Is HIFU painful? Does it require a hospital stay?

The procedure is performed under anesthesia and the patient feels no pain during treatment. Most patients are discharged the same day or the next day.

Does PSA drop to zero after HIFU?

No. Unlike radical surgery, HIFU preserves part of the gland. PSA drops significantly but does not reach zero — this does not mean the treatment has failed.

Specialized Urologic Oncology

Focal Treatment for Prostate Cancer

HIFU technology precisely destroys tumor tissue, with no incisions, preserving sexual function and urinary continence. A tailored approach for your quality of life.

Talk to Our Team Understand the Method

Member of the EAU (European Association of Urology)

Full Member of the Brazilian Society of Urology

Practicing at São Paulo’s Leading Hospitals

How does HIFU work?

Learn how high-intensity sound waves ablate the tumor without incisions, preserving the anatomy of the prostate.

Integrated Oncology Approach

We offer an impartial assessment of the modern approaches to localized prostate cancer.

Focal Therapy (HIFU)

Treats only the lesion identified on MRI, sparing the rest of the gland and preserving erectile function in up to 90% of selected cases.

Low/Intermediate Risk

Robotic Surgery

Complete removal of the gland with definitive pathological staging. A highly precise option when HIFU is not indicated.

Gold-Standard Radical Treatment

Surveillance & Diagnosis

Thorough initial assessment with multiparametric MRI (mpMRI), fusion-guided biopsy and PET-PSMA for staging.

High Diagnostic Precision

A Track Record of Excellence

Combined experience that ensures the best treatment recommendation for your case.

Established Expertise

Specialist in Urologic Oncology

Solid training focused on the treatment of complex urologic cancers (prostate, kidney and bladder).

Surgical Volume

1,500+ Robotic Surgeries

Extensive experience with the Da Vinci platform, with mastery of pelvic anatomy and nerve-bundle preservation.

Innovation

A Pioneer in Focal Therapy (HIFU)

One of the few specialists in São Paulo with the technical experience and technology platform to offer safe focal ablation.

Facilities and Technology

Procedures performed at the best-equipped hospitals in São Paulo.

What our patients say

Real stories of recovery and preserved quality of life.

“Dr. Bruno introduced me to HIFU when I thought radical surgery was my only option. The procedure was quick and painless, and my quality of life remained intact. Extremely grateful.”

Carlos M.

Review via Doctoralia

“Safety and professionalism. I traveled from another state to have my surgery with Dr. Bruno in São Paulo because of his expertise. I recommend him without hesitation.”

Ricardo T.

Review via Google

“A cancer diagnosis is frightening, but the clarity with which Dr. Bruno explained the options (HIFU vs. robotic surgery) gave me peace of mind to decide. Excellent support team.”

Sérgio V.

Clínica Uro Onco Patient

See all reviews

Frequently Asked Questions (FAQ)

Get answers to your questions about Focal Therapy with HIFU.

HIFU for prostate cancer is currently not included in the list of mandatory procedures of the ANS (Brazil’s national health insurance regulator). The procedure is performed on a self-pay basis. Contact our team for information on fees, reimbursement support and payment terms.

The procedure is performed under anesthesia and the patient feels no pain during treatment. It is minimally invasive, and most patients are discharged the same day or the following morning.

No. Unlike radical surgery (prostatectomy), HIFU preserves part of the healthy gland. PSA drops significantly after ablation but does not reach zero — this is expected and does not mean the treatment has failed.

Yes. If there is a localized recurrence in the prostate, a second HIFU treatment can be performed, or robotic surgery can be chosen as salvage treatment, with good oncological outcomes.

Few centers in São Paulo combine the technical expertise and technology platform required for the procedure. Clínica Uro Onco, with Dr. Bruno Benigno, combines a complete oncological assessment with careful treatment selection at the city’s best hospitals.

Reference Hospitals in São Paulo

Where we perform our procedures safely and with advanced technology.

Hospital Albert Einstein

Hospital Sírio-Libanês

Hospital Vila Nova Star

Hospital Oswaldo Cruz

BP Mirante

Start Your Treatment Planning

Book a consultation so we can assess whether Focal Therapy (HIFU) is the best option for your prostate cancer.

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Clínica Uro Onco — Care in São Paulo, SP