The prostate is part of the male reproductive system, adjacent to the male bladder and surrounding the urethra. Common problems of the prostate gland include benign prostatic hyperplasia (BPH), acute and chronic bacterial prostatitis and chronic prostatitis (non-bacterial) and prostate cancer. Prostate cancer is a relatively uncommon clinical condition in men over the age of 50, with the highest incidence in African American blacks who prefer a high-fat diet and/or have a father or brother with prostate cancer, according to U.S. statistics. The final diagnosis of prostate cancer requires tissue biopsy for confirmation, and the initial examination includes rectal examinations, ultrasound (transrectal), and prostate-specific antigen (PSA) levels (as a reminder, PSA is not prostate cancer-specific antigen and there are quite a few factors that can affect PSA levels). In the West, many doctors believe that PSA should be routinely tested annually under the age of 75. this presentation is about benign prostatic hyperplasia or hypertrophy (BPH) in men What is prostatic hypertrophy? The organ prostate gland is located below the male bladder and secretes prostatic fluid that makes up the seminal fluid component. More than half of men older than 60 years of age have an enlargement of the prostate gland, medically known as benign prostatic hyperplasia or hypertrophy (BPH for short). However, BPH does not lead to prostate cancer, and even when the gland is enlarged, patients do not necessarily develop clinical symptoms. However, there is a correlation between the size of the gland and the incidence of symptoms. What are the symptoms of an enlarged prostate (BPH)? The most common symptom of BPH is an increase in urination, especially at night (nocturia). The reason for this is that the prostate gland is enlarged and compresses the urethra, so the bladder needs to work harder to discharge urine, which eventually leads to the bladder starting to contract when the volume of urine is not large, resulting in more frequent urination, often accompanied by urinary urgency. 2. Effort to urinate is easy to understand! The urethral resistance increased by enlarging the gland and the extra force exerted by the bladder muscles will manifest, and there will be waiting for urine and a weaker urine stream. The urine flow will also be interrupted, dripping, and the feeling of not being able to pass urine will also appear. 3. Inability to urinate If the gland completely presses the urethra, urine cannot be discharged, and clinically it becomes urinary retention. It occurs when there is a complication of infection in the urinary tract (aggravated resistance) and when the bladder muscle contraction is extremely weak. The serious condition of urinary retention can also permanently damage kidney function and requires urgent medical attention. If your urination exhibits symptoms, you should see a doctor as soon as possible to avoid deterioration of function.