2026-06-11 · 7 min read
Almost everyone, but not equally
The prostate keeps growing throughout adult life. By 60, most men have some enlargement — but only some develop obstruction that matters. The size of the gland matters far less than how much it is blocking the flow.
Symptoms worth acting on
- Waiting several seconds before the stream starts
- A stream that is thin, weak, or stops and starts
- Getting up two or more times every night
- Feeling that the bladder never empties fully
- Any episode of being unable to pass urine at all — this is an emergency
Treatment is a ladder, not a leap
Most men start with fluid timing advice and medication. Surgery — TURP or laser TURP — is recommended when medication stops working, or when complications appear such as retention, bladder stones, recurrent infection or a rise in creatinine.
A PSA test and examination are done alongside, because prostate cancer can co-exist with benign enlargement and causes similar symptoms.
Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.