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The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time. Common signs and symptoms of BPH include: Frequent or urgent need to urinate. Increased frequency of urination at night (nocturia) Difficulty starting urination.
Also, if the testicles are removed after a man develops BPH, the prostate begins to shrink in size. Some facts about prostate enlargement: 1  The likelihood of developing an enlarged prostate increases with age.  BPH is so common that it has been said all men will have an enlarged prostate if they live long enough.