- Often results in some degree of urinary obstruction
- Occurs in 50% of men by 40s, 75% by 70s; ~4% of men over 70 have prostates larger than 100 g
- Intact testes required, because hormonal stimulation necessary
- Average size is 100 g; up to 800 g has been reported
- Begins on inner portion of gland (periurethral)
- Both glandular and stromal (fibrous and smooth muscle) hyperplasia
- Inspissated secretions, calcifications, calculi (7%), corpora amylacea, infarction (20-25%)
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