Dr. Noopur Priya (senior resident,general surgery), Dr.Gaurav Sali(neurosurgery resident),Dr.Kiran Kher (professor, surgery department); department of surgery,avbrh Prostatomegaly is one of the most common conditions affecting the ageing male. The effects of prostatomegaly on voiding function, however, vary greatly from patient to patient and thus make measuring its impact a challenging task.Three most common causes of prostate enlargement are benign prostatic hyperplasia (BPH), prostate cancer and prostatitis. Prostatomegaly affects the function of the urethra, urinary bladder, kidney leading to symptoms like Frequency of micturition, Nocturia, Dysuria, Hesitancy, Urgency, Lack of force and dribbling at the end, Haematuria, Retention, and symptoms of chronic renal insufficiency. Out of 166 patients enrolled in our study maximum patients were having grade III prostatomegaly.Benign Prostatic Hyperplasia was the commonest amongst all patients. The commonest symptom was increased frequency of micturition in our patients.AUA score was moderate to severe in grade I prostatomegaly patients while mild to moderate in grade III prostatomegaly patients, indicating that the symptom severity does not vary with respect to grades of the prostatomegaly.DRE showed all signs of malignancy in cases of carcinoma of the prostate.The age-adjusted Sr.PSA level was normal for benign disease of prostate and higher in carcinoma of the prostate.Carcinoma of the prostate was present mainly in grade III prostatomegaly patients.