When should I see a urologic oncologist?
If you have an abnormal PSA, blood in the urine, a palpable testicular lump, persistent lower back pain with no apparent cause, or a family history of prostate, kidney or bladder cancer, a specialist assessment is worthwhile. Men over 50 (or 45 with a family history) should have annual PSA screening in line with SBU and AUA guidelines.
Does a high PSA mean prostate cancer?
Not necessarily. PSA is a marker, not a diagnosis. It can be elevated due to benign hyperplasia, prostatitis, urinary tract infection, recent prostate manipulation or the natural growth of the prostate. The decision to investigate with a biopsy takes into account how fast the PSA is rising, age, digital rectal exam, multiparametric MRI and family history. An individualized assessment is essential — do not draw conclusions on your own.
Is robotic surgery covered by health insurance?
Since 2024, following a new ruling by ANS (Brazil's National Supplementary Health Agency),
some plans have started to cover robotic surgery in urology. Coverage varies significantly by insurer and plan type. We work on a reimbursement basis for most cases — our administrative team guides you through all the paperwork.
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What is the difference between robotic prostatectomy and open surgery?
Robotic surgery uses articulated instruments controlled by the surgeon through a high-precision console — allowing millimetric movements to preserve the nerve bundles responsible for urinary continence and erection. The scientific literature (EAU 2024) shows less bleeding, shorter hospital stays and faster recovery compared with open surgery, with equivalent oncological results in high-volume centers.
What is focal therapy (HIFU and electroporation)?
These are treatments that destroy only the area where the tumor is located, preserving the rest of the prostate, the nerve bundles and the urinary sphincter. They are indicated for selected cases of low- or intermediate-risk localized prostate cancer. They drastically reduce the functional impact — but require strict oncological criteria. Not every patient is a candidate.
What is HoLEP and when is it indicated?
HoLEP (holmium laser enucleation of the prostate) is considered the global gold standard for the surgical treatment of benign prostatic hyperplasia in large prostates (over 80 g). It involves less bleeding, faster hospital discharge and superior durability compared with classic TURP. It works for prostates of any size.
Does the clinic see patients from outside São Paulo?
Yes. We regularly welcome patients from all over Brazil and abroad. We offer telehealth for first assessments and second opinions, and we organize all the logistics of your surgical trip — including guidance on accommodation near the hospital, translation for international patients and remote postoperative follow-up.
Do you offer telemedicine consultations?
Yes. We offer telemedicine consultations in accordance with Brazilian Federal Council of Medicine (CFM) Resolution 2,314/2022 — especially for second opinions, clinical follow-ups, review of test results and patients from other cities or countries who need an initial assessment before traveling to São Paulo.
How long does a consultation last?
Initial uro-oncology consultations last on average 45 to 60 minutes, because they require a detailed review of tests, a physical examination, a discussion of family history and the shared development of the treatment plan. Follow-up visits last in proportion to the complexity of the case.
What is recovery like after robotic surgery?
Most patients are discharged within 24 to 48 hours and resume light activities in 7 to 14 days. The male pelvic floor physiotherapy program starts early (usually after the urinary catheter is removed) to speed up the recovery of urinary continence. Close follow-up by the team via WhatsApp and scheduled in-person visits.
How do I book a consultation?
Via WhatsApp (11) 99590-1506 or using the form on this page. Our team replies within 2 hours during business hours. Oncological emergencies are given priority.
