Benign Prostatic Hyperplasia (BPH) is one of the commonest medical conditions affecting the geriatric male population. The enlargement of prostate can lead to various clinical symptoms like difficulty in voiding, urinary retention etc. The symptoms are varied depending on the size of enlargement. The International Prostatic Symptom Score (IPSS) is the gold standard and first step in understanding and diagnosing the disease clinically, but in the recent past there are various other newer tools to diagnose the prostate hyperplasia. Event in the treatment modalities, the management of BPH has grown incredibly. Both medical and surgical management would aid the patients in increasing the Quality of life and reduces the disease burden.