Urology Austin

Peter Ruff, MD

Peter Ruff, MD Videos

  • Prostate Biopsy With Elevated PSA

  • Dr. Ruff utilizes the Propep nerve monitoring system

  • St. David's offers free cancer screenings - kvue.com Austin

  • Voiding Dysfunction and Overactive Bladder ()AB)

  • Laparoscopic vs. Traditional Open Surgery

  • Who Offers Robotic Surgery in Austin

  • Dr. Ruff on KXAN News Discussing da Vinci Robotic Surgical System

  • "I have found Dr. Ruff competent, professional, sympathetic, informed, and interested. Every step of the way, he minimized the pain, kept me informed. Surprisingly, he did not adopt the distant and impersonal attitude one expects of a doctor. Very responsive to questions and reactions, he made it very easy to relax and cooperate. He is by far the finest urologist I have ever met. I wholeheartedly recommend him." -David K., Austin

  • "An excellent urologist including his nurse. He removed a prostate with cancer and with in weeks I was back to normal with no ill effects"

  • "Dr. Ruff preformed a de Vinci aided laparoscopic radical prostatectomy on me on 16-Oct-2013. Ruff was informative before and after surgery. Always tried to clarify findings in ways that were meaningful to the patient. He answered questions presented at meetings as well as responding to phone calls. Ruff told us what to expect during surgery, during immediate and longer term recovery. When questioned, based on our internet research, his responses are knowledgeable. His staff always responds to phone calls. They are pleasant and on time. A professional organization." -Richard C

  • Ray C. Georgetown, TX July 6, 2013
    "Having an elevated PSA my Atlanta primary care provider and I decided that a biopsy should be done. The results of the biopsy revealed that I, indeed, did have prostate cancer (12 of 12 samples had varying amounts of cancer). Because I was in the process of moving to the Austin area I decided to wait and seek out an Urologist there. After an in-depth search I found Dr. Ruff. I also found a new primary care provider and advised him of my condition and asked him to give me a referral to Dr. Ruff. Upon doing so I met with Dr. Ruff. I advised him of my condition and gave him a copy of my Atlanta biopsy report. After his review of the biopsy and my overall health / age, Dr. Ruff explained, in-depth and in words I could understand, all the available options and the pros and cons of each. We both agreed that a prostatectomy using the precise and minimally invasive da Vinci robot was the best course of action. The surgery was scheduled for two weeks later and could not have gone any better. The surgery was conducted on a Wednesday morning and late that afternoon the nurse actually had me standing in my hospital room! The next day was even more amazing - I was walking the halls of the hospital floor and on Friday afternoon (two days later) I was on my way home - Unbelievable! Upon my discharge from the hospital Dr. Ruff gave me do's and don'ts that one would expect and a follow-up appointment. Well, I went to my follow up appointment as instructed and met again with Dr. Ruff. After an exam he reviewed the pathology report with me and it was excellent. The cancer was confined to the prostate and the two lymph nodes that were additionally removed proved to be not cancerous.
    I cannot say enough good things about Dr. Ruff and his staff. Dr. Ruff is truly a gifted surgeon who possesses superior skills, knowledge and abilities that are second to none. He saved my life and I am now a "Cancer Survivor".
    Thanks!" -Diane

  • Edmond A. Horseshoe Bay January 29, 2013
    "I went to Dr Ruff after having been diagnosed with kidney cancer in late 2011. Dr Ruff performed laparoscopic surgery on me and removed one of my kidneys in Feb 2012. Since then, I see Dr Ruff every 3 months for follow-up checks and monitoring. I came through the surgery very well and have not had any complications or issues since. I really appreciate Dr Ruff........he is a skilled surgeon and a very caring physician. I feel confident under his care. He has a great ability to communicate and is very patient. I would highly recommend Dr Ruff to anyone needing the care of a Urologist."

  • I highly recommend two doctors at Urology Austin, Urologist Dr. Peter Ruff at the South Austin office and Dr. Richard Garza at The Austin Center for Radiation Oncology.

    During my annual physical in 2013, my primary physician, Dr. Kenneth Kroll, noted that my PSA (though well in the normal range) was rising faster than expected. He referred me to Urology Austin for further evaluation. Dr. Ruff did a biopsy that showed that my prostate was indeed quite cancerous. Though I was inclined to have a radical prostatectomy, Dr. Ruff highly recommended that I have a consultation with Dr. Garza to consider the pro and cons of radiation therapy. Dr. Garza, like Dr. Ruff, allowed all the time I required to understand the procedure and get answers to all my questions and concerns.

    After a further consultation with my wife, a long term RN/FNP, I decided on a radical prostatectomy, which was performed in October via DaVinci robotic assisted surgery. While Dr. Ruff did an excellent job, there was an adverse pathology result for which follow up radiation treatment was recommended.

    In September and October of 2014, I had 39 short treatments at Dr. Garza’s office.
    Dr. Garza, his assistant Gabe, the ladies at the front desk, and the techs in the x-ray room were all very friendly and professional. I even grew fond of (Big) Bertha, the large x-ray unit! The treatments were easy with extremely minor (practically non-existent) side effects.

    In conclusion, I highly recommend the following:
    1. Dont’t get prostate cancer! (Unfortunately, not in your control.) But if you do:
    2. Consult both Dr. Ruff and Dr. Garza to see which treatment is right for you. If it’s a tossup, you can’t go wrong with either one.
    3. If your choose surgery, Dr. Ruff is your best choice.
    4. If your choose radiation, Dr. Garza and his team can’t be beaten.

    David M.

  • I highly recommend Drs. Williamson and Ruff. I was diagnosed with prostate cancer in September 2014. After discussing the finding and treatments with Dr. Williamson, I elected to have a prostatecdomy. Dr. Williamson referred me to Dr. Ruff, who would perform the surgery using Di Vinci machine at Austin's St. David's Hospital. My major concerns were the surgery complications, recovery time, incontinence and scar tissue adversely effecting urination.
    I had no ill effect from the surgery and within two weeks I was back to my normal activities. Within three months of the surgery; I had no leakage or incontinence. I just had my one year check-up and everything is normal, PSA is non-detectable.
    Drs. Williamson and Ruff took the time to help me understand my diagnosis, options and treatments. Additionally, they are very approachable and friendly. Without question, they are highly skilled professional urologist and surgeons. In my option, they have earned the highest marks and my recommendation for any urological related health issues. - Jim A. on Yelp! 11/9/15

  • Just a quick note because I believe in feedback. At the age of 44, after an ACL reconstruction surgery and over a period of 5 years, I had urinary urges, pain in my groin, pain in my butt cheek, pelvic pain at the sexual climax, sometimes pain down my leg, then I had a fissure issue (due to being a tight a$$). My GP tried everything to diagnose and treat my issue with no success.

    I finally decided to call a specialist ON MY OWN. I saw Dr. Ruff and he recommended pelvic floor rehabilitation. THIS WAS A GOD-SEND and only a handful of therapist can actually do this. He's awesome! -Gary Feltner on Google Reviews, Jan, 2016

  • I am so thankful my choice for acute medical care was handled by Dr. Ruff and Dr. Pickett at Urology Austin. They are exactly what you want before, during and after a medical emergency, as well as a routine care and surgery. Extremely smart, calm, thorough and empathetic. Dr. Ruff performed surgery using the DaVinci robot. I knew exactly what to expect and my recovery was faster than anticipated due to his precise skill. If you are faced with having surgery, you want Dr. Ruff in your corner. -Heather W. on Yelp! 6/19/16