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Uro-oncology · Robotic surgery · São PauloIn-person and telemedicine · WhatsApp (11) 99590-1506 · Tel. (11) 2769-3929
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Clínica Uro OncoBook a consultationIn the Media
Dr. Bruno Benigno
Dr. Bruno BenignoCRM-SP 126.265 · RQE 60022

Specialist urologist in prostate cancer in São Paulo

Urologic cancer surgeon with more than 1,500 robotic surgeries since 2013. From an abnormal PSA to the treatment decision: you leave the consultation knowing what you have and what your options are.

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Reply within 2 hours during business hours · In person in Vila Clementino, South Zone · Telemedicine throughout Brazil.

1,500+Robotic Surgeries
15+Years in Uro-Oncology
1,000+Genuine Reviews
★ 5.05 stars on Google
Hospital Alemão Oswaldo Cruz Hospital Sírio-Libanês Hospital Israelita Albert Einstein Hospital Vila Nova Star BP — Beneficência Portuguesa Brazilian Society of Urology American Urological Association Hospital Alemão Oswaldo Cruz Hospital Sírio-Libanês Hospital Israelita Albert Einstein Hospital Vila Nova Star BP — Beneficência Portuguesa Brazilian Society of Urology American Urological Association
Who will take care of you

Dr. Bruno Benigno

A urologist dedicated to prostate cancer: from diagnosis to robotic surgery and follow-up.

Uro-Oncology · Robotic Surgery Dr. Bruno Benigno, prostate cancer specialist urologist in São Paulo

Dr. Bruno Benigno

CRM-SP 126.265 · RQE 60022

Specialist in uro-oncology and robotic surgery, with more than 1,500 procedures performed since 2013. Surgeon at Hospital Alemão Oswaldo Cruz. He explains every test and every option in clear language — the same care he brings to his health education channel on YouTube, with 185,000 subscribers.

  • Residency in Urology and specialization in Uro-Oncology
  • Intuitive certification in robotic surgery (da Vinci)
  • Surgeon at Hospital Alemão Oswaldo Cruz
  • Member of the Brazilian Society of Urology (SBU)
  • International member of the American Urological Association (AUA)
  • Affiliate member of the European Association of Urology (EAU)
YouTube · 185,000 subscribers SBU AUA EAU
Book a consultation with Dr. Bruno
Hospitals where Dr. Bruno operates
Hospital Alemão Oswaldo Cruz Hospital Sírio-Libanês Hospital Israelita Albert Einstein Hospital Vila Nova Star BP — A Beneficência Portuguesa de São Paulo
What our patients say

More than 1,000 genuine patient reviews

4.9 out of 5.0 · 1,000+ verified reviews on Doctoralia

I had a robotic partial nephrectomy of my right kidney with Dr. Bruno 8 months ago. The surgery went great, the post-op was excellent — a wonderful doctor!
— Vanessa C.
Great professional! I felt so safe and confident that I scheduled the procedure during the consultation. I recommend Dr. Bruno Benigno as an excellent doctor.
— Júlio Cesar Silva
Congratulations, Dr. Bruno — one of the best consultations I have ever had, and I have had quite a few. Thank you for the patience and care you showed me.
— José P. Antunes
I want to book my consultation See all reviews on Doctoralia ↗
Prostate Cancer

The right treatment for your case

Not every abnormal PSA is cancer, and not every cancer needs surgery. Each treatment plan is individualized and based on AUA, EAU and NCCN guidelines.

02 Low risk

Active surveillance

Low-risk tumors can be closely monitored with PSA, MRI and periodic biopsies, delaying or avoiding treatment.

03 Selected cases

Focal therapy

HIFU and electroporation treat only the tumor area and preserve the rest of the prostate. They require strict oncological criteria.

04 1,500+ since 2013

Robotic surgery

Radical prostatectomy with the da Vinci platform and nerve-bundle preservation whenever oncologically feasible. Discharge within 24 to 48 hours in most cases.

Send my test results via WhatsApp PSA, MRI or biopsy report — the team will organize your evaluation.
Prostate Biopsy

Transperineal prostate biopsy in São Paulo

When the PSA or MRI raises suspicion, a biopsy is the test that confirms or rules out prostate cancer. At Clínica Uro Onco it is performed by the transperineal route, guided by image fusion (MRI + ultrasound) — the preferred route in the European Association of Urology (EAU) guidelines.

Why transperineal

  • iLower risk of infection: the needle enters through the skin of the perineum and does not pass through the rectum, unlike a transrectal biopsy.
  • iiAccess to the entire prostate, including the anterior regions and the apex, which are harder to sample by the transrectal route.
  • iiiImage fusion: the needles are directed at the lesions seen on MRI (PI-RADS), with systematic samples when indicated.
  • ivFrom report to plan: the result (Gleason/ISUP) is explained at a consultation and, if cancer is found, the treatment plan begins with the same team.

When it is indicated

  • 1Elevated or rising PSA, or an abnormal digital rectal exam.
  • 2Multiparametric MRI with a suspicious lesion (PI-RADS 3 to 5, depending on the clinical context).
  • 3A previous negative biopsy with persistent suspicion.
  • 4Active surveillance: confirmatory and follow-up biopsies.

What the procedure involves

  1. AnesthesiaSedation + local anesthetic block
  2. 20–40 minUsual duration
  3. Same dayHospital discharge
  4. 7–10 daysReport, explained at a consultation

Not every abnormal PSA requires a biopsy. The decision is individualized: PSA, PSA density, MRI, age and medical history all factor in — sometimes the best approach is to repeat tests and monitor.

Assess whether I need a biopsy Send your PSA and MRI via WhatsApp — the team will guide you on preparation and scheduling.
The Consultation

Time to understand your case

Dr. Bruno Benigno at Clínica Uro Onco, in São Paulo

The first uro-oncology consultation lasts 45 to 60 minutes. That is the time needed to review your tests calmly, examine you, listen to your questions and build the plan together with you and your family.

Dr. Lígia A. de Toledo Benigno, medical oncologist

If systemic treatment is indicated, Dr. Lígia A. de Toledo Benigno (medical oncologist, CRM-SP 141.041) is involved in the plan from the start. Same team, same communication.

Why does the surgeon's experience matter?
International literature links the surgeon's operative volume to better oncological and functional outcomes in radical prostatectomy — tumor control, urinary continence and erectile function. That is why choosing who operates is as decisive as choosing the technology. Results vary according to the stage of the disease and each patient's condition.
  • iComplete review of your tests: PSA, MRI, biopsy (Gleason/ISUP) and PET-PSMA, if available.
  • iiAll options on the table: active surveillance, focal therapy, robotic surgery and radiotherapy, with the risks and benefits of each.
  • iiiShared decision-making: you leave with a clear plan and the next steps in writing.
  • ivIn person or telemedicine: Vila Clementino, in São Paulo, or online for other cities and countries.
I want a second opinion

Where you will be seen · Rua Borges Lagoa, 1070, Conjunto 131, Cobertura — Vila Clementino, São Paulo/SP.

Clínica Uro Onco reception
Clínica Uro Onco waiting room
Interior of Clínica Uro Onco
In the Media

A reference cited by the country's leading media outlets

Media outlet — Clínica Uro Onco in the media Media outlet — Clínica Uro Onco in the media Media outlet — Clínica Uro Onco in the media Media outlet — Clínica Uro Onco in the media Media outlet — Clínica Uro Onco in the media Media outlet — Clínica Uro Onco in the media
Dr. Bruno Benigno interviewed by CNN Brasil about prostate cancer Dr. Bruno Benigno on SBT News: robotic surgery for prostate cancer
CNN Brasil: prostate cancer, when screening is recommended — with Dr. Bruno Benigno
Forbes Brasil: Dr. Bruno Benigno on artificial intelligence and robotic surgery
Folha de S.Paulo: interview with Dr. Bruno Benigno
Valor Econômico: Dr. Bruno Benigno on genetics, technology and prevention
Insurance and Reimbursement

Care through health insurance reimbursement

We work on a reimbursement basis with Brazil's main health insurance plans. This model gives you access to robotic surgery and state-of-the-art uro-oncology with the most experienced team, while receiving back a significant portion of the costs according to your plan's rules.

How does reimbursement work in practice?
Our administrative team guides you through all the paperwork. You pay for the consultation or surgery directly, receive the necessary documents (invoices, medical reports, TUSS code) and submit them to your insurance plan. Reimbursement varies by insurer, plan type and procedure — it usually covers a significant share of the cost. Victor prepares a personalized simulation for your case before you decide.
Which plans usually reimburse?
The main plans on the market have reimbursement options, including: Bradesco Saúde · SulAmérica · Amil · Porto Seguro Saúde · Unimed · Hapvida/NotreDame Intermédica · Care Plus · Omint and others. Coverage and amounts vary by insurer and plan type — each case is reviewed individually.
Talk to Victor

Personalized reimbursement simulation

No obligation. Victor (Finance and Reimbursements) reviews your plan and estimates how much you may receive back.

Estimate my reimbursement on WhatsApp
Frequently Asked Questions

Get answers to your main questions

In summary

  • Dr. Bruno Benigno is a urologist specializing in prostate cancer in São Paulo (CRM-SP 126.265 · RQE 60022), with more than 1,500 robotic surgeries performed since 2013.
  • Sees patients at Clínica Uro Onco, Rua Borges Lagoa, 1070, Conjunto 131, Cobertura — Vila Clementino, São Paulo/SP, and via telemedicine throughout Brazil.
  • He performs image-fusion-guided transperineal prostate biopsy (MRI + ultrasound), with same-day discharge.
  • He treats prostate cancer with active surveillance, focal therapy (HIFU and electroporation) and robotic radical prostatectomy, through shared decision-making based on AUA, EAU and NCCN guidelines.
  • He operates at Hospital Alemão Oswaldo Cruz, Sírio-Libanês, Israelita Albert Einstein, Vila Nova Star and BP. Appointments via WhatsApp (11) 99590-1506.

Reviewed by Dr. Bruno Benigno, urologist (CRM-SP 126.265 · RQE 60022) · Updated on

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.
I have been diagnosed with prostate cancer. Do I need surgery?
Not always. Low-risk tumors can be monitored with active surveillance, and selected cases of localized disease can be treated with focal therapy (HIFU or electroporation). Robotic surgery and radiotherapy are indicated according to the tumor's risk, your age and your priorities. The decision is shared and based on AUA, EAU and NCCN guidelines.
Can I book a consultation just for a second opinion?
Yes, and it is a common reason for a consultation. Bring (or send in advance via WhatsApp) your PSA, MRI, biopsy report and other tests. Dr. Bruno reviews the case with you and explains, in clear language, which options make sense.
What is the difference between a transperineal and a transrectal prostate biopsy?
In a transperineal biopsy, the needle enters through the skin of the perineum (between the scrotum and the anus), without passing through the rectum. This substantially reduces the risk of infection and allows better sampling of the anterior regions and apex of the prostate. In a transrectal biopsy, the needle passes through the rectal wall. The European Association of Urology (EAU) guidelines preferentially recommend the transperineal route.
Does a transperineal biopsy hurt? What anesthesia is used?
The procedure is performed under sedation combined with local anesthesia with a perineal block, for your comfort. It usually takes 20 to 40 minutes, and you go home the same day. Mild discomfort and blood in the urine or semen for a few days may occur, which is expected.
Do I need an MRI before a prostate biopsy?
In most cases, yes. Guidelines recommend multiparametric MRI before biopsy: it locates suspicious areas (PI-RADS classification), allows the needles to be targeted by image fusion and, in some patients, helps avoid an unnecessary biopsy.
How long does it take to get prostate biopsy results?
The pathology report is usually ready in 7 to 10 days. The result is explained at a consultation: if cancer is found, we discuss the grade (Gleason/ISUP), the extent, the need for staging tests such as PET-PSMA and the treatment options.
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.
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.
Is robotic surgery covered by health insurance?
Since 2024, following a new ruling by Brazil's health insurance regulator (ANS), some health insurance plans have started covering robotic surgery in urology. Coverage varies significantly by insurer and type of plan. We work on a reimbursement basis in most cases — our administrative team guides you through all the paperwork.
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.

References: EAU Guidelines on Prostate Cancer (European Association of Urology) · AUA/SUO Guideline: Early Detection of Prostate Cancer · NCCN Guidelines: Prostate Cancer

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Phone(11) 2769-3929 · (11) 99590-1506
HoursMonday to Friday · 8 a.m. to 7 p.m.
FormatsIn person · Telemedicine · International
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Medical content reviewed by Dr. Bruno Benigno, urologist and uro-oncologist (CRM-SP 126.265 · RQE 60022), based on AUA, EAU and NCCN guidelines. Last reviewed:

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