Robert Pugach, MD 
Some nutritional studies are finding that a high-fat diet may fuel spread of prostate cancer. The impact of a man’s diet is another important clinical step in our understanding the causes of prostate cancer. Read full article.

September Is Prostate Cancer Awareness Month

Robert Pugach, MD 
September is Prostate Cancer Awareness Month. As always, I remind men that it is time to schedule their annual prostate cancer screening exam. Learn why it is important to detect prostate cancer early and why it is a myth that prostate cancer is a slow growing tumor that never causes serious health problems. It’s more than a myth – it’s downright wrong! Read full article.

Is a PSA Test for Prostate Cancer Right for You?
Robert Pugach, MD 
Since prostate cancer is the second leading cause of cancer death in men, this blog is one you should read. There has been some controversy of late about how often, at what age, and who should have a PSA test. Let’s get the answer to the question: Is a PSA test for prostate cancer right for you? Read Full Article

Does Your Cancer Sleep When You Do? Why You Should Act!
Robert Pugach, MD 
In a word, the answer is NO.  There’s a myth that has been circulating for many years – that prostate cancer is a slow growing tumor and is not likely to cause serious health problems for the men diagnosed with it.  The myth started because of concerns about the side effects of traditional treatments such as radical surgery and radiation.  Read Full Article

Dr. Robert Pugach shares his personal story about his prostate cancer diagnosis and treatment with HIFU (Read article).  Read his blogs, Prostate Cancer Diagnosis and Prostate Cancer

Why is it that African-American men are more likely to develop and die from prostate cancer than other ethnic groups? Is more aggressive and earlier screening needed?  Learn more about African American men’s risk of developing prostate cancer by reading Dr. Pugach’s blog.

Dr. Robert Pugach was featured in a recent article entitled, “HIFU Delivers Breakthrough Treatment for Prostate Cancer,” Newsmax Health, October 26, 2017
It is a new day for those with prostate cancer. High Intensity Focused Ultrasound (HIFU) has emerged among the country’s fastest-growing new outpatient treatment options for prostate cancer. There may be no greater an endorsement for a medical procedure other than a physician saying he would have it performed for himself. That was the case for Los Angeles surgeon Dr. Robert Pugach who was diagnosed with prostate cancer.  Read article

The Prostate Cancer Treatment Even Doctors Choose for Themselves
USA Today Article, March 2017

There may be no larger endorsement for a cancer treatment than a doctor saying that is the treatment he would chose. “Every man is at risk for prostate cancer, even your urologist,” says Dr. Pugach. Read his story in USA Today. Read Full Article

High Fat Diet and Prostate Cancer… New research released!
Robert Pugach, MD 
A recently released article on a study suggesting that a high-fat diet may fuel spread of prostate cancer is another important clinical step in our understanding the causes of prostate cancer.  The study published in Nature Genetic,  An aberrant SREBP-dependent lipogenic program promotes metastatic prostate cancer,” published online on January 15, 2018, suggests that dietary fat may feed prostate tumors and help them spread.   Read more

The Case Against Active Surveillance
By Robert Pugach, MD
I am a prostate cancer survivor. I was diagnosed with cancer late last year. In May of this year I underwent a urethral sparing HIFU procedure and I am now cancer free.  Read More.

Precision Focused Biopsies – A New Way to See If You Have Prostate Cancer
Traditional biopsies are done with ultrasound guidance in the office. Now, there is a dramatic improvement in biopsy procedures. For the first time, urologists have the remarkable imaging advances that most other areas of medicine use in biopsies of other areas of our bodies, including breasts, kidneys, bones, abdominal masses, etc. Until now, doing a prostate biopsy did not benefit from the precision of real time imaging to direct a biopsy needle into an abnormal area. Read More

Prostate Cancer Screening Controversy?
Dr. Robert Pugach, Medical Director of Pacific Coast Urology Medical Center, gives his opinion of the USPSTF’s finding and what he advises men to do.

Six years ago, the United States Preventive Services Task Force (USPSTF) ignited controversy in the medical community when they advised against most routine screening for prostate cancer with a PSA blood test. Specifically, the recommendation set off a firestorm of debate in the urological community because most urologists are strong advocates of annual prostate testing with a PSA and a rectal examination. 

HIFU for Prostate Cancer?
Learn why men are selecting this new treatment

In October, 2015 the Food & Drug Administration (FDA) approved High Intensity Focused Ultrasound (HIFU) for the treatment of localized prostate cancer. For many men diagnosed with prostate cancer, HIFU is a new treatment that they haven’t heard about nor are they aware of its benefits, including avoiding permanent urine leakage and erectile dysfunction (ED) that surgery or radiation can cause. “Being able to offer my patients a treatment to cure their prostate cancer and maintain their quality of life was very important to me,” says Dr. Robert Pugach, Medical Director of Western States HIFU and Pacific Coast Urology Medical Center. Read article

HIFU Prostate Cancer Treatment Approved for Use in United States
Dr. Robert Pugach, the 4th most experience urologist in HIFU. Learn More

HIFU for Prostate Cancer Treatment
According to the American Cancer Society, almost 250,000 prostate cancer cases will be diagnosed annually in the United States and will result in 29,000 deaths every year. In this article, Dr. Robert Pugach answers questions about concerns regarding the prevention, diagnosis and treatment of prostate cancer and how HIFU (High Intensity Focused Ultrasound) is advancing treatment and improving outcomes. Read Full Article

Prostate Cancer… Common, Curable Disease
Hardly a week goes by without reading or hearing about someone you know, or some celebrity, learning that he has prostate cancer.  Prostate cancer is the second leading cause of death from cancer among US men. Read Full Article

Emerging Technologies and Therapies to Treat Prostate Cancer
Focusing on his commitment to continuing education in the diagnosis and treatment of prostate cancer, Dr. Robert Pugach attended the annual Minimally Invasive Ablative Therapy course at New York University (NYU). This prestigious conference, held on June 23-24, 2012, is now in its third year with a unique focus on bringing the latest research and techniques to aid urologists and radiologists in the diagnostic and treatment of their prostate cancer patients. Read Full Article

New Genetic Test for Prostate Cancer…Hope or Hype?
by Robert Pugach, MD
It seems as if not a month goes by where we read headlines proclaiming new medical breakthroughs. In the article, Brave New Worlds in Diagnosing Diseases, several new promising diagnostic tests, including one about a new prostate cancer assay, were outlined. The test they discussed was captioned as a “less-guess” prostate test, the Oncotype Dx Prostate Cancer Assay test. Read Full Article