This case is the first documented instance of genitourinary monkeypox (Mpox) diagnosed by a urology service in Mexico. emphasizing the role of urologists in managing atypical genitourinary infections. A 28-year-old homosexual male with HIV developed penile swelling and pustular lesions. confirmed as MPXV infection by PCR. https://www.adaptsurvival.com/product-category/sacca/