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Dr. Robert Pugach

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Specialty: Benign Prostatic Hyperplasia (BPH), Prostate Cancers, Minimally Invasive Surgery


Undergraduate: Bachelor of Science, New York University, New York City, New York
Medical School: College of Medicine and Dentistry of New Jersey, Newark, New Jersey
Residency: NYU Booth Memorial Medical Center, Flushing, New York
Fellowship: Albert Einstein College of Medicine-Montefiore Medical Center, The Bronx, New York


Pacific Coast Urology
3801 Katella Ave. Suite 110
Los Alamitos, CA 90720

Site of Service


UroLift Local Anesthesia Protocol

UroLift Anesthesia Protocol:  This information is presented in conjunction with Dr. Pugach. Surgical technique, medication and anesthesia regimens are based on his experience with the UroLift System. Medical practice is solely the responsibility of the treating physician and not the named physicians or NeoTract, Inc.

  • The steps in this protocol are presented in the sequence performed by Dr. Pugach.
    • Medication
      • Pre-procedure
        • Cipro, 500mg, 1 tablet day before the procedure
        • Cipro, 500mg, BID the day of the procedure
      • Post-Procedure
        • Cipro, 500mg, BID the day after the procedure
      • Topical Anesthesia:
        • 2% Lidocaine solution, 50ml, instilled in the bladder via 16Fr catheter and catheter tip syringe
        • 2% Lidocaine gel, 5ml, instilled into the urethra
        • Clamp penis for 20 minutes prior to the procedure
      • Prostate Block:
        • Left-Lateral Decubitus
        • Transrectal 10-point block (5 on each side)
        • Ultrasound guidance 

Group Type

  • Private Practice

First UroLift Case Date

  • August 2017