Medication and lifestyle changes
For mild or moderate symptoms. Many patients stabilize without surgery.
Dr. Juan Antonio Acuña
Christus Muguerza · Obispado, Monterrey, Mexico
Prostate surgery in Mexico for an enlarged prostate (BPH).
Prostate surgery in Monterrey with the technique that fits your case — laser HoLEP or TURP — and conservative treatment first when it is enough. 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 · Monday–Sunday, 8am–8pm
★★★★★Texas · Google
“Dr Acuña is a great physician. He is very knowledgeable and professional. I was there for my 1st consultation on August 23rd 2023. He spoke to me in English and Spanish. He told me my problem may not require surgery. I was thrilled by this news. I was recommended to come see him by a friend in Monterrey Mexico.”
★★★★★Google
“I had prostate surgery with Dr. Juan Antonio Acuña López and the only thing I regret is not having had the surgery sooner — because I finally sleep through the night and no longer have accidents. Thanks to the doctor's excellent work.”
Step by step
Enlarged prostate treatment in Mexico, from least to most invasive
Prostate treatment in Mexico with Dr. Acuña follows one rule: start with the least invasive option that solves your case.
Active surveillance
Close follow-up so you can act in time if symptoms progress.
Laser HoLEP
Laser prostate surgery for significant obstruction, any prostate size.
TURP
Transurethral resection, a proven option in selected cases.
Follow-up from home
Direct WhatsApp follow-up after you return to the U.S.
“If surgery isn’t needed, we don’t do it.”
Get a second opinion
BPH surgery in Mexico
When enlarged prostate surgery makes sense
Benign prostatic hyperplasia (BPH) is very common after 50. It is not cancer, but as the prostate grows it squeezes the urethra, causing a weak stream, urgency and frequent trips to the bathroom at night. Not every enlarged prostate needs surgery — and a good urologist should tell you so.
Enlarged prostate surgery in Mexico is considered when symptoms are significant, when complications appear (urinary retention, recurrent infections, kidney damage), or when medication is no longer enough. Before that point, medication, lifestyle changes and active surveillance are often the right answer.
When BPH surgery is needed, Dr. Acuña chooses between two minimally invasive options. HoLEP is laser prostate surgery that removes the obstructing tissue completely, regardless of size, and is recommended as first-line by the EAU 2024 Guidelines. TURP removes tissue with an electric loop and remains a solid choice in selected cases. Dr. Acuña is the author of a published study comparing bipolar and monopolar TURP (Revista Mexicana de Urología, Elsevier).
For laser prostate surgery in Monterrey, the catheter is removed in 24 hours and discharge is at about 2 days in his practice. Patients from San Antonio, Houston and Dallas have already been treated by him, with a first evaluation done remotely.
The evaluation includes your medical history, a physical exam and a review of your PSA and kidney and bladder ultrasound. Bring recent results if you have them: Dr. Acuña explains which option fits your case, and if you do not need surgery, he will tell you.
Compare the options in detail on HoLEP in Mexico, or see what prostate surgery costs in Mexico.
Symptoms
Symptoms that bring patients to prostate treatment in Mexico
If you recognize several of these, an evaluation can tell you whether you need medication, surgery — or neither:
- Weak or interrupted stream
- Urgency to urinate
- Waking up 3+ times at night
- Feeling the bladder never empties
- Burning when urinating
- Urinary retention
Bring your PSA and kidney and bladder ultrasound if you have them.
01Do I always need surgery for an enlarged prostate?
No. Many patients are managed with medication, lifestyle changes and active surveillance. Surgery is considered when symptoms are significant or complications appear.
02Is prostate surgery in Mexico safe?
Safety depends on the surgeon and the hospital. Dr. Acuña is board-certified by the Mexican Council of Urology and operates at Christus Muguerza, Hospital Ángeles, Doctors Hospital and Hospital Zambrano in Monterrey.
03What is laser prostate surgery in Mexico?
Dr. Acuña performs HoLEP: holmium laser enucleation through the urethra, with no incisions and complete removal of the obstructing tissue.
04Can I start with a virtual consultation?
Yes. Virtual consultations are available for patients in Texas and across the U.S.; you travel to Monterrey when it is necessary, usually for surgery or an in-person exam.
05Does my U.S. insurance cover treatment in Mexico?
Some international PPO plans cover care in Mexico. Message us on WhatsApp and we can help you check your coverage.
Next step
Prostate surgery in Mexico for an enlarged prostate (BPH).
Prostate surgery in Mexico for enlarged prostate (BPH): laser HoLEP or TURP in Monterrey with a bilingual urologist. Virtual consult first. +52 81 3402 5427.