Enlarged prostate with uneven echogenicity is usually an abnormality suggested by ultrasound, which is considered to be prostate hyperplasia, prostatitis, prostate cancer, etc. The treatment options are not the same. The treatment program is not the same, including the application of drugs or surgical treatment, etc. 1. Prostatic hyperplasia: often manifested as frequent urination, urinary urgency, incomplete urination, difficulty in urination, etc., you can take drugs such as doxazosin, finasteride, tolterodine, and so on. 2. Prostatitis: often manifested as urinary pain, urinary frequency, urinary pain, perineal discomfort, may be accompanied by fever, chills, you can take broad-spectrum antibacterial drugs such as cephradine, ciprofloxacin and so on. You can also take a receptor blocker such as tamsulosin, doxazosin and so on. 3. Prostate cancer: it can also lead to lower urinary tract obstruction such as urinary difficulty, urinary urgency, urinary frequency, etc. It can be diagnosed through biopsy pathology examination, and can be treated by surgical resection or radiotherapy or chemotherapy. Prostate enlargement with uneven echogenicity of more diseases, need to be combined with accompanying symptoms, auxiliary examination and other comprehensive judgment, should go to the hospital in a timely manner, diagnosis and treatment by a professional doctor. All the above drugs need to pay attention to the side effects and adverse reactions of drugs, please use under the guidance of a doctor.