Urologic Oncology & BPH

Advanced Treatment of Prostatic Hyperplasia

Minimally invasive solutions to relieve the symptoms of an enlarged prostate. Specialist in HoLEP, Rezum and Robotic Enucleation in São Paulo.

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Lattes CV

Dr. Bruno Benigno

CRM-SP 126.265 | RQE 60022

10+ Years of Experience
2,000+ Procedures
Uro-Oncology Specialist

Hospital Albert Einstein • Hospital Oswaldo Cruz • Hospital Sírio-Libanês • Vila Nova Star • SBU Member

Understanding Benign Prostatic Hyperplasia (BPH)

Non-cancerous growth of the prostate gland can compromise your quality of life. Watch the videos to understand the causes, symptoms and modern treatment options.

Minimally Invasive Treatment Options

Cutting-edge technologies to ensure fast recovery, preservation of sexual function and lasting symptom relief.

Outpatient

Rezum

Innovative heated water vapor technology that destroys excess prostate tissue. A quick procedure, with no need for hospital admission or general anesthesia.

Ejaculation preservation
Same-day discharge
Quick return to routine

Gold Standard

HoLEP

Holmium laser enucleation of the prostate. Complete removal of the obstructing tissue with maximum safety, ideal for large-volume prostates.

For prostates > 45 g
Minimal bleeding
Definitive results

High Precision

Robotic Enucleation

Use of the robotic system to remove prostate tissue with extreme delicacy. 3D visualization and millimeter-precise movements.

Maximum nerve preservation
Less tissue trauma
Accelerated recovery

Techniques in detail

Robotic enucleation and Green Laser: when each one is indicated

There is no one-size-fits-all technique. Prostate size, use of anticoagulants, the presence of bladder stones and the wish to preserve ejaculation all change the choice. That is why Dr. Bruno Benigno performs the four main modern techniques — and recommends the one that makes the most sense for each patient.

Very large prostates

Robotic enucleation of the prostate

Surgery performed with the surgical robot through small incisions in the abdomen. The surgeon removes only the core of the prostate (the adenoma) that compresses the urinary channel, preserving the capsule of the gland. It is different from prostate cancer surgery, in which the entire prostate is removed.

Who it is usually recommended for

very large prostates, generally over 80 to 100 grams;
when there are bladder stones or diverticula that can be treated in the same operation;
patients who need complete and long-lasting removal of the obstructing tissue.

In practice

short hospital stay, usually 1 to 2 days;
urinary catheter for a few days after surgery;
less bleeding than traditional open surgery, with a long-lasting result.

Ask about robotic enucleation

Green laser (photovaporization)

Green Laser

A procedure performed from inside the urinary channel, with no skin incisions. The green laser energy vaporizes the prostate tissue that obstructs the flow of urine, with very little bleeding.

Who it is usually recommended for

small to moderate-sized prostates;
patients taking anticoagulants or antiplatelet drugs, or at higher risk of bleeding;
patients with other conditions that call for a quick procedure with a short recovery.

In practice

short hospital stay, often with discharge the same day or the next day;
urinary catheter for a short time;
results similar to those of traditional endoscopic surgery (TURP) in comparative studies.

Ask about Green Laser

Comparison of techniques

Approximate values for general guidance. The final recommendation depends on assessment at a consultation, with ultrasound or MRI, urinary flow testing and a PSA test.

Technique	Prostate size	Hospital stay	Ejaculation	Highlight
Rezum	Small to moderate	Outpatient	Preserved in most cases	Quick procedure; improvement is gradual, over weeks
HoLEP	Any size, including very large	Short (about 1 day)	Retrograde ejaculation is common	Complete removal of the adenoma, with a long-lasting result
Green Laser	Small to moderate	Short or same-day discharge	Retrograde ejaculation is common	Safe option for patients taking anticoagulants
Robotic enucleation	Very large	1 to 2 days	Retrograde ejaculation is common	Allows bladder stones or diverticula to be treated at the same time

Based on the AUA (American Urological Association) and EAU (European Association of Urology) guidelines for the surgical treatment of benign prostatic hyperplasia. Educational content; it does not replace a consultation.

Find the right technique for me Read articles about enlarged prostate

Our Track Record and Expertise

Training of Excellence

Specialization and Fellowships

More than a decade devoted to advanced technical training in Urology and Uro-Oncology at the country's leading referral centers, ensuring a solid foundation for complex procedures.

Pioneering

Adoption of Laser Technologies

Integration of HoLEP (Holmium Laser Enucleation of the Prostate) as the gold standard at the clinic, providing safe treatment for large-volume prostates with a minimal bleeding rate.

Recent Innovation

Thermal Therapy (Rezum) and Robotics

Implementation of ultra-minimally invasive techniques and robotic surgery, focused not only on cure but on full preservation of the patient's sexual function and quality of life.

Today

2,000+ Lives Transformed

We have become a reference in São Paulo for the complete management of BPH, restoring comfort and independence to our patients.

Facilities and Care

Discover a space designed for your comfort.

What our patients say

The trust of those who have already transformed their quality of life with us.

“I had the HoLEP procedure and the recovery was exactly as Dr. Bruno explained. I'm sleeping through the night again without having to get up. An excellent professional and a caring team.”

Carlos M.

Patient - Doctoralia

“Rezum changed my life. The procedure was quick, I walked out of the clinic the same day and the results were incredible. I recommend it without hesitation.”

Roberto A.

Patient - Google Review

“Impeccable professionalism from the very first consultation. Dr. Bruno gave me great confidence to choose robotic surgery. Very satisfied with the result.”

Sérgio V.

Patient - Doctoralia

See all reviews

Frequently Asked Questions

What is the difference between BPH and prostate cancer?

BPH is the benign growth of the prostate that occurs naturally with age, whereas prostate cancer is the uncontrolled growth of malignant cells. Both conditions can occur at the same time, which is why a complete urological evaluation is essential.

Can Rezum be performed on very large prostates?

Rezum is indicated for prostates up to approximately 80 g. For larger prostates, techniques such as HoLEP or robotic enucleation are more appropriate to ensure a complete and durable result.

Is there a risk of erectile dysfunction after treatment?

The minimally invasive techniques we use (Rezum, HoLEP, Robotic Enucleation) preserve erectile function very well. The rate of new erectile dysfunction is extremely low (less than 5%) compared with older conventional methods.

Can I continue my sexual activity after treatment?

Yes, in the vast majority of cases erections are preserved. With some techniques, retrograde ejaculation may occur (semen goes into the bladder and is eliminated in the urine). This does not affect orgasmic sensation or sexual function, only reproductive capacity. Rezum, in particular, has high rates of preservation of normal ejaculation.

Surgical Care at the Best Hospitals in São Paulo

Hospital Israelita Albert Einstein

Hospital Vila Nova Star

Hospital Sírio-Libanês

Hospital Alemão Oswaldo Cruz

BP Mirante

Ready to get your quality of life back?

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Clínica Uro Onco | São Paulo, SP - Medical Director: Dr. Bruno Benigno CRM 126265