Prostate size: Is size all that matters? (When does size matter?)

Prostate-related problems now seem to stand between the aging male and good quality of life. Males of all age groups may also be affected by similar symptoms. Aging males may suffer “silently” because of their beliefs that symptoms are inevitable and normal with aging. Lower urinary tract symptoms have preceded “prostatism” as a more apt term to describe the symptoms which was previously associated with an enlarged prostate and benign prostatic hyperplasia (BPH). Size is not all that matters, yet it has important roles including prediction of the progression of BPH, serious obstructive symptoms and response to medical therapy. The size is correlated with urine flow and rising serum prostate specific antigen levels. The size also influences the treatment for prostate cancer. Data indicate that there is weak relationship between prostate size and the International Prostate Symptom Score.