder if they are too old to have children after getting a vasectomy. Instead of going through the procedure, enduring medical costs, and taking recovery time, they want to make sure if they are still fertile to have children after a vasectomy reversal.

What Age is a Man Too Old to Have Children?

Effects of Old Age on Fertility

Many genetic concerns come into account when assuming the right age to become a father. There are various speculations regarding the effects of having a child/baby in old age, such as the mid-40s, 50s, and 60s.

To start off, let’s learn what effects old age has on the fertility of a man. Here are some of the main concerns that pop up:

  • As you get older, sperm quality may decrease as your body weakens and becomes harder to sustain. The morphology and motility of sperm come into play. They deteriorate with age and make it extremely difficult to fertilize female eggs after a certain time. Moreover, you may not produce enough sperm after a certain period, such as the 40s or 50s.
  • With increasing age, there are higher chances to experience various medical conditions and health problems. These can have an impact on a man’s fertility and the degradation of sperm. Medications can also affect the production of sperm and semen in the body.
  • Furthermore, as a man ages, likely, his female partner may also be old. This hints towards an overall decline in fertility and lower chances of getting pregnant.
  • Lastly, men’s bodies produce less testosterone with increasing age, which serves as the sexual libido driving sex appeal. With lower sexual drive, you may not be able to perform sexual intercourse and even experience erectile dysfunction.

What Might be the Best Age to Become a Father?

Certain resources suggest that becoming a father before the 40’s can help prevent any abnormalities, gene concerns, deformities, and health conditions in babies. In fact, becoming a father between the age of 25-30 is the prime choice of men.

What Age is Man Too Old to Have Children?

However, you should know that only after crossing his mid 40’s, a man falls in the category of “old”. Therefore, that’s when the real genetic and fertility problems can arise. At this point, the chances of  experiencing lower sperm counts, “X” chromosomes, and other effects from a young age that hinder pregnancies can increase.

Pay Attention to Certain Factors

Some may consider a person “old” after the age of 40. Becoming a father after such an age may be too old, but it isn’t uncommon for older people to become parents. So, before losing hope and deciding not to get a vasectomy reversal, you should discuss some of the important factors with your doctor mentioned below.

  • Do your health stats and conditions affect fertility and childbirth? If they do, then inquire to what extent will your health conditions affect a baby’s health?
  • Would you require semen analysis to assess the fertility and sperm count in your ejaculate before you are ready for your vasectomy reversal?
  • Do your lifestyle habits such as smoking, drinking, drugs, or any other habits of concern affect childbirth, fertility, and sperm health? Are there are any medications that may affect your sperm and consequently your child’s birth?

What Age is a Man Too Old to Have Children? Conclusion

If you plan to have a vasectomy reversal, you should get in touch with the right professional to guide you through the process and help you understand the most important factors. Letting an experienced surgeon handle your surgery will ensure high success rates and chances of getting pregnant.

Dr. Yaniv Larish at Vasectomy Reversal NY is an esteemed and highly reputable vasectomy reversal surgeon. He possesses vast experience regarding the procedure and possesses the required skills and expertise. Call us to set a confidential appointment with Dr. Larish today to discuss the options if you think you are too old to have children. 

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500


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What Training Does A Microsurgeon Receive?

Microsurgery is a specialized surgical discipline that involves the use of precision instruments and microscopes. It helps in repairing intricate structures such as nerves, vessels, and tissues. Microsurgeons receive training to operate on the smallest of tissues and nerves. The field is dedicated to restoring function in individuals suffering from congenital anomalies, cancer, and trauma.

Many plastic surgeons and urologists rely on microsurgery to perform different procedures. These include transferring tissue from one part of the body to another, composite tissue transplantation, replantation, or reattachment of various body parts.

microsurgeon training

Microsurgeons can perform a wide range of individualized operations. Microsurgical reconstruction is a complex reconstructive surgery that solves problems better than other options such as skin grafting, primary closure, and regional and local flap transfer.

Who is a Microsurgeon?

Microsurgeons perform all type of surgeries that involves microscopic procedures. Apart from reconstructive and plastic surgery, microsurgeons are advancing in many fields. They can now perform numerous surgeries safely and efficiently. Their abilities expand the scope of treatments greatly.

By enhancing their skillset, microsurgeons help patients overcome severe injuries. They do so using innovative techniques rather than traditional methods. Microsurgeons can perform surgeries via special operating microscopes. They can transplant tissues, bones, muscles, and other body parts. They inspect the area using a high-power microscope and execute different surgeries. This way, they can carefully move and reattach the nerves and blood vessels carefully. This way, the transplanted tissue will stay and live in the new position.

A microsurgeon can take tissue from the back or leg, reattach the fingers, reattach the breast, or perform plastic surgeries. They can also reconstruct tongues, toes, fingers, hands, noses, ears, and other parts of the body. Microsurgeons usually handle and manage complicated surgeries such as trauma and cancer. Microsurgery cases are challenging and help with reconstructive and plastic surgery, as well as urological procedures such as vasectomy reversal.

What Does Microsurgery Involve?

Surgeons use various tools to operate and repair nerves, tissues, and blood vessels. Here are some of the tools that they use:

·       Bright Light Source

It helps the surgeon maintain proper visibility in the operating theatre.

·       Microscope

This device helps surgeons magnify the target and visualize the monitor for better procedures.

·       Specialized Needles and Thread

These instruments help surgeons with stitching

·       Forceps and other Instruments

Surgeons use specialized instruments to allow precision and prevent inaccuracy due to natural tremors.

Why is Microsurgery Performed?

Microsurgeons perform surgeries for a wide range of healthcare disorders and treatments such as plastic surgery, vasectomy, neurosurgery, orthopedic surgery, ophthalmology, and general surgery. With the advancement of microsurgical techniques and perform the following procedures:

·       Transplantation

A microsurgeon can reconstruct a body part via a transplant. For instance, they will recommend a toe-to-thumb transplant and replace the thumb with the big toe.

·       Replantation

In this emergency procedure, the surgeon will reattach the body part no longer attached to the body, such as the toe or finger.

·       Free Tissue Transfer

A microsurgeon has the ability and skill to take tissue from one body part and reconstruct it to another. They will perform the surgery if you undergo severe surgery, and stitching and skin grafts are out of the options.

What training does a microsurgeon receive?

What Training Does A Microsurgeon Receive?

·       Stage 1: The Microscope

The microsurgeon will perform microscope position, parfocal, and focus exercises under training sessions. They will learn about identifying conditions by properly using microscopic instruments.

·       Stage 2: Microsurgery

The surgeon will stimulate the participants to practice osteotomy, private practice setting, retro ultrasonic preparation, and retro filling on dental mannequins. They will work under a surgeons supervision and their assistance, demonstrating them to diagnose and treat the patients. Furthermore, the surgeons will learn how to use microsurgical tools and instruments for surgeries. Participants will observe and monitor the condition through a TV monitor, and the supervisors will engage them through interactions.

·       Stage 3: Mannequin Microsurgery Practice

This practice will help enhance microsurgery students efficiency and confidence. During this training process, they practice microsurgical techniques on mannequins, depending on their specialization. They will use a microscope for the procedures.

Microsurgeon Training: Conclusion

At Vasectomy reversal NYC, we ensure that you receive the best vasectomy reversal treatment under the supervision of Dr. Yaniv Larish, a microsurgeon at Gramercy Surgery Center. Dr. Larish has extensive experience, training, and expertise in performing microsurgery with high-quality microsurgical instruments.

You can discuss your conditions with him, and he will suggest the best treatment options for your situation. Contact us at (646) 862-5500 and set up an appointment with the best micro-surgeon in New York City.

What Is Vasoepididymostomy?

When it comes to having vasectomy reversal, many men wonder if there is an option and opportunity to go through with the procedure. If you’ve had a vasectomy, you’ve made the decision to change the way your body functions to prevent sperm from being released. However, many men change their minds down the road, such as because they’ve remarried or decided to have another child. Your doctor can help you to determine if this is an option for you. If and when you come in for a consultation, you may learn about the various vasectomy reversal options. One of the options your doctor may decide is right for you is Vasoepididymostomy.

When Is Vasoepididymostomy Effective?

BestVasectomyReversalDoctorNYC2.jpgWhen your doctor begins your vasectomy reversal, he or she can determine the best possible method for reattaching the vas, the pathway that reconnects the vas deferens to allow for sperm to travel through the pathway and to the semen. During the procedure, your doctor will cut the ends of the scarred vas. During this process, the doctor opens up the two ends to allow for the passage of sperm.

However, before doing making that connection, the doctor must determine if sperm is available in the vasal fluid. He or she will test this during the procedure to determine which is the right option for reconnection. If there is no sperm in the vasal fluid, your doctor may proceed with a Vasoepididymostomy procedure.

If sperm is missing in the vasal fluid, this may indicate that back pressure from the vasectomy occurred and led to what doctors call a blowout. This occurs in the epididymal tube. When this occurs, a blockage can occur, limiting the flow of sperm. If this is present, your doctor will need to create a way to go around the block and then joins the upper end of the vas directly to the epididymis. This is what the Vasoepididymostomy procedure is. This connection is more complex, but the results are virtually the same as vasovasotomy, the most common method.

BestVasectomyReversalDoctorNYC4.jpgWhen it comes to having a vasectomy reversal, the process can be complex and there are limited benefits in some situations. However, it is possible for most men. A vasectomy reversal can work for you. To find out what your options are, call the best urologist in New York. Let us talk to you about your options in vasectomy reversal.


Yaniv Larish, MD

4 East 76th Street
New York, NY 10021

(646) 862-5500

What is Vasectomy Reversal?

Vasectomy surgery entails cutting the vas deferens to prevent sperm from entering the ejaculate in order to produce long term sterility. (click to enlarge)

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Vasectomy reversal micro-surgery entails reconnecting the two ends of the vas deferens utilizing a surgical microscope, micro-instruments and micro-sutures in order to allow the sperm to enter the ejaculate and regain fertility after vasectomy surgery.

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Vasectomy reversal surgeon nyc right column 03

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