Procedures

Urologic procedures, explained clearly.

Educational pathways to understand when each procedure may be discussed, which studies are reviewed, and how the medical indication is confirmed.

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Dr. Carlos A. Brugiati con uniforme quirúrgico en un quirófano.

Procedure pathway

Review the indication, confirm the option, and understand follow-up.

Procedures are discussed after reviewing symptoms, available studies, patient goals, and reasonable alternatives.

01 Evaluate

First, the case is reviewed.

Symptoms, imaging, labs, and history help confirm whether a procedure makes sense.

02 Plan

Then, the option is compared.

The visit explains alternatives, preparation, general risks, and responsible expectations.

This structure helps each procedure read as a medical decision, not an isolated option.

Cost estimator

Plan with greater clarity.

No personal information is required. This is an informational guide, not a clinic quote, and the calculation stays in your browser. It shows an adjustable range and explains what may be included and what can change the final cost.

Procedure

Care setting

Expected complexity

Payment method

Insurance provider

Remaining deductible

USD

Your coinsurance

May account for professional fees, facility use, anesthesia, and basic procedure care.

May vary by hospital, supplies, additional studies, complexity, and clinical findings.

Mathematical estimate based on the entered deductible and coinsurance. It excludes copays, network rules, authorization, exclusions, and out-of-pocket limits.

Methodology and sources

Confidence: Low · Reviewed: 2026-07-20

Comparative range based on public Panama and regional-market sources; it is not taken from a UroPanama fee schedule.

prensa.css.gob.pa cuantomecuesta.com placidway.com

Preliminary result in USD. It is not a UroPanama fee, coverage promise, or diagnosis. The final amount is confirmed after medical and administrative review.

Verified reviews

Patient experiences around guidance and procedures.

Vijay Hathiramani

02/12/26

"Excelente doctor. Explica todo con mucha paciencia y de manera clara, lo que da mucha tranquilidad. No es un médico comercial, sino práctico y enfocado en lo que realmente el paciente necesita. Muy recomendable."

Authorized testimonial

Aldo Vergara

03/08/26

"Gracias, excelente atención y buen trato. El procedimiento en mi caso fue el mejor, le agradezco."

Authorized testimonial

Eduardo Hernández Ruiz

01/09/26

"Lo mejor fue que la cita no me la dieron para dentro de 3 meses. Atención muy buena y explicación clara."

Authorized testimonial

Procedures

Common procedure options

Select the procedure you want to understand more clearly.

HoLEP

A laser technique for benign prostate enlargement that may remove obstructive tissue when evaluation confirms it is appropriate.

What it clarifies: Holmium laser prostate enucleation for selected cases of benign prostate enlargement.

Reviewed: Persistent difficulty urinating. Weak stream or incomplete emptying.

View procedure

Visual educativo de planificación endoscópica para RTUP.

TURP

Endoscopic surgery for urinary obstruction from benign prostate enlargement, defined after symptoms and studies are reviewed.

What it clarifies: Transurethral resection of prostate for urinary obstruction caused by benign prostate enlargement.

Reviewed: Urinary obstruction from benign prostate enlargement. Persistent urgency, frequency, or weak stream.

View procedure

Alternative educational visual for endoscopic prostate planning.

Prostate adenectomy

A laparoscopic or robotic option for large prostates with significant obstruction, defined after specialized evaluation.

What it clarifies: Laparoscopic or robotic approach for selected cases of very large prostate enlargement.

Reviewed: Very large prostates with significant obstruction. Urinary retention or persistent severe symptoms.

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Visual educativo de ureteroscopía flexible y vía urinaria.

Ureteroscopy

A procedure that can access the ureter with specialized instruments to evaluate or treat selected stones and obstructions, depending on imaging and medical assessment.

What it clarifies: An endourologic procedure used to evaluate or treat selected ureter conditions.

Reviewed: Stones located in the ureter. Pain associated with possible obstruction.

View procedure

Alternative educational visual for ureteroscopy and urinary access.

Flexible ureteroscopy

An endoscopic procedure that may access the kidney to treat selected stones without external incisions.

What it clarifies: Intrarenal endoscopic surgery for selected kidney stones using minimally invasive technology.

Reviewed: Kidney stones accessible by endoscopic route. Stones causing pain, obstruction, or recurrence.

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Semi-rigid ureteroscopy

An endoscopic approach for ureter stones and urinary obstruction without external incisions in selected cases.

What it clarifies: Endoscopic procedure for stones located in the ureter in selected cases.

Reviewed: Stones located in the ureter. Pain associated with urinary obstruction.

View procedure

Visual educativo de láser para cálculos urinarios.

Laser for urinary stones

A technique used within selected endourologic procedures to fragment urinary stones; indication depends on stone size, location, access, and imaging.

What it clarifies: A technique that may be used to fragment selected stones in specific cases.

Reviewed: Urinary stones accessible through endoscopic technique. Stones that may not be managed with observation alone.

View procedure

Alternative educational visual for laser urinary stone treatment.

Shock wave lithotripsy

A non-invasive shock wave option to fragment selected small or medium urinary stones.

What it clarifies: Non-invasive shock wave treatment for selected small or medium urinary stones.

Reviewed: Small or medium stones with favorable location. Cases where avoiding an endoscopic approach may be safe.

View procedure

Visual educativo de planificación diagnóstica para biopsia de próstata.

Prostate biopsy

A study that may provide more specific information when PSA, imaging, or clinical findings need further medical clarification.

What it clarifies: A study that may be considered when certain findings require more specific prostate evaluation.

Reviewed: Elevated PSA or meaningful changes during follow-up. Imaging or exam findings that require clarification.

View procedure

Visual educativo de planificación para nefrolitotomía percutánea.

Percutaneous nephrolithotomy

A procedure considered for selected large or complex kidney stones when stone size, location, or burden calls for a different strategy.

What it clarifies: A procedure that may be considered for selected larger or more complex kidney stones.

Reviewed: Large or multiple kidney stones. Stones with more complex anatomy.

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Cystoscopy

A procedure that allows visual evaluation of the bladder and urethra in selected cases, especially with blood in urine or persistent symptoms.

What it clarifies: A visual evaluation of the bladder and lower urinary tract in selected cases.

Reviewed: Blood in the urine. Persistent urinary symptoms.

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Dr. Carlos A. Brugiati en un entorno quirúrgico profesional de mínima invasión.

Renal laparoscopic and robotic surgery

Explains the minimally invasive renal surgical procedure, what is reviewed beforehand, and how a decision is made if it may be appropriate.

What it clarifies: A minimally invasive surgical approach used for selected kidney conditions.

Reviewed: Selected kidney conditions. Previous surgical recommendation.

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Visual educativo discreto de salud sexual masculina.

Erectile dysfunction

Comprehensive evaluation and treatment planning for male sexual function, including hormonal, vascular, and metabolic review by case.

What it clarifies: Comprehensive evaluation and treatment planning for persistent difficulty achieving or maintaining an erection.

Reviewed: Persistent difficulty achieving or maintaining an erection. Recent changes in sexual function.

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Visual discreto de planificación para vasectomía.

Vasectomy

Permanent male contraception with preoperative counseling, outpatient procedure, and later follow-up.

What it clarifies: Permanent male contraception with preoperative counseling and follow-up.

Reviewed: Desire for permanent male contraception. Need to understand alternatives and permanence.

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Assistant

Not sure which procedure applies?

You can share symptoms or available studies to clarify whether to start with an evaluation, a second opinion, or a specific procedure page.

The assistant can help organize questions before messaging or booking. If you already have studies, reports, or a prior recommendation, it can point you to the most relevant page first.

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The information on this page does not replace a medical consultation. If you have blood in your urine, urinary retention, fever, severe pain, or an elevated PSA, request an evaluation with a urologist.