The symptoms of BPH can be divided into those caused directly by urethral obstruction and those due to secondary changes in the bladder.
Typical obstructive symptoms are:
Bladder changes cause:
As the bladder becomes more sensitive to retained urine, a man, may become incontinent (unable to control the bladder causing bed wetting at night, or inability to respond quickly enough to urinary urgency).
Burning or pain during urination can occur if a bladder infection or stone is present. Blood in the urine (hematuria) may herald BPH, but most men with BPH do not have hematuria.