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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.
1 Benign prostatic hyperplasia (BPH) involves enlargement of the prostate gland. 2  The prostate enlargement in BPH is not malignant. 3  BPH can impede the flow of urine.  Symptoms include frequent urge to urinate, getting up at night to urinate, difficulty urinating and dribbling of urine.