Dr. Acuña starts with the least invasive option that solves your case. If you need surgery: HoLEP or TURP with minimally invasive technique.
From the first symptom to follow-up after surgery — the whole process with the same specialist.
HoLEP (Holmium Laser Enucleation of the Prostate) is today's gold standard for prostate enlargement surgery according to the EAU 2024 Guidelines. It is performed without external incisions: the laser enters through the urethra, completely removes the tissue blocking urine flow, and sends it to pathology to rule out cancer.
In our practice, the catheter is removed in 24 hours and hospital stay is approximately 2 days. Our post-operative incontinence rate is less than 1%. Dr. Acuña has performed HoLEP on prostates up to 250 grams.
These are not numbers from medical literature — they are the clinical results from Dr. Acuña's practice.
In our practice, the urinary catheter is removed the day after the procedure. This timeframe may vary in some patients depending on their clinical progress. One of the most concrete indicators of HoLEP's fast recovery.
Most patients go home two days after surgery — compared to open procedures that require weeks of recovery.
One of patients' most common concerns. In our practice, post-operative urinary incontinence occurs in less than 1% of cases.
HoLEP has no volume limitation. We have successfully operated prostates up to 250 grams — 10× larger than a normal 25g prostate — cases many other approaches cannot handle.
Dr. Acuña closely accompanies recovery. You can contact him directly to resolve post-operative questions — no intermediaries.
All extracted tissue is sent for histopathological analysis, allowing simultaneous ruling out of prostate cancer.
Data from Dr. Acuña's clinical practice in Monterrey. Individual results may vary based on each patient's condition. Consult directly with the specialist.
The clinical claims about HoLEP and BPH on this site are grounded in the following peer-reviewed publications.
Cornu JN et al. (2015). EAU Guidelines on Non-neurogenic Male LUTS.
European Urology
European Association of Urology guidelines for lower urinary tract symptoms in men.
Herrmann TRW et al. (2005). HoLEP: the gold standard for surgical treatment of BPH.
Journal of Endourology, 19(2):128–131
Establishes HoLEP as the gold standard for surgical treatment of benign prostatic hyperplasia.
Descazeaud A et al. (2011). Systematic review HoLEP vs TURP.
BJU International
Comparative systematic review between HoLEP and transurethral resection; functional outcomes and perioperative morbidity.
Shah HN et al. (2012). Continence recovery after HoLEP in elderly patients.
Urology
Urinary continence recovery after HoLEP in elderly patients.
EAU Guidelines (2024). HoLEP recommended regardless of prostate size as first-line surgical option for BPH/LUTS.
European Association of Urology Guidelines 2024
First-line surgical recommendation for BPH/LUTS regardless of prostate volume.
Elkoushy MA & Elhilali MM (2016). HoLEP: learning curve and outcomes.
Current Opinion in Urology
HoLEP learning curve and long-term outcomes.
