Personal Statement
Specializing in Minimally Invasive Treatment of Urologic Conditions

We are committed to providing the finest medical services in a friendly, personalized and caring environment. We will do our best to meet and exceed your expectations for your healthcare.

Ask A Doctor
I want to get a circumcision revision. I want to have the procedure in a clinic with local anesthesia rather than in a hospital. I can't find a urologist/surgeon than does this in Texas. Why? Any suggestion or recommendation of who will do this would be appreciated. I was circumcised as an adult over 20 years ago in a clinic setting with no issues! Thanks

Can orgasm be achieved after penial implant?

I am a 45 year old male, I want to have a circumcision done. What is the procedure and what is the cost?

How can I go about getting a circumcision?

What is the effectiveness of cooled thermotherapy?

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Dr. Pugach is a physician of extraordinary talent and compassion. Having been through a very difficult time getting through prostate cancer, I could not think of any other physician that I could trust more with my life. He has been my physician since 2007. I see him regularly and receive the best from him and his exceptionally efficient staff.
- Dr. John Caccavale
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  • Urologists
  • Received Bachelor of Science Degree from New York University in 1974
  • Completed Medical Studies at the College of Medicine and Dentistry of New Jersey
  • Completed General Surgery Residency at the New York University-Booth Memorial Medical Center
  • Urology Training at the Albert Einstein College of Medicine-Montefiore Medical Center in New York, finishing in 1985. 
  • Dr. Pugach and his staff regularly attend educational and training sessions. He teaches physicians throughout the United States in minimally invasive techniques for BPH and at association meetings including the American Urological Association, Urologix, HIFU International and others.
  • Dr. Pugach has performed more minimally invasive prostate procedures than any other urologist in California, and he is actively involved in teaching other physicians about microwave thermotherapy, HIFU, cyroablation, and other minimally invasive techniques. Dr. Robert Pugach routinely updates and enhances his clinical skills.
  • Dr. Pugach continued his education and advanced skills training in microsurgery techniques. He attended Cornell University's training in May 2013, Advanced Microsurgery Fellowship program. A select group of doctors throughout the world attend this program to train with Dr. Mark Goldstein and Dr. Phillip Li, leaders in these techniques for reproductive microsurgery.  This continuing education allows Dr. Pugach to offer a full array of services for infertility patients including Testicular Sperm Extraction (TESE) along with vasectomy reversal.

Dr. Pugach was awarded his Certification for Continuing Medical Education by the Institute for Medical Quality (IMQ), a subsidiary of the California Medical Association.

Dr. Robert Pugach is an active member of the following professional associations:

  • American Association of Clinical Urologists (AACU).
  • The Society of Laparoendosopic Surgeon
  • American Medical Association
  • Elected as Vice Chair of the American Medical Association's Organized Medical Staff Governing Council
  • Elected as a Fellow of the American Institute of Healthcare Quality for the American Board of Quality Assurance and Utilization Review
  • Honored as an educator with a lifetime membership in the Harvard Men’s Health Forum
  • Selected for the Editorial Board
  • Awarded a "Certificate of Appreciation" from the College of Allied Health Professions in recognition of his participation as a preceptor for the physician assistant program

Dr. Robert Pugach has been named as one of America's Top Doctor for 7 years in a row!



  • Credit cards accepted
  • Cash packages available for the No Needle No Scalpel Vasectomy and adult circumcisions.  Please call the office at 888-735.4336 to discuss your health insurance plan or our cash packages.

    For more information on Vasectomy, visit

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