He doesn’t even contact the family of his patient when the patient passes away. He doesn’t know how to treat the family when things go wrong.

Submitted Nov. 30, 2022

Had an 8AM appointment on Monday morning with Dr Ruff's assistant. After fighting traffic for an hour, and arriving on time, the receptionist takes my insurance and ID and informs me that the appointment had been cancelled. Then she proceeds to lie to me that they sent me a message telling me this before I arrived. I had preregistered with Dr. Ruff's office online a few days before arriving for the appointment, so I know that they had my cell number and email address. However, NO SUCH MESSAGE was sent informing me that the appointment had been surreptitiously canceled.. I'm guessing, the assistant was either too lazy or too hung over to make it to an 8 o'clock appointment on a Monday morning. Dr. Ruff is apparently on sabbatical until May, but his staff says all I need to know about his practice. Horrible, dishonest and incompetent. Avoid like the plague.

Submitted March 2, 2020

I would not recommend his Urology Austin Practice to my worst enemy. His staff consistently fails to perform their duties properly or submit required documents and information to insurnace or disability carriers. Despite repeated requests from my disability carrier they failed to provide needed documentation and it resulted in my disability claim being cancelled and the loss of over $6K in wages, as well as me having to pay over $3K in order to keep my health insurance. Save yourself the headaches and find another Urology Practice, you'll thank me for it.

Submitted Feb. 13, 2019

Avoid at all costs! I was having prostate problems and Dr. Ruff would prescribe one antibiotic after another. At one time he had me on six different oral antibiotics plus daily Rocefin injections. I was in so much pain that I went to the ER four times in desperation of relief, as the hot baths recommended by Dr. Ruff didn't work! The man is a quack.. He never performed any biopsy or other tests to determine which antibiotic to use. After seeing this quack for nine months I went to another Dr. and within three days was feeling much better!

Submitted Jan. 4, 2018

I had an exceptional experience with Dr. Peter Ruff. He is a great and easy-to-talk to physician and surgeon who takes the time to have a dialogue and address your questions. My issue resulted in surgery and it was performed, and I recovered, without a single post-operative issue. Dr. Peter Ruff has my fullest, and unmitigated, recommendation.

Submitted March 21, 2016

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.

Submitted Nov. 9, 2015

After what I consider to be serious lapses in patient care and treatment guidance I was forced to seek care from another medical practice.
In February, 2015 Dr. Ruff discussed with me the results of a prostate biopsy he had performed in January. He related to me that the pathology report indicated cancer in 6 of the 12 cores that were taken and that my Gleason score was 7. We discussed treatment options based on that pathology and the assumption that a bone scan and MRI would be favorable. He made a convincing case for the probable success of a surgical monotherapy approach. He indicated that such a procedure would have to wait for at least six weeks, until the swelling from the biopsy receded. He then indicated that he would immediately schedule me for the bone scan and the MRI. I inquired if the swelling would affect the MRI and he stated that it would not be a problem.
When I showed up for my appointment at Austin Radiology Associates in February, they indicated that although they could administer the bone scan they had to wait at least six weeks for the swelling to recede in order to administer the MRI. In addition it was subsequently determined that Dr. Ruff had prescribed the wrong MRI (it should have been a prostate MRI not a pelvic MRI).
I waited two weeks for the results of the bone scan. During that time I tried to reach Dr. Ruff through his nurse who did not return my call. A person from scheduling called and told me that I could schedule another appointment with him to go over the scan results and treatment options. This only served to heighten my anxiety about the results. I finally called after hours and spoke to a sympathetic doctor who intervened by contacting Dr. Ruff. Dr. Ruff then called me and related that the scan was negative. He apologized and said that he thought someone had already given me the results. In that conversation I told him that the clinical notes he had posted on the patient portal indicated that cancer was in 12 out of 12 cores which was in conflict with his verbal input to me. He assured me that he was looking at the pathology report and that the correct information was indeed 6 out of 12 cores.
I then met with a radiologist from another practice. As we reviewed the pathology report I was surprised to see that my Gleason score was reported as 8 not 7. This change, of course has a profound effect on treatment considerations. It is unclear how or why Dr. Ruff would convey such inaccurate information.
On a less medical but still important note, in each of my three appointments with Dr. Ruff at Urology Austin I waited an hour past my appointment time before I was able to see him. In only one case his nurse apologized for the delay. With the exception of the exit administrator, the office staff radiated an attitude of uncaring and discourtesy. Instructions such as “Sit there”, “Fill this in”, and “Pee in the cup” could have easily been improved with a simple “please”.
The cumulative effect of these shortcomings formed the basis of my decision to seek someone else, from a different practice to guide and support my treatment.

Submitted Sept. 11, 2015

had 5 cancerous regions in prostate. Dr. Ruff removed w/ De Vinci method. 6 months later all clear and already able to get erections w/ a little help from cialis. No leakage and pads not necessary at all. Using the De Vinci robotic method, and clipping instead of cauterizing the blood vessels to prostate before removal enabled him to spare nerve damage. I am very thankful and really sold on this guy. His assistant Mina was exceptionally helpful and very professional throughout the whole process. FYI I'm 57.

Submitted Aug. 20, 2015

On Sep. 17, 2014 Dr. Peter Ruff performed a surgry to removed my prostate, which the results have been outstanding! I highly recommend Dr. Peter Ruff in Austin TX, This was the best experience, three months from that date I was back to working out, on my feet and and enjoying my family. I would like to think his staff, Dr. Williamson at Urology Austin and Dr. Sheff at ARC for his hard work and recommendation. Thank you very much I highly recommend Dr. Peter Ruffs!

Submitted Jan. 17, 2015

Dr Peter Ruff performed a T.U.R.P. on me for an enlarged prostate, which greatly improved my quality of life. I can now pee !!! Furthermore, the pain associated with an enlarged prostate is now gone. Thank you Dr Ruff for your knowledge, skill, and care.

Submitted Dec. 31, 2014