Hello Thanks for query . Based on the report of your ultrasound scan you have moderate enlargment of Prostate which is common at this age . The modality of treatment for Enlarged prostate is governed by following factors 1) Severity of obstructive symptoms 2) Urine flow per sec s determined by Uroflowmetry 3) Volume of post void urine residue 4) Other symptoms like urgency,nocturnal frequency etc Normally to begin with we first offer medical line of treatment like alpha receptor blockers Tomsulosin and Dutasteride once daily .This helps to improve urine flow and reduce the size of prostate gland . If there is no significant improvement in symptoms with medicines we suggest endoscopic surgery of resection of enlarged prostate TURP Dr.Patil.