Symptoms The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time. Common signs and symptoms of BPH include: Frequent or urgent need to urinate Increased frequency of urination at night (nocturia) Difficulty starting urination Weak urine stream or a stream that stops and starts Dribbling at the end of urination Inability to completely empty the bladder Less common signs and symptoms include: Urinary tract infection Inability to urinate Blood in the urine