+52 81 2629 2903 +52 81 2721 5575 info@urologiaenmonterrey.com
Expert Second Opinions · Urology

You have a diagnosis.
Now get the best plan.

For patients who already have a diagnosis and want a second expert perspective before deciding. Direct communication with the treating surgeon. No intermediaries.

Start your second opinion
1,000+
urological surgeries performed
13+
years of clinical experience
1,301
verified reviews
Our commitment

24-hour response

Every case submitted on weekdays is personally reviewed by Dr. Pineda within one business day. Cases received Sunday are reviewed Monday morning, with a full response within 24 hours of opening.

Who we serve

For patients at a specific point in their journey.

We are not your first point of care. We are the center you come to when you already know what you're dealing with — and want the clearest path forward.

Profile 1

Prostate cancer, seeking second opinion

You've been diagnosed with prostate cancer and want an expert review of your staging, risk stratification, and surgical options before you decide. We offer direct assessment of your pathology, imaging, and PSA trajectory — with a personalized plan grounded in current international guidelines.

Profile 2

Benign prostatic enlargement, exploring minimally invasive options

You've been diagnosed with benign prostatic enlargement and are exploring minimally invasive treatment options. We evaluate your specific anatomy, symptom profile, and goals to determine whether advanced endoscopic techniques are appropriate for your case.

Profile 3

Elevated PSA, undefined diagnosis

Your PSA is elevated, but no clear diagnosis has been established. We guide a multimodal evaluation — advanced imaging, targeted biopsy when indicated — to reach diagnostic clarity before any invasive treatment decision is made.

How it works

A structured path from your first email to your definitive plan.

01
Submit your records

Submit your records

Send your previous studies — pathology reports, MRI, PSA history, imaging — through a secure channel (email or WhatsApp). Our team acknowledges receipt within a few hours.

02
Expert review

Expert review within 24 hours

Dr. Pineda personally reviews your case within one business day. You receive a preliminary assessment outlining what we see, what additional information may be needed, and the recommended next steps.

03
Telemedicine consultation

Telemedicine consultation · USD 100

A 30 to 60 minute video consultation with Dr. Pineda. We discuss your case in detail, review your studies together, answer your questions, and establish a preliminary treatment plan. The consultation is conducted in English or Spanish.

A USD 100 consultation fee applies, paid securely through our payment portal prior to scheduling.

04
Concierge coordination

Concierge coordination

If a visit to Monterrey is indicated, our concierge team coordinates every logistical detail — travel, accommodation, translation, medical document transfer — so you arrive focused only on your care.

05
In-person and definitive plan

In-person consultation and definitive plan

On arrival, we complete any additional diagnostic workup on-site and finalize your treatment plan together. Surgery, when indicated, is scheduled within the same visit window whenever clinically appropriate.

Scope of care

Three focused areas. In-depth expertise.

Prostate cancer

From diagnosis through treatment and long-term care. Robotic prostatectomy (Da Vinci Xi), multidisciplinary oncologic planning, advanced staging with PET-CT PSMA when indicated.

Learn more about our prostate cancer program

Benign prostatic enlargement

High Power Holmium Laser enucleation (HoLEP) for glands of any size. Considered the reference technique in current European Association of Urology guidelines for select patient profiles.

Learn more about our BPE program

Elevated PSA under evaluation

Multimodal diagnostic pathway: repeat PSA with derivatives, multiparametric MRI, targeted fusion biopsy when clinically warranted. We avoid unnecessary invasive procedures.

Diagnosed within this center.
What we work with

The technology of leading international centers.

Our surgical and diagnostic capabilities are at the level of major international urologic programs. Every patient has access to the same tools used at leading American and European institutions.

Robotic surgery

Da Vinci Xi Robotic Platform

Fourth-generation robotic surgical system used in our robotic prostatectomies. Enables precise dissection of neurovascular bundles, shorter hospital stays, and faster functional recovery.

Laser enucleation

High Power Holmium Laser

Holmium Laser Enucleation of the Prostate (HoLEP), performed with our 100-watt holmium laser system, has emerged as the gold-standard surgical treatment for benign prostatic enlargement. Its defining advantage is size-independence: whether the prostate is moderately or severely enlarged, HoLEP delivers comparable outcomes — with the durability of open surgery but through a purely endoscopic approach, no external incisions, and shorter hospital stays.

Recognized in current AUA (2023) and EAU (2024) guidelines as a size-independent surgical option.

Advanced imaging

PET-CT PSMA and Multiparametric MRI

Access to the most advanced staging and detection imaging available today. PSMA PET-CT for prostate cancer staging and recurrence detection; multiparametric MRI for lesion identification prior to biopsy.

Note on PSMA imaging: PSMA PET-CT shows physiologic uptake in healthy tissues such as the salivary glands, liver, and bladder. These are normal findings and do not represent disease. A properly trained multidisciplinary team is essential to distinguish physiologic from pathologic uptake.

Integrated care

Multidisciplinary care

Cases are discussed in coordination with oncology, radiology, and pathology when indicated. Complex cases benefit from integrated decision-making rather than single-specialty recommendations.

Dr. Marco E. Pineda Rodríguez
The physician

Dr. Marco E. Pineda Rodríguez

Urologic Surgeon

Over 13 years of clinical experience and more than 1,000 urological surgeries performed. Trained at two of Mexico's leading medical institutions, with consistent continuing education in advanced urologic surgery.

  • Medical Degree — Instituto Tecnológico y de Estudios Superiores de Monterrey (ITESM)
  • Urology Specialty — Universidad Autónoma de Nuevo León (UANL)
  • Professional License: 7526701
  • Specialty License: 11547895
  • CONAMEU Certification: 3211-R
Practice location: Doctors Hospital AUNA · Monterrey, Nuevo León, México
For international patients

Every detail handled, so you focus only on your care.

International patients receive comprehensive logistical support from the moment their case is accepted. We coordinate directly with you to eliminate the administrative burden of traveling for medical care.

Airport transfer

Private pickup from Monterrey International Airport (MTY) upon arrival. Either a member of our staff or a contracted driver coordinated in advance.

Accommodation partnerships

Several partner hotel options near the hospital, selected for quality, accessibility, and amenities appropriate for post-procedure recovery.

Medical translation

Translation services provided directly by our clinical team during consultations, for medical documents, and for post-operative instructions. No third-party services.

Cross-border document coordination

Case-by-case coordination of medical record transfer between your home institution and our center. Tailored to your specific situation and insurance requirements.

Remote post-operative follow-up

For patients who undergo treatment with us, telemedicine follow-up coordinated according to clinical need. You return home with a defined care pathway, not a hand-off.

What patients say

1,301 verified reviews. A 5.0 average across two independent platforms.

Google
★★★★★
5.0
200 reviews
Verified on Google Maps
Doctoralia
★★★★★
5.0
1,101 opinions
Verified on Doctoralia
Frequently asked

Common questions from international patients.

Citizens of the United States, Canada, most European countries, and several Latin American and Asian countries do not require a visa for short medical stays in Mexico. A valid passport is sufficient. For specific situations, we recommend consulting your country's travel advisory before finalizing plans.
We generally recommend traveling with a companion for the first days after major procedures. For less invasive procedures, solo travel is often appropriate. We discuss the specifics of your case and timeline during your telemedicine consultation.
We can provide itemized documentation of services rendered for international insurance reimbursement claims. However, we do not bill insurance directly, and we do not accept Medicare or Medicaid. Payment is coordinated directly with our administration.
This depends entirely on the procedure. A consultation-only visit may require 2 to 3 days. Surgical visits typically range from 5 to 10 days depending on the procedure and individual recovery. Your exact timeline is defined during your telemedicine consultation.
Yes. We coordinate directly with your primary physician or urologist when you wish. We provide complete clinical documentation — operative notes, pathology, imaging, and care recommendations.
Send whatever you have: pathology reports, MRI or CT imaging (both report and image files if possible), PSA history, previous consultation notes, and a brief summary of your current situation. We review what you have and request additional information only if clinically needed.
A USD 100 consultation fee applies for the Step 3 telemedicine consultation with Dr. Pineda. Payment is processed securely through either our Mexican payment portal (HG Pay, in MXN at the current FIX exchange rate) or PayPal (direct USD), based on your preference. The payment link is sent to you by email prior to scheduling. This fee covers dedicated clinical time for your case, regardless of the final recommendation.
Begin

Start your second opinion.

Share your case through the form, or through any of our direct channels. We respond personally within 24 hours.

WhatsApp
+52 81 2629 2903
Email
info@urologiaenmonterrey.com
Phone
+52 81 2629 2903 · +52 81 2721 5575
Hospital
Doctors Hospital AUNA · Monterrey, N.L.

Request your second opinion

Dr. Pineda personally reviews every case within 24 hours.

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Your information is confidential and reviewed only by Dr. Pineda and his clinical team. We do not share data with third parties.