47-year-old severe prostate enlargement does not necessarily need surgery, some patients can take medication. Patient symptoms and the degree of prostatic hyperplasia are often inconsistent, but depends on the degree of obstruction, the rate of development of lesions and whether the combination of infection, etc., and 47-year-old severe prostatic hyperplasia does not necessarily appear obvious symptoms; surgical treatment is mainly applicable to patients with severe symptoms, the presence of obvious obstruction or due to prostatic hyperplasia with urinary retention, hydronephrosis and other complications. Patients with severe prostatic hyperplasia at the age of 47 are usually first treated with drugs such as terazosin and finasteride to improve their symptoms, and those whose symptoms have not improved with drug treatment may consider surgery, which often uses transurethral resection of the prostate. The above drugs should be used under the guidance of a doctor. 47-year-old patients with severe prostate hyperplasia should go to a regular hospital in a timely manner, under the guidance and advice of the doctor to carry out regular treatment.