PSA and clinical examination
Assessment of total and free PSA, PSA density and kinetics. Digital rectal exam when indicated. Interpretation in the clinical context.
Urologic Oncology in São Paulo
Prostate Cancer in São Paulo: accurate diagnosis, individualized treatment.
Dr. Bruno Benigno is a urologic oncologist working in robotic surgery, multiparametric MRI, fusion biopsy and PET-PSMA. Here, you do not choose alone between surgery, radiotherapy or active surveillance — we decide together, based on evidence.
Dr. Bruno Benigno
CRM-SP 126265 • RQE Urology
- Specialist in Urologic Oncology
- da Vinci® Robotic Surgery
- Full Member of SBU, AUA and EAU
Get to know our work
Technology and human-centered care in treatment
Watch the video to understand our technical and caring approach to urologic diagnosis and treatment.
Diagnosis & Treatment
From PSA to staging: the complete pathway
A poorly made diagnosis costs years of quality of life. Our workup follows international protocols and individualizes every step.
Multiparametric MRI
The current standard for locating suspicious lesions before biopsy. A PI-RADS report enables a safer decision.
MRI-TRUS fusion biopsy
Biopsy guided by fusing MRI images with ultrasound. Greater accuracy and fewer unnecessary procedures.
Robotic Prostatectomy
Direct oncologic control with magnified three-dimensional vision, articulated instruments and neurovascular preservation.
Radiotherapy and Hormone Therapy
An approach for locally advanced cases or patients who are not surgical candidates, aiming for efficient outpatient disease control.
Active Surveillance
A strategy for indolent, low-risk tumors that avoids immediate adverse effects through rigorous monitoring.
How It Works
Your journey at Clínica Uro Onco
A clear process, with no surprises. From first contact to post-treatment follow-up.
Step 01
First contact
Screening by our team, in-person or telemedicine scheduling, and guidance on documents and prior tests.
Step 02
Consultation and plan
Detailed medical history, review of tests, ordering of additional exams. Treatment plan discussed with you and your family.
Step 03
Carrying out the treatment
Robotic surgery, referral to a leading radiotherapy center or an active surveillance protocol — with continuous support.
Step 04
Follow-up and rehabilitation
Long-term follow-up, pelvic floor physiotherapy, sexual rehabilitation and ongoing PSA monitoring.
Our Facilities
Excellence and Comfort
Spaces designed for the warmest welcome and state-of-the-art surgical technology.
Testimonials
What patients say
"I went to Dr. Bruno for a second opinion after being told I needed immediate surgery. He reviewed my tests, calmly explained each option and offered me active surveillance. Today I am doing well, without surgery."
Low-risk prostate cancer
"Robotic surgery was much less traumatic than I expected. I was discharged within 24 hours, regained continence in a few weeks and my PSA remains undetectable."
Robotic prostatectomy
"Technically excellent and humane care. He explained the PET-PSMA and the radiotherapy plan in a way that my wife and I understood every step."
Intermediate-risk disease
Frequently Asked Questions
Questions before your consultation
Not necessarily. An elevated PSA can occur with benign prostatic hyperplasia, prostatitis, recent manipulation of the prostate and also with cancer. The workup includes clinical examination, repeat PSA testing, multiparametric MRI and, when indicated, a fusion prostate biopsy.
Robotic radical prostatectomy offers magnified three-dimensional vision, articulated instruments and minimal incisions. This tends to result in less bleeding, faster recovery and more precise preservation of the neurovascular bundles responsible for urinary continence and erectile function, when oncologically feasible.
Radical prostatectomy is a procedure that health insurance plans in Brazil are required to cover under ANS (the national health insurance regulator) rules. Coverage of the robotic approach depends on the clinical indication and each insurer's policy — if it is denied, there are administrative and, in some cases, legal routes to secure access.
Active surveillance is a strategy endorsed by the NCCN, AUA and EAU for very low- and low-risk tumors. It consists of monitoring the cancer with periodic PSA tests, MRI and serial biopsies, offering curative treatment only if there are signs of progression — avoiding unnecessary adverse effects in indolent tumors.
PET-PSMA is a molecular imaging exam that identifies prostate cancer cells with very high sensitivity. It is especially useful for staging intermediate- to high-risk patients, investigating biochemical recurrence after surgery or radiotherapy, and evaluating metastatic disease.
Every prostate cancer treatment carries a risk of adverse effects. With nerve-sparing robotic technique and multidisciplinary rehabilitation — pelvic floor physiotherapy and sexual rehabilitation — most men who undergo surgery recover urinary continence and satisfactory erectile function, depending on the stage of the disease and their function before surgery.
Practice at Leading Hospitals
Established partnerships with leading medical centers in São Paulo.
Hospital Israelita Albert Einstein
Hospital Sírio-Libanês
Hospital Oswaldo Cruz
Vila Nova Star
Rede D'Or São Luiz
Your diagnosis deserves a second look.
If you have been diagnosed with prostate cancer, have an elevated PSA or have been advised to undergo treatment and would like a specialist assessment, book a consultation.
In-person consultations in São Paulo · Telemedicine throughout Brazil
