Robotic Prostate Surgery
with Function Preservation
and Proven Results

Yes. Since April 1, 2026, all health insurance plans regulated by ANS (Brazil's national health insurance regulator) are required to cover robotic radical prostatectomy (Normative Resolution 654/2025). To request it, the physician issues a report with the ICD code for prostate cancer and the TUSS code for robotic surgery. The plan has up to 30 days to authorize it. If it is denied, you can file a complaint on the ANS portal or by calling 0800 701 9656.

It depends directly on the tumor's location and whether it is technically possible to preserve the erectile nerves. When there is an appropriate oncologic indication, bilateral nerve-sparing technique is performed. Recovery of erectile function is gradual — it can take from 6 months to 2 years and benefits from early penile rehabilitation with PDE5 inhibitors. Younger men with good preoperative function have a better prognosis.

Postoperative incontinence is expected at first but is temporary in the vast majority of cases. With modern robotic techniques, more than 90% of patients regain full continence within 12 months. Pelvic floor physiotherapy started before surgery significantly speeds up recovery.

The cost varies according to the hospital, operating time and complexity of the case — it includes surgical fees, anesthesia, use of the robotic system and hospital stay. For patients with a regulated health insurance plan, the surgery has been covered since April 2026. For self-pay patients, the cost is presented transparently at the assessment consultation.

Open surgery requires a 15 cm incision, involves more bleeding (11% transfusion rate) and a 3- to 5-day hospital stay. Laparoscopic surgery is minimally invasive but uses 2D vision and rigid instruments that limit precision. Robotic surgery combines the best of both worlds: minimally invasive, with 10× 3D vision and articulated instruments — the same oncologic cure rate with lower surgical morbidity.

It depends on the oncologic risk. Low-risk cancer (Gleason 6, PSA below 10, localized disease) can be managed with active surveillance in selected cases. Intermediate or high risk requires active treatment. Dr. Bruno evaluates each case individually following the EAU and AUA guidelines — there is no one-size-fits-all answer.

Robotic radical prostatectomy takes on average 2 to 3 hours. The hospital stay is 1 to 2 days. The urinary catheter stays in for 7 to 10 days. Return to work in light activities occurs in 2 to 3 weeks. More strenuous physical activity is allowed after 6 weeks.

Biochemical recurrence — a detectable PSA after surgery — occurs in a minority of cases and depends on the initial stage and the surgical margins. Follow-up with PSA every three months in the first year and every six months thereafter allows early detection. When needed, salvage radiotherapy is highly effective when started early.

Yes. Clínica Uro Onco treats patients from all over Brazil. The first consultation can be done via telemedicine to review your tests and plan your case. Surgery is performed in São Paulo with a 1- to 2-day hospital stay. Postoperative follow-up can be partly conducted via teleconsultation.

Surgical volume: more than 1,500 robotic procedures with long-term follow-up. Training: 1st place nationwide in the SBU board certification (2013), robotic certification since 2014, fellowship in oncologic surgery, former professor at A.C.Camargo. Hospitals: practices at São Paulo's leading centers of excellence. Transparency: 185,000 YouTube followers with educational content — you can assess his clinical approach before booking.