The prostate hyperplasia (BPH), formerly known as prostate hypertrophy, is one of the common diseases in elderly men and is a benign lesion of the prostate. The prostate gland is located at the outlet of the bladder and the hypertrophy causes urethral obstruction and a series of lower urinary tract obstruction symptoms. ①frequency and urgency of urination: the most common symptom is frequent urination, and it gradually worsens, especially the number of nighttime urination increases. ②Progressive dyspareunia: mainly manifested as slow onset of urination, effort to urinate, weakness of ejaculation, thin urine line, dripping urine stream, segmental urination and incomplete urination. ③ Urinary incontinence: overflowing incontinence due to chronic urinary retention. ④Acute urinary retention: Acute urinary retention can occur when there is congestion and edema of the gland and bladder neck caused by cold, alcohol, exertion and other triggers. Patients have extreme bladder swelling, pain, frequent urge to urinate, tossing and turning, and difficulty sleeping. ⑤ Hematuria: The bleeding is intermittent, but occasionally there is a large amount of bleeding and the clot fills the bladder, which must be treated urgently. (6) Symptoms of renal insufficiency: In the late stage, both kidneys are decompensated due to long-term urinary tract obstruction, manifested as loss of appetite, nausea, vomiting and anemia. (7) Other symptoms: long-term difficulty in urination and increased abdominal pressure to urinate can cause or aggravate hemorrhoids, prolapse and hernia, etc. How to treat prostatic hyperplasia? 1, observation and maintenance: mild prostate enlargement, no symptoms or very mild symptoms, need to receive regular checkups, close observation, once the disease develops, then need to actively treat. 2, drug therapy: conservative drug therapy is mainly for patients with milder symptoms, smaller prostate, disease that has less impact on the patient’s life treatment or who cannot tolerate surgery. This includes а-adrenergic receptor blockers, 5а-reductase inhibitors, plant or plant extract drugs. Such as finasteride, tamsulosin, prostate relief capsules, prostate relief pills, prostate ampoule tablets, etc. Pay more attention to your daily diet and adhere to physical exercise. 3.Surgical treatment: What situation needs surgery? (1) repeated urinary retention (unable to urinate at least once after extubation or twice); (2) repeated hematuria, 5-alpha reductase inhibitor treatment is ineffective; (3) repeated urinary tract infections; (4) bladder stones; (5) secondary upper urinary tract fluid; (6) prostatic hyperplasia patients combined with large bladder diverticulum, inguinal hernia, severe hemorrhoids or prolapse, clinical judgment does not lift the lower urinary tract obstruction Those who have difficulty in achieving therapeutic results should be considered for surgical treatment.