Prostate Cancer Testimonials

After undergoing a biopsy, Dr. Robert Pugach explained treatment options ranging from watchful waiting to HIFU. Even though my prostate cancer was in the early stages, I decided to be treated with HIFU. I’m not the type of man that can wait and watch. My HIFU procedure was performed in June 2014 in Puerto Vallarta. I’m very thankful that I was in the hands of one of the most experienced HIFU Doctors in the country. Also, thanks to the HIFU Prostate Services team, and a HIFU patient that I spoke with, who is now a good friend, for guiding me through the entire procedure. I’m a strong advocate for prostate cancer screening and will do all I can to help educate men about HIFU.


I was very lucky when I was diagnosed with prostate cancer to be introduced to Dr. Pugach. He gave me all of the options possible for my treatments. After my research and talking with my Doctors, I decided to go with Dr. Pugach for the HIFU surgery. This was the best decision of my life. Dr. Pugach and his office staff have knowledgeable, patient, caring, and just took care of me. Dr. Pugach is the best in his field and I would strongly recommend him.


I studied HIFU for about ten years before it became legal in the USA. I was told by my Urologist that I was not a candidate for HIFU my Gleason score was #7 and that I had cancer on both sides of my Urethra. I Made an appointment with Dr. Pugach. They did an MRI and a Bone Scan and said I was a candidate. I made an appointment for the HIFU procedure It was done at 2:30 pm on 03/28/2018 I was done at 7:30 PM I had dinner at a restaurant at 8:30 PM everything went as he discussed with me. No cutting No Bleeding No Pain we stayed at the local Marriott and drove home 270 miles 2 days after the procedure two weeks later doing great. I would recommend highly this procedure to any one that has prostate cancer. Dr Pugach can give my contact Information for reference on request.


My brother was diagnosed 5 years ago with metastatic prostate cancer. He was the type of guy who didn’t visit the doctor and when he finally did, he found that he had stage 4 colon cancer and has his tumor removed. He now lives with a colostomy bag. He was lucky to survive that.

After dealing with the colon cancer, he learned he had prostate cancer which had travelled to his bones in the pelvic area and spine.

When Dr. Pugach heard about all of this 5 years ago, he said he was going to monitor me carefully because he thought it would be inevitable that I would also get prostate cancer. After 5 biopsies over 5 years and 3 MRI’s, Dr. Pugach found my prostate cancer.

Unlike my brother, I chose to have HIFU early and get rid of my cancer so that I could continue to live a long and healthy life. Five days before Christmas 2018, I had my HIFU treatment and enjoyed Christmas with my family. No one knew I was wearing a leg bag (catheter) and no one knew I even went through this procedure over the holidays except for my immediate family.

Today I had my catheter removed and I feel great! All I can say is, I hope your will get a doctor like Dr. Pugach who will be persistent in your situation and will take care of you the way he did for me. He had first hand experience with his brother and himself, so I knew I was in good hands.

Thank God for Dr. Pugach.


Five years cancer free!
Five years ago at the age of 62 I had a routine blood test that indicated my PSA was elevated to the point that further tests would be required.  I had no symptoms and felt normal.  One risk factor that was important was that my father had been diagnosed with prostate cancer in his 60’s.  After discussing the situation with my wife, we decided further investigation was warranted.

As a retired firefighter of 30 plus years I was well aware of the issue of prostate cancer as it had affected numerous friends that I had worked with.  The majority had been less than satisfied with the treatment and results post-surgery.  Incontinence and loss of sexual function seemed to be the norm.  After numerous conversations with people I trusted I was really in a quandary as to how to proceed.  Fortunately, I ran into a good buddy who is a retired police officer with the City of Long Beach.  He had recently had been diagnosed with prostate cancer and had been referred to Dr. Pugach in Los Alamitos.  Following his diagnosis and ultimate treatment he was ecstatic with the results.  He was back to pretty much normal within a couple of months and most importantly cancer free.

I made the decision to put myself in the hands of Dr. Pugach and hope for the best.  Five years later I am cancer free and have full sexual function, no incontinence and pretty much lead a normal life.  HIFU was something I had never heard of but because of word of mouth from people I trusted I decided to give it a try.  It worked and I have been very pleased with the results.  Dr. Pugach and his staff have been exceptional.  I highly recommend HIFU as a treatment option for prostate cancer.  Dr. Pugach has an extensive history with HIFU and is considered one of the preeminent urologists in his field.  He’s also a good guy.