Robotic Surgery
Minimally invasive procedures with maximum technological precision. Shorter recovery time, reduced bleeding and early hospital discharge.
IURO FellowshipUrology & Robotic Surgery · São Paulo
Dr. Rafael
Grunewald
Evidence-Based Medicine and Technological Innovation
CRM SP | RQE
12+
Years of Training
100%
Shared Decision-Making
High
Robotic Technology
·Santa Casa de São Paulo ·IURO Fellowship ·Advanced Robotic Surgery ·Evidence-Based Medicine ·Patient-Centered Care
Our Philosophy of Care
Understanding and
Shared Decision-Making
Dr. Rafael believes that the success of any treatment begins with mutual understanding. The goal is for patients to fully grasp the information about their own health so that, together, they can achieve the best outcome.
“My commitment is to ensure that cutting-edge technology is always at the service of a human and transparent relationship. When patients understand their path, the outcome is safer and more effective.”
Areas of Practice
Urological
Specialties
Urological treatments with cutting-edge technology and precision, always guided by clear and frank dialogue with the patient.
Uro-Oncology
Surgical treatment of urological tumors (prostate, kidney, bladder). An approach based on scientific evidence and modern oncology.
High ComplexityGeneral Urology
Diagnosis and treatment of male and female urinary tract disorders, ensuring comprehensive follow-up of your health.
Comprehensive HealthKidney Stones
Treatment of kidney stones with endourological laser techniques, allowing rapid clearance of stones with minimal pain.
Laser EndourologyBenign Prostatic Hyperplasia (BPH)
Modern treatments for benign prostatic enlargement, focused on restoring quality of life and normal urinary flow.
Quality of LifeEvidence-Based Medicine
All medical and surgical decisions are grounded in the most recent and robust scientific studies worldwide.
Science and PrecisionTraining and Experience
Academic
and Clinical Career
With 12 years of comprehensive training, Dr. Rafael combines the strong foundation of Santa Casa de São Paulo with the innovation of modern robotic surgery.
Solid Academic Foundation
Medical DegreeFaculdade de Ciências Médicas da Santa Casa de São Paulo. The start of a journey guided by scientific rigor and humanism.
Surgical Specialization
Residency in General SurgerySanta Casa de São Paulo. Intensive training in managing highly complex surgical cases.
Urological Specialization
Residency in UrologySanta Casa de São Paulo. In-depth training in the clinical and surgical diagnosis and treatment of the entire urinary tract.
Innovation and Technology
Fellowship in Robotic SurgeryInstituto de Urologia, Robótica e Oncologia (IURO). Advanced training and mastery of robotic platforms for high-precision procedures.
Environment and Technology
Our Facilities
Clinical comfort combined with the best-equipped operating rooms in São Paulo for your safety.
The Patient Experience
Stories from people who understand
their own path
How our shared decision-making philosophy is reflected in our patients' well-being and safety.
★ ★ ★ ★ ★
“Dr. Rafael changed the way I see doctors. He drew out my problem, explained the options and helped me make the decision calmly. The robotic surgery was perfect and I felt safe the whole time.”
★ ★ ★ ★ ★
“An excellent professional! Attentive, highly knowledgeable in urology and makes sure the patient leaves the office with no unanswered questions. His frankness makes all the difference.”
★ ★ ★ ★ ★
“My kidney stone surgery was quick and smooth. The transparent and human way Dr. Rafael handles technology brings great peace of mind to the whole family.”
Frequently Asked Questions
Frequently Asked Questions
about Urology and Robotics
Straightforward answers to help you better understand treatments and approaches.
Shared decision-making is a model in which the doctor brings technical knowledge and scientific evidence, and the patient brings their values, fears and expectations. Dr. Rafael explains your diagnosis in detail so that, together, frankly and transparently, you can decide on the best treatment path for your situation.
Robotic surgery offers magnified 3D vision, millimeter precision and articulated movements that the human hand cannot reproduce. For the patient, this means smaller incisions, considerably less bleeding, less postoperative pain and a much faster return to daily activities compared with conventional open surgery.
Routine visits to a urologist are recommended for prevention and prostate cancer screening (men over 45/50). You should also book an evaluation if you have pain when urinating, blood in the urine, severe lower back pain (suspected kidney stone), sexual dysfunction or changes in urinary flow.
At the evaluation consultation, our team will review your specific case and your health insurance plan to give you detailed guidance on coverage, authorization procedures for surgery (including robotic surgery) and reimbursement options.
Hospitals of Excellence
Practicing at Leading
Hospitals in São Paulo
Safety and state-of-the-art technological infrastructure for surgical procedures.
Instituto de Urologia, Robótica e Oncologia (IURO)
Hospital Alemão Oswaldo Cruz
Premium Hospitals in São Paulo
Start Your Care
Cutting-edge technology at the service of a human and transparent relationship. Book your consultation.
