kcon

BPH is the medical term for prostate gland enlargement, occurring typically in middle-aged and elderly men (40's and beyond). The "B" in BPH is "Benign", or non-cancerous. The normal prostate gland in a man without enlargement is generally considered “walnut-sized.” The enlargement is generally measured (or estimated) in volume (cubic centimeters, or cc's), so when you say "high", I think you mean "large."

Higher than normal PSA values are often associated with BPH — but some men have normal PSA values despite having an enlarged prostate. So a "large" prostate (from BPH) and a low PSA is a plausible scenario.

When the prostate becomes enlarged, it can put pressure on the urethra and cause difficulty urinating. If you're having urinary problems, as shs50 has suggested, you should seek medical advice…although it sounds like you already have in order to have received this input. Your doctor can help determine whether your symptoms warrant further evaluation and treatment.

You should definitely follow-up because BPH can be a progressive disease, especially if left untreated. Incomplete voiding can result in bacteria in the bladder residue and an increased risk of urinary infections. Bladder stones, and even renal failure, could result in worst-case scenarios. Don't ignore it.

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best wishes...