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Dr. Robert Pugach

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

Education

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

Practice

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

Site of Service

In-Office

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

 

Program Agenda:

Objective:

Demonstrate the Premier Patient Experience offered by the UroLift® System treatment in the clinic setting with local anesthesia.

Location & Logistics:

  • Day Prior to Program:
      • Arrival:
        • Into SNA, LBG, or LAX
        • Before 4:30pm
        • Attendee transportation to and from airport via UC 
      • Lodging:
        • Location: TBD
      • Dinner:
        • Time: 7:00pm
        • Location: TBD
        • Attendee transportation to and from restaurant via UC
  • Day of Program:
      • Preceptor Event Address:
      • Pacific Coast Urology
        3801 Katella Ave. Suite 100
        Los Alamitos, CA 90720
  • Attire:  Scrubs or Business Casual
  • Arrival to Event: 7:00am
  • Depart: 1:00pm
  • Departure Flights:
    • Out of SNA, LBG, or LAX
    • After 3:00pm
  • Didactic presentation
      • UroLift System as part of the standard of care for BPH
      • Clinical Data: risks and benefits
      • Coding, reimbursement, & economics
      • Personal Experience

Agenda

7 AM – Attendees Arrive and Welcome
• Attendee arrival – Light breakfast and refreshments provided
• Review any additional slides and procedural technique
• Discuss additional Q&A along with outline of day

7:30 AM – Case Preview
• Review procedure room setup and facility
• Case 1 Preview: history, work-up & reasons for selecting UroLift System treatment

8 AM – First Procedure
• Observe local anesthesia instillation
• Observe 1st Case
• Post-case review
• Case 2 Preview: history, work-up & reasons for selecting UroLift

8:45 AM – Second Procedure
• Observe local anesthesia instillation
• Observe 2nd Case
• Post-case review
• Case 3 Preview: history, work-up & reasons for selecting UroLift

9:30 AM – Third Procedure
• Observe local anesthesia instillation
• Observe 3rd Case
• Post-case review
• Case 4 Preview: history, work-up & reasons for selecting UroLift

10:15 AM – Fourth Procedure
• Observe local anesthesia instillation
• Observe 4tht Case
• Post-case review
• Case 5 Preview: history, work-up & reasons for selecting UroLift

11 AM – Fifth Procedure
• Observe local anesthesia instillation
• Observe 5th Case
• Post-case review
• Case 6 Preview: history, work-up & reasons for selecting UroLift

11:45 AM – Sixth Procedure
• Observe local anesthesia instillation
• Observe 6th Case
• Post-case review
• Group Photo

12 PM – 1 PM – Lunch and Wrap Up
• Lunch provided
• Q & A
• Goals for implementing learning
• Group Photo

1 PM - Departure

Additional Case Observation Day Experience
• Attendees will observe an estimated six UroLift procedures, total number of cases may be subject to change.
• Attendees may observe cystos and consults for BPH patient workup scheduled in between cases based on availability.
• Anatomy models and slides will be utilized in between cases to demonstrate device functionality, advanced placement and troubleshooting.
• Agenda may differ based on patient scheduling.