Robert G. Pugach, Medical Director
VOTED AMERICA'S TOP PHYSICIAN

Specializing in Minimally Invasive Treatment of Urologic Conditions
Attention Patients: Patient Registration Forms Available.
If you would like to complete and bring to your first appointment, click here to download.

 

HIGH INTENSITY FOCUSED ULTRASOUND

Cutting Edge of Advanced Technology for the Prostate Cancer and BPH therapy

At Pacific Coast Urology Medical Center we are actively involved in pursuing the most advance technology to treat our patients. Now, in the area of prostate cancer, Dr. Pugach is in an elite group of less than 1% of the urologists in the US certified to perform an exciting new procedure for prostate cancerHigh Intensity Focused Ultrasound (HIFU).

The advantage of the HIFU procedure for prostate cancer therapy, is that it can cure the disease without having the side effects of bladder control problems or erectile dysfunction that are common with surgical and other procedures. HIFU is a non-invasive, precise and targeted procedure that reduces some of the risk of complications caused by traditional prostate cancer therapy involving surgery and radiation.

HIFU is being used throughout the world as a therapeutic procedure for prostate cancer and benign prostate growth (BPH). The technology is not new to the United States as it originated at the Indiana University School of Medicine in the 1970s and is now going through the rigorous US approval process. To review clinical publications, results and research activity of High Intensity Focused Ultrasound (HIFU), click here.

Dr. Pugach is one of a select group of urologists certified to perform HIFU, Dr. Pugach has performed numerous HIFU procedures and can offer HIFU in several countries.*

HIFU Treatments in Puerto Vallarta, Mexico
Dr. Pugach has treated many patients with HIFU in Puerto Vallarta Mexico. If you would like to speak to a patient and learn more about HIFU, call our office for a consultation at 888.735.4436
8
 or click on this link for more information

 

About San San Javier Hospital Marina, Puerto Vallarta

 

Dr. Robert Pugach performs his HIFU procedures at San  Javier Hospital Marina. This hospital absolutely meets the international standards and goes a step further by given each patient personal attention and care in English. Cutting edge technology and excellent nursing staff provide the highest quality care. Dr. Pugach has performed numerous HIFU procedures at this state-of-the-art certified hospital.

During your stay a wide range of concierge services are available for your love ones. The hospital’s Patient Relations Officers are dedicated to help you feel at home away from home.

About Puerto Vallarta, Mexico

Puerto Vallarta lies along Banderas Bay, the second largest bay in the Western Hemisphere. It is located 352 kilometers (219 miles) from Guadalajara, the state capital of Jalisco, and it is nestled in the foothills of the Sierra Madre mountain range. The region has many forests, rivers and waterfalls, with an average temperature of 27° C (80° F).  Flights to Puerto Vallarta airport are available daily from the United States and Canada. The main carriers include Aeromexico, Mexicana, American (Canadian), United, Continental and Delta flying primarily from Dallas, Houston, Miami, Chicago, New York, Los Angeles, Seattle and Toronto.

Our staff can assist you with travel arrangements.   Call to find out more information, 888-735-4336.

Best Life Magazine features HIFU
Read the story featured in Best Life Magazine that follows the experience of one HIFU patient who traveled from Charlotte, NC to Toronto for the HIFU procedure. A year later the patient is doing great and his PSA is undetectable. More and more men are facing a medical conundrum: Either risk losing your sex life forever, or travel abroad for a $20,000 procedure that the FDA hasn’t approved yet.
"Sounding out Prostate Cancer," John Brant; Photographs: Nathan Kirkman, Sep 2, 2007 - 8:05:54 PM
Click here to read the entire article.

How Does HIFU Work?
HIFU uses ultrasound energy to heat and destroy targeted areas of tissue. The sound waves pass through healthy tissue without causing damage.

The Sonablate® 500 HIFU Non-Invasive Medical Device.
Dr. Robert Pugach uses the Sonablate® 500, a medical device, used as a therapeutic procedure for men diagnosed with prostate cancer and benign prostate growth (BPH). HIFU is a non-invasive prostate cancer procedure that does not require a transurethral resection of the prostate (TURP).  To read a recent article featuring HIFU,
Click here

Is HIFU Radiation Free?
Yes, HIFU is completely radiation free. Unlike radiation, ultrasound energy is non-ionizing meaning it will not harm any tissue outside of the target area.

Does HIFU procedure require Hospitalization?
No, Sonablate® 500 HIFU is an outpatient procedure and does not normally require hospitalization.

How Long Does HIFU take and What is the Recovery?
The procedure takes 1-3 hours and recovery time is 2-3 hours.

Currently, HIFU, using the Sonablate® 500* is an investigational, non invasive acoustic ablation technique that is entering FDA Phase III clinical trials for approval in the United States. See note below.
 

HIFU  Clinical Research

To review clinical publications, results and research activity of High Intensity Focused Ultrasound (HIFU), click here.

AUDIO LIBRARY
Listen to 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), Prostate Cancer, Vasectomy and Vasectomy Reversals. Dr. Robert Pugach discusses advanced minimally invasive treatments including Cryoablation and HIFU for prostate cancer. Click here to listen to the audio discussion on the following questions.

Prostate Cancer – HIFU

  • This is a very exciting subject to discuss – HIFU. Can you explain what it is?
  • How did you get interested in HIFU?
  • Do all urologists perform HIFU?
  • Why isn’t it available in the United States?
  • Where is HIFU available?
  • Do patients have to have a physician from another country treat them?
  • Since it’s a new procedure, how do you know if it cures prostate cancer?
  • What are the advantages?
  • Are all prostate cancer patients able to be treated with HIFU?
  • What if the cancer is very aggressive – does HIFU work in those patients?
  • Is there much pain after the procedure?
  • Is HIFU used only for prostate cancer?
  • Is HIFU expensive?
  • How can patients learn more about HIFU?

Did you Know?
FACT:
HIFU is completely radiation free. Tissue is heated and destroyed using ultrasound energy. This is actually the same type of energy used for obstetric ultrasounds with pregnant women to see their baby before birth or determine a due date. When ultrasound energy is focused in a specific spot, there can be a rapid raise in temperature that can causes cells in the area to die.


If you would like more information about this remarkable new procedure for prostate cancer and benign prostate growth (BPH), please give us a call at 888-735-4336 or click on this link for more information

* The Sonablate® 500 is being studied in clinical trials for use in the treatment of prostate cancer in the United States and is not approved for use by the U.S. Food and Drug Administration. HIFU with the Sonablate® 500 is authorized for use for the treatment of prostate cancer in Canada, Argentina and the Dominican Republic. It is also available in the Bahamas and Mexico.

Note: Over 6000 men, in nearly 100 HIFU centers worldwide, have already chosen HIFU with the Sonablate® 500, because it is the most advanced HIFU therapy available. (Source: www.internationalhifu.com)

It is important that you educate yourself well about this procedure before making a decision about how to treat your prostate cancer or BPH. Call our office to discuss out-of-town packages for HIFU therapy with Dr. Robert Pugach

*For more information, visit www.internationalhifu.com

 

 

 


Download the HIFU Patient Information Brochure.

 

 

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Appointments with Dr. Robert Pugach, Medical Director of Pacific Coast Urology Medical Center, can be scheduled at our offices located in Los Alamitos, Huntington Beach, and Beverly Hills, California (CA).  Offices are freeway accessible for residents of Los Angeles and Orange Counties. 

3801 Katella Avenue
Suite 110,
Los Alamitos, CA 90720
562-594-0860
16843 Algonquin Street
Huntington Beach, CA 92649
888-735-4336
 

436 North Roxbury Drive Suite 117

Beverly Hills, CA 90210 888-735-4336

HOME  |  ABOUT PCUMC  |  ABOUT DR. PUGACH  |  EVENTS  |  OFFICE INFORMATION  |  ARTICLES  |  GLOSSARY  |  RESOURCES  |  CONTACT US

MALE SERVICES:
Bladder Control (Overactive Bladder)  |  Benign Prostatic Hyperlasia (BPH)  |  Erectile Dysfunction  |  Kidney Stones  |  Overactive Bladder  |  Prostate Cancer  |  Urologic Cancers  |  Urinary Tract Infections  |  Vasectomy  |  Vasectomy Reversals  |  Circumcision

FEMALE SERVICES:
Bladder Control (Overactive Bladder)  |  Kidney Stones
  |  Urinary Infections  |  Urinary Incontinence  |  Urologic Cancers

SPECIALIZED SERVICES:
Bladder Pacemaker  | Brachytherapy  | Cryoablation  | No Scalpel / No Needle Vasectomy  | High Intensity Focused Ultrasound  | Minimally Invasive Services

 

Pacific Coast Urology Medical Center, under the medical direction of urologist, Dr. Robert Pugach has offices conveniently located in Los Angeles and Orange Counties, CA. The main office in Los Alamitos, CA (90720) has an advanced urodynamics laboratory and state-of-the-art procedure rooms which has a large flat screen television mounted on the ceiling! The main office is located on the campus of Los Alamitos Medical Center. Satellite office are located in Huntington Beach (Huntington Harbour), CA (92647) and Beverly Hills, CA (90210). Main office is located Close to the 405 and 605 Freeways with convenient access to Los Angeles and Orange County communities.

Residents of neighboring communities of Rossmoor, Lakewood, Cerritos, La Palma, Seal Beach, Cypress, Buena Park, Stanton, Anaheim, Westminster, Huntington Beach, Garden Grove, Costa Mesa, Santa Ana, Fountain Valley, Fullerton, Tustin, Villa Park, Long Beach, Los Angeles, Carson, Hawaiian Gardens, Norwalk, Whittier, Los Angeles, South Bay communities  (Torrance, Palos Verde, Redondo Beach, Manhattan Beach,) and other cities can conveniently schedule an appointment at
888-735-4336.
.
Dr. Robert Pugach and his professional staff our on the forefront of new, innovative and minimally invasive treatments for your urologic conditions. If you are looking for advanced urologic diagnosis and treatment that is faster, less invasive and more convenient for your active lifestyle, Dr. Robert G. Pugach and his expert staff can help.

Articles

Audio Library

Benign prostate enlargement
Bladder (definition)

Bladder control men
Bladder control women
Bladder pacemaker

Benign Prostatic Hyperplasia
Bladder cancer
Bladder hernia
Bladder infection

Bladder leakage

Bladder stone

BPH
Brachytherapy
Cooled Microwave Therapy

Circumcision
Cryoablation

Education Center

Erectile dysfunction (ED)
Escherichia coli (E. coli)
Frequent urination (urinating)

Female bladder control

Glossary of urology terms
 

 

Health plans (cash packages)

Hospital affiliations
HIFU (High Intensity Focused Ultrasound)
Impotence
Incontinence

Interstitial cystitis
Kidneys
Kidney cancer
Kidney stones

Medicare Insurance

Media Center
Mixed incontinence

Male bladder control

Male Infertility

Microsurgical vasectomy reversal
Minimally invasive procedures
No Needle/No Scalpel vasectomy -100% Guarantee

No-needle vasectomy

No-scalpel vasectomy

Office Information

Out-of-Area Arrangements

Overactive bladder (Men)
Overactive bladder (Women)
Overflow incontinence
 

 

Painful erections
Pelvic floor muscles

 Pelvis

Peyronie’s disease
Prostate cancer

Prostate health

Prostate surgery

Prostatitis
Pyelonephritis

Robert Pugach, MD

Staff

Stress incontinence
Testosterone
Testicular cancer

Testicle cancer

Thermotherapy

Top Doctor (Urologist)
Top Doctor Southern California
Urinalysis

Urine leakage (Women)
Urodynamics Laboratory

Urologic cancer
Urologic health specialist
Urological cancer



 

Urology
Urology center
UTI

Urinary infections

Urinary tract
Ureters
Urethra
Urethritis
Urological check-up

Urinary tract infections
Urologic health resource
Urologist
Urge incontinence
Urinary sphincter

Vasectomy articles

Vasectomy - No Needle/No Scalpel
Vasectomy reversal

Vasectomy Success rate-100% Gurarantee

COPYRIGHT 2008, ALL RIGHTS RESERVED TO ROBERT PUGACH, M.D., MEDICAL DIRECTOR, PACIFIC COAST UROLOGY MEDICAL CENTER

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