
Robert Glenn Pugach, MDPacific Coast Urology Medical Center
Urology
Contact Information
800-685-7024
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Procedures Offered
Listed below are some of our most requested procedures.
- HIFU ( High Intensity Focused Ultrasound)
- Approx Cost:
- N/A
Ideal Candidate: Dr. Pugach is one of only a handful of urologist in the US certified to perform HIFU. Learn more about this remarkable minimally invasive, radiation free and non-surgical treatment option for prostate cancer. HIFU uses ultrasound energy to heat and destroy targeted areas of tissue. The sound waves pass through healthy tissue without causing damage which often results in impotence and incontence. Dr. Pugach is certified to train other urologist in HIFU. One of only 4 US physicians!
- Low T
- Approx Cost:
Ideal Candidate: Now recognized as one of the most common health issues affecting adult men, Low T can cause symptoms of low libido (sex drive), lack of energy, depression, mood swings, inability to concentrate and forgetfulness. Low T can also cause major health problems including diabetes, heart disease, heart attacks, sleep disorders and osteoporosis. We offer a variety of treatments ranging from topical gels and creams to new testosterone pellets that can maintain high testosterone levels for up to 4 months
- No-Needle, No-Scalpel Vasectomy
- Approx Cost:
- N/A
Ideal Candidate: Dr. Pugach is highly trained and experienced in performing No-Needle, No-Scalpel vasectomy. This remarkable procedure is done in 15 minutes in the comfort of Pacific Coast Urology Medical Center's 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. Visit our new website www.advancedvasectomy.com
- Overactive Bladder - Incontinence
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Prostate Cancer
- Approx Cost:
- N/A
Ideal Candidate: 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!
- Bladder Control
- Approx Cost:
- N/A
Ideal Candidate: 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.
Bladder Control Problems (Incontinence)
- Bladder Infections (UTIs)
- Approx Cost:
- N/A
Ideal Candidate: Urinary tract infections (UTIs) are among one of the most common reasons women and men visit their doctor�?�¢??s office. Approximately 40 percent of women and 12 percent of men will experience at least one symptomatic urinary tract infection (UTI) during their lifetime. These infections are much more common in girls and women than in boys and men younger than 50 years of age. Sexual intercourse can also increase the frequency of UTIs. Contact your doctor or Dr. Pugach if you find blood in the urine
- Circumcision
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Cryoablation
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Enlarged Prostate (BPH) Surgery
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Erectile Dysfunction (Impotence)
- Approx Cost:
- N/A
Ideal Candidate: There are many significant symptoms of Low , in addition to ED, lack of energy, mood swings, depression, forgetfulness, inability to concentrate or multitask, low or decreased sex drive, weight gain and loss of muscle mass. Declining testosterone levels have been implicated in the development of diabetes, heart disease, and osteoporosis. But there is no need to despair! We offer a variety of replacement therapies atour Male Health & Hormone Center. Call for a consultation.
- Interstim bladder battery procedures
- Approx Cost:
- N/A
Ideal Candidate: 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!
- Interstitial Cystitis
- Approx Cost:
- N/A
Ideal Candidate: For women, traumatic cystitis is one of the most common forms of cystitis and is due to bruising of the bladder. Cystitis is a term that is used to refer to urinary bladder inflammation. It is most commonly caused by a bacterial infection and is also categorized as a UTI. At Pacific Coast Urology Medical Center we diagnose and treat UTI by doing a routine urinalysis and/or urine culture and prescribing the appropriate antibiotic to treat.
Kidney Infections
Kidney Stone Treatment
- Male Infertility
- Approx Cost:
- 9,650
Ideal Candidate: Simply speaking, a vasectomy reversal means sewing the cut ends of each vas deferens back together again. But there is nothing ?simple? about it. At Pacific Coast Urology Medical Center we use microsurgical techniques to bring the cut ends into exact alignment. The opening in each tube is approximately 1 millimeter in diameter. Stitches which are virtually invisible to the naked eye are placed all around the cut ends to bring and hold them together.
- No-Scalpel Vasectomy
- Approx Cost:
Ideal Candidate: "Since I was quite pleased with my vasectomy from Dr. Pugach I've told several friends about the no needle, no scalpel vasectomy he offers when they were researching getting a vasectomy. I'll continue to talk up the vasectomy Dr. Pugach offers because I feel it is the best procedure and recovery on the market." Tom H. See our "Patient Approved" comments.
- Overactive Bladders
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Painful Erections (Peyronie's Disease)
- Approx Cost:
- N/A
Ideal Candidate: Peyronie�?�¢??s Disease results from scar tissue that develops in one of the deep layers of the penis. It prevents normal lengthening of the penis as it enlarges during an erection. Besides making intercourse difficult or unpleasant, Peyronie�?�¢??s Disease can also result in a shorter penis or one that is too soft or angled for satisfactory sexual activity. Don't be embarrassed. ou can be helped if you have Peyronie�?�¢??s Disease.
- Percutaneous Tibial Nerve Stimulation (PTNS)
- Approx Cost:
Ideal Candidate: Schedule a consultation with Dr. Robert Pugach to determine if Urgent PC�???�??�?�® Neuromodulation System will work for your overactive bladder problem. Urgent PC�???�??�?�® is a remarkable new office treatment for bladder control that works without drugs or surgery. Urgent PC�???�??�?�® is a minimally invasive way to improve bladder control in men and women.
- Premature Ejaculation
- Approx Cost:
Ideal Candidate: At our Male Health & Hormone Center we offer a comprehensive program for adult men of all ages. It provides a unique focus on modern day health issues for men including premature ejaculation (PE).
- Prostate Cancer Treatment
- Approx Cost:
- N/A
Ideal Candidate: The good news is that most patients with an early diagnosis of prostate cancer can be cured. At Pacific Coast Urology Medical Center, we specialize in treating prostate cancer using advanced, minimally invasive techniques. Dr. Robert Pugach is one of the first urologists in Los Angeles and Orange County to perform three advanced, minimally invasive procedures: ultrasound guided, radioactive seed implants, freezing (targeted cryoablation) of the prostate and HIFU.
- Prostate Enlargement (BPH)
- Approx Cost:
- N/A
Ideal Candidate: 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.
Prostatitis
- Renessa
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Thermotherapy
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Urine leakage in women (stress and urinary incontinence)
- Approx Cost:
- N/A
Ideal Candidate: 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.
- Vasectomy Reversal
- Approx Cost:
- $ 9,650.00
Ideal Candidate: 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. Contact our office for more information.
- Women's Bladder Control
- Approx Cost:
Ideal Candidate: At Pacific Coast Urology Medical Center of Excellence for Women's Bladder Control we offer a variety of therapies. Bladder control problems should not be considered a normal part of getting older. By identifying the precise cause of your bladder problem, Dr. Pugach is able to recommend specific treatments to correct bladder control problems. Take back control of your life!
I live in the San Francisco Bay Area. About a year ago, my wife and I decided that we wanted another child, but I had a vasectomy about 7 years ago. I spent numerous hours researching physicians/urologists that had expertise in vasovasostomy (vasectomy reversals). I researched on the internet and by contacting physicians throughout the San Francisco Bay Area. Based on my research, there was no better qualified physician than Dr. Pugach. He was highly recommended by both previous patients and professional reviews. Although I reside over 400 miles away from his office, communication was excellent (both detailed and timely). I never had any questions or concerns that were not answered immediately. On February 16th, 2012, Dr. Pugach performed the surgery (vasectomy reversal) at the Los Alamitos Surgery Center. I could not have asked for a better experience. The surgery went very smooth and the recovery went better than I could have ever hoped for. Other than a few days of as expected mild discomfort (which ice and bed rest took care of), I was back to normal quickly. My family and I want to personally thank Dr. Pugach and his staff for being so professional and making this a wonderful experience.

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