Duke O. 

Duke O. 

I wish that all doctors were like Dr. Pugach, knowledgeable, listens, friendly well organized staff and available when needed. I was having some urinary problems and was diagnosed by another doctor and I did not think it was correct. I met with Dr. Pugach and he listened carefully and indicated to me that he did not agree with the other diagnosis. As it turns out, I had prostate cancer. Dr. Pugach spent time and described all the various solutions and presented the pros and cons of each procedure. He patiently answered all my questions then and each time I met him both before and after the procedure, and always asked if he addressed all my questions. I chose to do the HIFU,  Intensity Focused Ultrasound which is not yet approved in the USA; however is approved in most of the world. Dr Pugach performs the procedure in Puerto Vallarta, Mexico. He was scheduled to be there in July 2011; however he did not want me to wait until then and made a special trip for me (missing a Urology convention) in May. I am very pleased with the outcome of the procedure and, especially, the fine treatment by Dr. Pugach who I unreservedly recommend to anyone with Urological needs.   

Duke O.  October 30, 2015