Your prostate has
more than one solution.
We choose the right one.

Very likely yes. Loss of urine stream force, weak or intermittent flow, and the feeling that the bladder doesn't empty completely are the most common symptoms of benign prostatic hyperplasia (BPH). A simple evaluation — ultrasound and PSA — can confirm the diagnosis and show how advanced it is. You don't have to endure it or normalize it.

HoLEP has no size limit. Dr. Acuña has operated prostates up to 250 grams with this technique. Unlike classic TURP, which faces limitations with very large prostates, HoLEP is equally effective for small and large glands. The EAU 2024 Guidelines recommend it as the first-line surgical option regardless of prostate volume.

In our practice, the urinary catheter is removed in 24 hours and hospital discharge occurs in approximately 2 days. Most patients gradually return to daily activities in the following weeks. Our post-operative incontinence rate is under 1%. Exact timelines vary by case — Dr. Acuña gives a personalized estimate at your consultation.

No. Many patients are managed with medications, lifestyle changes, and active surveillance. Surgery is considered when symptoms are significant, when complications arise (urinary retention, recurrent infections, kidney damage), or when conservative treatment is no longer sufficient. Dr. Acuña's philosophy is clear: "We always try to avoid surgery, but when it's needed, we choose the one that's right for each patient."

It depends on several factors: prostate size and characteristics, degree of obstruction, and general health conditions. There is no one-size-fits-all answer. At the first consultation, with the right studies, Dr. Acuña explains which option is most appropriate for your specific case — without pushing you toward any particular technique.

Dr. Acuña requests prior studies before the evaluation to make the most of your time: kidney and bladder ultrasound, and PSA (prostate-specific antigen) blood level. If you already have recent studies, bring them. The consultation includes a complete physical exam, review of results, and definition of an action plan. You leave with a clear diagnosis and no pressure to make immediate decisions.

Yes. We offer virtual consultations for patients living in Texas or anywhere in the U.S. You can have an initial evaluation remotely and coordinate your visit to Monterrey only when necessary — typically just for surgery or an in-person exam. The process is simple: start with a WhatsApp message, and we'll guide you from there.