Conservative treatment first
Before considering surgery, we evaluate medications, lifestyle changes, and close monitoring. Many patients stabilize without any surgical intervention.
Dr. Juan Antonio Acuña
Monterrey, Mexico
Prostate urologist in Monterrey, Mexico Your prostate has more than one solution. We choose the right one.
From conservative treatment to HoLEP laser surgery and TURP — Dr. Acuña evaluates your case with 15 years of experience and over 200 prostate surgeries.
Bilingual urologist (English & Spanish) in Monterrey. Internationally trained and board-certified by the Mexican Council of Urology. If you don't need surgery, we'll be honest about it.
Prof. license 4210936 · Specialty license 6675269 · CMU cert. 2479-25U
Response within 24 hours · Same-day appointments for urgent cases
Serving patients from Texas & across the U.S.
15+ years of experience
200+ prostate surgeries
1,234 Doctoralia reviews
<1% incontinence rate
Operating at top-tier hospitals
- Christus Muguerza
- Hospital Ángeles
- Doctors Hospital
- Hospital Zambrano
What patients say
1,500+ verified reviews
Real Google Business reviews. Every name and every story belongs to a patient who went through the process.
My nephew visited Dr. Acuña from San Antonio, Texas for a consultation. Dr. Acuña was exceptional in his knowledge, honesty and communication skills. He was up front and direct about diagnosis and options. He gave us a thorough evaluation and a clear plan of action. My nephew and I are grateful for the quality care we received.
Public reviews from Google Business Profile. View privacy policy.
15years in urology
The specialist
Dr. Juan Antonio Acuña
Urologist with 15 years of experience, international training, and a presence at Monterrey's top hospitals. Fluent in English and Spanish.
Over 20,000 patients treated and more than 10,000 procedures performed. Trained at UANL, with a fellowship in Endourology in Guadalajara and a fellowship in Andrology at Hospital Fundación Puigvert in Barcelona.
Professional license 4210936 · Specialty license 6675269 · CMU certification 2479-25U
See his full background → Prostate symptoms
When should you see a urologist?
Enlarged prostate (BPH) is very common after age 50. These symptoms are not something you simply have to live with — there are real solutions.
Don't wait for it to get worse
BPH progresses over time. An early evaluation can open the door to conservative options and prevent major surgery. Dr. Acuña will explain exactly where your case stands — and what your options are — without pressure.
- 01
Weak or interrupted stream
Flow that starts slowly, cuts off, or ends in dribbling. A classic sign of prostatic obstruction.
- 02
Urgency to urinate
The sudden, intense need to get to a bathroom immediately — sometimes without being able to hold it. Affects meetings, travel, and daily life.
- 03
Nocturia — waking up 3+ times at night
Getting up multiple times at night destroys your sleep and your partner's. One of the symptoms that most impacts quality of life.
- 04
Incomplete emptying or retention
The feeling that your bladder never fully empties — or in serious cases, inability to urinate at all. Requires urgent attention.
- 05
Burning or discomfort when urinating
Burning can indicate a secondary urinary infection or inflammation. Don't normalize it.
- 06
Sexual or pelvic problems
Erectile dysfunction, painful ejaculation, or pelvic discomfort can all be prostate-related.
What sets us apart
We don't lock you into one technique.Prostate surgery has many options.
Some specialists offer only one solution and apply it to everyone. We do the opposite: first we understand your case, then we choose the right tool.
HoLEP — Holmium Laser Enucleation
The gold standard per EAU 2024 Guidelines. No external incisions, less bleeding, fast recovery. All removed tissue goes to pathology. Equally effective on small and large prostates.
TURP (Transurethral Resection)
Classic transurethral resection remains a solid technique in cases where patient conditions or prostate size make it the optimal choice. High-volume experience.
"The technique is chosen based on your case, not the other way around."
In your first consultation, Dr. Acuña reviews your history, symptoms, and studies. He then explains clearly which option is best for you — and if you don't need surgery, he'll tell you.
Patient guides
Prostate surgery in Mexico for patients from the U.S.
Real results from Dr. Acuña's clinical practice
A normal prostate weighs 25 g. We've operated on one of 250.
200+Prostate surgeries performed
250 gLargest prostate operated (normal: ~25 g)
<1%Post-operative incontinence rate
24 hrsCatheter removal after HoLEP
2 daysAverage hospital stay
15 yrsExperience in urology
Data from Dr. Acuña's clinical practice · Individual results may vary
Frequently asked questions
Everything you want to know before your appointment
Straight answers to the most common questions — in plain language.
01 My urine stream is weak — could it be my prostate?
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.
02 What prostate size can HoLEP treat?
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.
03 How long is recovery after HoLEP?
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.
04 Does the prostate always need surgery?
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."
05 HoLEP or TURP — which one is right for me?
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.
06 What should I bring to my first appointment?
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.
07 Do you see patients from Texas or the United States?
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.
Insurance accepted
Your medical insurance covers the consultation and surgery
We work with Mexico's leading insurance carriers. U.S. patients: some international PPO plans cover care in Mexico — ask us about your coverage via WhatsApp.
Don't see your insurer? Message us — we work with most carriers and can verify your coverage.
Location
Office at Christus Muguerza, Obispado, Monterrey.
- Address
- Hidalgo 2521, Suite 409, Obispado, 64060 Monterrey, N.L., Mexico
- Hours
- Monday to Sunday, 8am–8pm
- Remote
- Virtual consultations for patients in Texas and the U.S.