Early Detection Saves Lives!
"Dr. Pugach is a fantastic,
understanding doctor. His staff relates to him and they are very
efficient and professional, which makes
me feel very comfortable. Dr. Pugach operated on my prostate 18
years ago! I would recommend him to anyone." Stanley Y.
Cancer...In the News UPDATES!
As Dr. Robert Pugach has been ascertaining for years, “proton
therapy is dramatically more costly and shows no benefit at 12
months for GU or GI toxicity so the claims made in commercials that
Proton therapy is better are false.”
Article: J Natl Cancer Inst. 2013; 105(1):25-32
“The discovery of a prostate cancer biomarker by Dr. Doneka at
the Mayo Clinic is a groundbreaking step towards developing a more
specific test to detect prostate cancer. It has the potential to
decrease the number of biopsies in men with elevated PSA levels
while increasing the overall cancer detection rate,” comments
Dr. Robert Pugach. For
more information visit; Mayo
Clinic Researchers Discover Biomarkers for Prostate Cancer
Detection, Recurrence (posted May 14, 2012)
Prostate Cancer Do You Know the
Hardly a week goes by without
reading or hearing about someone you know, or some celebrity, learning
that he has prostate cancer. There is a good reason for
this. We now diagnose more than a quarter of a million new cases
of prostate cancer every year. Fifty thousand (50,000) men die
from prostate cancer every year.
Prostate cancer is the second leading cause of deaths from
cancer among US men. These are frightening
Patients, friends and family
members are not statistics. This common
cancer strikes at people
we know far too often. Why? One reason is our increasing life
expectancy - prostate cancer is a disease of getting older and
most men now live long enough to develop it.
firmly believes in the value of early detection, using PSA
testing and simple physical examination, because early detection
is the key to successful treatment.
While we cannot yet prevent prostate cancer, a urological specialist like
Dr. Robert G. Pugach, at
Pacific Coast Urology Medical Center can certainly
diagnose it earlier and with more accuracy than ever before.
Dr. Pugach firmly believes in the value of early detection,
using PSA testing and simple physical examination, because early
detection is the key to successful treatment.
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,
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
of the prostate
and HIFU- High Intensity Focused Ultrasound.
Dr. Pugach is one of only a few urologists
in the US certified to perform
HIFU – High Intensity Focused
HIFU can cure prostate cancer with minimal risk of side
effects like erectile dysfunction.
In May, 2009 Dr. Pugach was certified to train other urologist in
HIFU therapy. He is one of only four urologist in the United States
certified to train physicians.
continues about who should be treated for prostate cancer. Dr.
Pugach cautions that much of this debate involves old patient data
and statistics that date back to a time when life expectancy for men
was much lower than it is today. In fact, life expectancy today is
almost 80 years; people who are born today are expected to have an
average life expectancy of 96 years! That means that men are living
long enough to both develop prostate cancer and suffer its effects.
That also means that cancer screening should start at an early
age and most men will need aggressive treatment.
Dr. Pugach and
the professional at
Urology Medical Center
would like to reassure you that we are the MOST experienced
practice in southern California in the areas of
Focused Ultrasound (HIFU) and Cryoablation (Freezing). Both
procedures are performed on an outpatient basis and have a
dramatically level of side effects when compared to robotic surgery
or radiation. Call today to schedule your consultation.
New Alternative To Permanent (Foley) Catheter For Men...The Spanner
Dr. Robert Pugach, Medical Director
of Pacific Coast Urology Medical Center, announces the
availability of The Spanner™ Prostatic Stent as an
alternative to permanent, indwelling foley catheters for men. “Now,
for the first time, there is an alternative for men who cannot
urinate due to an enlarged prostate” according to Dr. Pugach. The
Spanner ™ stent can be inserted in the office in just a few minutes
and eliminates the pain, messy bags and infections associated with
traditional foley catheters.
“This is one of the most exciting
advances for men in many years,” says Dr. Pugach. Now men can
urinate comfortably after treatment for either prostate cancer or
benign prostate growth. “As the leading practice in minimally
invasive urology in the western United States, Pacific Coast
Urology Medical Center is thrilled to be a pioneer and
offer The Spanner™ to our patients.”
The Spanner™ stent:
Is easy to insert and
remove in our office
Permits a bladder to
empty normally without external tubes or bags
May dramatically reduce
the possibility of bladder infections
Please ask for more information from Dr. Pugach and the staff of
Pacific Coast Urology Medical Center by calling 562-594-0860
Prostate Cancer Screening Guidelines -
Robert Pugach, MD encourages you to read the
American Association of Clinical Urologists (AUA) Important
Announcement Rejecting the USPSTF Recommendations. (May 21,
Dr. Pugach's commentary
on "PSA Testing
Continues to Polarize Medical Community"
New guidelines for prostate
cancer screening suggest that we should start looking for evidence
of prostate cancer at an earlier age. Presentations at this year’s
American Urological Association meeting indicated that patients
should start being tested as early as age 40. This is
especially important for men whose fathers (or relatives of their
fathers) have a history of prostate cancer – their risk of
developing it is at least twice that of the general population. In
addition, normal values for PSA (the blood test that can detect
prostate cancer) are being lowered. We believe that it should be
2.5 for men 65 years or younger and 4.0 for men over that age.
Why are screening
criteria changing? There’s no question that we are still missing
many cases of curable prostate cancer. Estimates are that as many
as 25% of men with prostate cancer may not have it detected early
enough. Once prostate cancer escapes the capsule of the prostate no
cure is possible. It may spread to lymph nodes, the liver and
bones. In addition, local growth can cause blockages of the ureters,
the tubes that drain the kidneys into the bladder.
Call for your Consultation
Of course, the
key to successful treatment is early diagnosis. We’re on top of
all of the latest guidelines, just as we are with other areas of
minimally invasive urology. If you haven’t had a prostate cancer
screening in the last 12 months, call us today to schedule a
convenient appointment to see Dr. Pugach. If you have any
questions, please feel free to call us to speak to one of our
experienced nurses. We’re here to help you! It takes only a few
minutes and is very simple. The results can save your
life. Don't delay:
Prostate Cancer Diagnosis and
Dr. Robert Pugach,
Medical Director of Pacific Coast Urology
Medical Group, discuss men’s urological problems and treatments.
The topics discussed on the audio files include symptoms and
treatment options for
Benign Prostatic Hyperplasia (BPH),
Dr. Robert Pugach
discusses advanced minimally invasive treatments including
Click here to listen to
the audio discussion.
Audio Library-Prostate Cancer –
- Rarely does a week go by when
we don’t read about a famous man who o has prostate cancer or we
learn about a family member or friend who has prostate cancer.
Is it very common?
- Why do men get prostate
- Who is at risk – can we
prevent prostate cancer?
- When does prostate cancer
- When should men start being
screened for prostate cancer?
- What are the symptoms of
prostate cancer and how do men know they might have prostate
- How is prostate cancer
- Do all prostate cancers need
to be treated?
- What are the treatment options
available for prostate cancer.
- One treatment option is called
cryoablation. What is cryoablation and how is it done?
- How do the side effects
of cryoablation compare with other treatments?
- What are the benefits of
cryoablation when compared to surgery or radiation
- Who do you consider good
candidates for cryoablation?
- Is there a long period of
- How much pain is there
- Who do you consider good
candidates for cryoablation?
*HIFU is not yet approved by the
FDA. It is available in several countries outside of the United States
and Dr. Robert Pugach can treat you at the
state-of-the-art hospital in Puerto Vallarta. Be sure to
learn about this new treatment thoroughly before making a treatment
To learn more, read: "The
cause of prostate cancer."
HIFU was also mentioned in an article published in U.S. News & World
Report in September 2007 that explored new therapies for prostate
cancer and the tough choices that men facing the disease have to
make. Read the entire article, New therapies exist, but men still
face a tough call: get treated now, or wait, By Adam Voiland,
Posted 9/9/07 online, more.
Dr. Robert Pugach was featured in a HIFU International Article,
Visit our Resource
additional resources, click here.)
additional resources on prostate cancer, Dr. Robert Pugach recommends you
visit these Web sites.
(American Cancer Society)
If you have a question about a
service or procedure, please email us or call our