A man's prostate gland usually starts to enlarge after he reaches age 40 years or middle age. This condition is called benign prostatic hyperplasia (BPH).
The prostate gland secretes a fluid that is discharged with sperm. The gland itself surrounds the urethra, which is the tube that carries urine from the bladder out through the tip of the penis (see Media file 1). As the prostate grows larger, it may press on the urethra. This narrowing of the urethra can cause some men with prostate enlargement to have trouble with urination. Prostate enlargement may be the most common health problem in men older than 60 years.
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