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Benign Prostatic Hyperplasia (BPH) 5 Key points: 5 Key points: BPH usually begins at the age of 50 years The initial symptoms are that of frequent urination both day and night, followed by difficulty and dribbling at end of the stream If untreated, the enlarged prostate can lead to painful acute retention of urine and obstructed kidneys Medication is the first-line treatment and effective in up to 80% of cases Some 15% of patients will still fail medication and will need surgery, the gold standard being TURP BPH is the benign enlargement of the prostate