The practice's most popular procedures are in bold.
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Bladder Control
Years Performed: 20 Approx Cost with this Doctor:
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Many men and women of all ages suffer in silence with bladder control problems. In fact, over 40 million Americans have bladder control problems. At PCUMC, we find that far too many patients wait too long to discuss their bladder control problem with their doctor. You don?t have to feel too embarrassed to talk to your doctor nor do you have to rely on medication or use messy pads or diapers to cope with your bladder control problem. There are many new procedures and treatments. Just ask us.
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Circumcision
Years Performed: 15 Approx Cost with this Doctor:
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Dr. Pugach only performs adult circumcisions. The procedure is minor surgery that is performed with a local anesthetic or a general anesthetic and can be done in the office. Circumcision, as it is performed by Dr. Pugach, takes approximately 15 minutes to perform and there is only mild pain or discomfort afterwards.
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Cryoablation
Years Performed: 10 Approx Cost with this Doctor:
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Dr. Robert Pugachis one of the most experienced urologists in Los Angeles and Orange Counties in cryoablation procedures. He has performed more cryoablation procedures than any other urologist in Southern California in 2008. Patients who undergo cryoablation procedures experience a rapid return to normal activities, have a much lower complication rate and far less pain than those who have traditional radical surgery.
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Enlarged Prostate (BPH) Surgery
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Dr. Pugach is one of the most experienced urologist in the Western US
in thermotherapy used to treat an enlarged prostat e (BPH.) No surgery is needed. Newer treatments are used to treat the prostate. These remarkable devices gently heat the prostate and cause it to shrink. This takes approximately 30 minutes and results in improved urination in almost everyone. It is painless and bloodless, at least twice as effective as medication, and you can be back to normal activities the next day.
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HIFU ( High Intensity Focused Ultrasound)
Years Performed: 4 Approx Cost with this Doctor:
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Dr. Pugach is one of only 25 urlogist in the US certified to perform HIFU. Learn more about this remarkable minimally invasive, radiation free and non-surgical treatment option for prostate cancer. In May 2009, Dr. Pugach was certified to train other urologist in HIFU. One of only 4 US physicians.
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Interstim bladder battery procedures
Years Performed: 4 Approx Cost with this Doctor:
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There is no longer any need to suffer in silence and have your bladder control problem disrupt your life. Interstim is a procedure that can put an end to your incontinence. The concept is simple: to send electrical impulses to the bladder to stop it from contracting too often and uncontrollably. Whenever your bladder tries to contract too often or with without control, the device sends a signal to the bladder muscle to relax. You won?t even know when it?s working? it?s painless!
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Years Performed: 5 Approx Cost with this Doctor:
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Dr. Pugach is highly trained and experienced in performing No-Needle, No-Scalpel vasectomy. This remarkable procedure is done within 20 to 30 minutes in the comfort of his modern treatment room. In fact, you can relax and watch cable television mounted on the ceiling! If your family is complete, schedule your No Needle/No Scalpel vasectomy consultatin today.
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Overactive Bladder - Incontinence
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Changes in bladder function can make your activities revolve around your bathroom schedule and can take control your life. The changes that men experience include more frequent urination, sudden urges to urinate, needing two or more trips to the bathroom just to empty your bladder, nighttime urination, loss of bladder control that can be so embarrassing that it makes some men avoid activities. New in-office procedures are available. End your dependence on ineffective medication.
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Overactive Bladders
Years Performed: 15 Approx Cost with this Doctor:
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Bladder control problems should not be considered a normal part of getting older. You have a wide range of treatment options. By identifying the precise cause of your bladder problem, Dr. Pugach is able to recommend specific treatments to correct bladder control problems.End your dependence on medication, learn about new non-surgical effective treatments for bladder control. Our Bladder Control Center of Women can help.
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Years Performed: 20 Approx Cost with this Doctor:
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Dr. Pugach specializes in treating prostate cancer using advanced, minimally invasive techniques. He is one of the first urologists in Los Angeles and Orange County to perform two advanced, minimally invasive procedures: ultrasound guided, radioactive seed implants and freezing (targeted cryoablation) of the prostate. He is also one of only a few urologists in the US certified to perform HIFU for prostate cancer. Ask Dr. Pugach about the NEW Prostate Cancer Screening Guidelline!
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Prostate Cancer Treatment
Years Performed: 20 Approx Cost with this Doctor:
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Dr. Pugach is one of the most experienced urologist in minimally invasive treatments for prostate cancer.
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Prostate Enlargement (BPH)
Years Performed: 10 Approx Cost with this Doctor:
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Pacific Coast Urology Medical Center continues to be the West Coast leader in CoolWave, the 4th generation microwave system to treat BPH (benign prostate growth). We pioneered the use of the CTC Advanced treatment microwave catheter in 2009 and the results are remarkable. More significant relief of bothersome symptoms.
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Pacific Coast Urology Medical Center is excited to be the first in our area to offer Renessa?, the new, in-office treatment for Stress Urinary Incontinence (SUI) or more commonly known as overactive bladder) for women. The Renessa? treatment uses a small probe that Dr. Pugach passes through your urethra. There are no incisions, bandages or dressings required. Recovery is rapid and comfortable. See if you are a candidate for this in-office, non-surgical treatment.
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Thermotherapy
Approx Cost with this Doctor:
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Cooled ThermoTherapy is performed at Pacific Coast Urology Medical Center in one our large procedure rooms. The room is equipped with a large flat screen television mounted on the ceiling. The procedure takes 30 minutes and you will be awake, watching cable television, while the procedure is being performed.
ThermoTherapy delivers precisely targeted energy to destroy enlarged prostate tissue. The cooling mechanism protects the healthy surrounding urethral tissue.
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Urine leakage in women (stress and urinary incontinence)
Approx Cost with this Doctor:
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Bladder control problems should not be considered a normal part of getting older. You have a wide range of treatment options. By identifying the precise cause of your bladder problem, Dr. Pugach is able to recommend specific treatments to correct bladder control problems. You can return to a more active lifestyle and avoid the embarrassment and discomfort of bladder leakage. Isn?t it time to get relief? We are ready to help you re-gain control of your life. Call for a consultation.
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Vasectomy Reversal
Years Performed: 7 Approx Cost with this Doctor:
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A vasectomy reversal means sewing the cut ends of each vas deferens back together again. But there is nothing ?simple? about it. Dr. Pugach is highly trained and use microsurgical techniques to bring the cut ends into exact alignment. Dr.Pugach offers a guarantee. Within 6 months of your vasovasostomy procedure, there will be sperm in your ejaculate. If sperm are not present, you will receive a refund of all fees paid for your vasovasostomy procedure Contact our office for more information.
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* The national average fees do not include cost of anesthetics or surgical facility. Be sure to ask your doctor about additonal fees. Costs will vary from city to city throughout the United States.
Robert Pugach, MD, Named as One of America's Top Doctors for 5 Years in a Row!
"My staff and I 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."
Pacific Coast Urology Medical Center specializes in minimally invasive treatment of urologic conditions. Dr. Robert Pugach is a leader in new, innovative treatments for his patients' optimal urologic health.
I am more that happy to write a testimonial to tell anyone who is considering being treated by Dr. Pugach that they could not make a wiser choice.
I must admit that making an appointment with a urologist because you're having problems with your urination habits is not something you look forward to especially when you are healthy and active man under forty. Moreover, saying that I anticipated an uncomfortable process is an understatement. However, Dr. Pugach and his staff have such a pleasant and profession manner about them that I was anything but uncomfortable.
I have known my fair share of doctors but I have never met a more affable and concerned doctor. He has by far the best listening skills that are combined with a sense of empathy that most doctors are completely void of. And I am not just saying that because he is thoughtful enough to put a TV on the ceiling for the patients to watch while they are having a procedure done.
After my first examination I left his office confident that what ever problem I did have he would be able help. And yes he did help but in more ways than one. My initial problem was diagnosed accurately and treated with prescription. I was very pleased that and all my symptoms were relieved, however, that was not all Dr. Pugach did for me, all be it enough.
It was during one of my follow up appointments when I mentioned to Dr. Pugach that my wife and I were trying to have a baby. Just to be safe he sent me for some tests and adjusted my medication to a drug that would still treat my symptoms but help better facilitate the reproductive process. I am happy to say that soon there after I joyfully called Dr. Pugach's office to report that we had conceived out first child. And you know what? A couple weeks later they sent us a congratulations card.
There are many doctors who are competent and will be able to treat you effectively. Although I believe that Dr. Pugach and his staff go way beyond that and in a way that does not feel contrived in any way. I believe they are all just very nice, caring and thoughtful people who are considerate of your time and care. I would not have ever thought that going to the urologist was my favorite doctor's office to visit but IT IS.
Sincerely,
Josh
To: Dr. Robert Pugach and his wonderful caring staff
I was skeptical at first that I would have to have an operation called a "Turp Procedure." I woke up one morning and couldn't urinate. "My God," I thought it was my kidney's that failed. I was referred to Dr. Pugach and upon examination, he told me and also my wife, that a "Turp Procedure" would help an possibly get me to urinate again. I wore a catheter tube for a month before my surgery as my stomach was so fat and full of fluid, which really was wonderful to be able to get rid of all of the urine that had built up.
I went to the hospital on the 28th of March, 2008. I had surgery by Dr. Pugach. Prior and post-op I was wearing catheter urine leg bags and a foley catheter at night. The first real positive thing I noted was in the recovery room I virtually had no pain. I thought there was going to be "big time" pain and was dreading it.
I went home the next day and I started to urinate a little, still not a lot of pain. On Father's Day I had such a great gift, I could "pee" like a race horse, like I was 15 years old again. No more tube and I am free. I will be able to work somewhat and I can go fishing like I liked to do when I was younger. I am so thankful to Dr. Pugach and his staff for giving me a new lease on life. God Bless Dr. Pugach, not only is he one of the best Doctor's in the United States, but he is one of the best urologist in the world. The procedure responsible for this is the "Turp Procedure", or Trans Urethral Resection of the Prostate.
I just want to share this wonderful and successful surgery with everyone and not to give up hope, Dr. Pugach is "the man!"
Sincerely,
Gordon
-Gordon, California
Pacific Coast Urology Medical Center specializes in minimally invasive treatment of urologic conditions. Dr. Robert Pugach is a leader in new, innovative treatments for your optimal urologic health. We strive to provide you with effective treatments that eliminate the need for major surgery or long term use of expensive medications while minimizing down time. Many of the treatments offered you are provided in the comfort of our offices.
Pacific Coast Urology Medical Center provides advanced treatments for:
Prostate Cancer [Single treatment, outpatient Cryoablation (freezing) and HIFU (High Intensity Focused Ultrasound)]
Women’s Bladder Control [Specialized program, simplified in-office testing and new treatments )
No Needle/No Scalpel Vasectomy [No kidding! 15 minute office procedure]
Kidney Stones
Kidney/Bladder Infections
Vasectomy Reversals (Microsurgery)
Adult Circumcisions
You can count on our warm, caring and friendly staff to always greet you with a smile. Contact us today to schedule a consultation. Don't let your embarrassment stop you from calling. Get help today.
Top Benefits:
Personalized care and attention. Dr. Pugach is easy to talk with.
Dr. Pugach and his staff's friendly, approachable style.
Individualized treatment plans and follow up.
Dr. Pugach's experience and training is exceptional.
Advanced, new treatments that are minimally invasive therapies.
Some of our most asked about procedures:No-Needle, No-Scalpel Vasectomy, Prostate Cancer Treatment, Overactive Bladder - Incontinence, Prostate Enlargement (BPH), HIFU ( High Intensity Focused Ultrasound).
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I am more that happy to write a testimonial to tell anyone who is considering being treated by Dr. Pugach that they could not make a wiser choice.
