When it comes to hematuria in the elderly, what often comes to mind is inflammation and tumors, but in fact, prostate enlargement can also hemorrhage. The actual fact is that the prostate is enlarged and the gland is protruding into the bladder, the surface blood vessels are raging and some of them are ruptured and bleeding. The actual fact is that you can find a lot of people who have been in the business for a long time. The patient also exclaimed that he did not expect the prostate to bleed so fiercely. In fact, it is not uncommon for the prostate to bleed, but some people bleed less. Generally speaking, the larger the prostate, the greater the risk of bleeding because the hypertrophied gland requires more blood to supply nutrients and thicker blood vessels to provide blood. Therefore, we can often find that the surface of the enlarged prostate often has many angry and tortuous blood vessels. These blood vessels are stretched during urination and are highly susceptible to rupture, which in turn can lead to bleeding. In the case of larger blood vessels rupture, there will be a major bleeding situation. In this case, only emergency surgery can be performed, and since there is no time for adequate preoperative examination and preparation, the corresponding surgical risk is significantly increased and even life-threatening. Therefore, patients who have recurrent hematuria should be seen promptly to clarify the cause and extent of the bleeding. If it is clear that the recurrent hematuria is caused by the prostate gland, prostate surgery should be performed promptly to avoid a major bleeding situation.