Your ultrasound finding is enlargement of prostate gland which is common in men after the age of 50. What causes enlargement of prostate gland is not known fully. But age is the most important risk factor. Enlarged gland causes pressure on urethra causing retention of urine in urinary bladder. Symptoms are weak urine stream, dribbling, urgency to urinate and UTI. But cure is possible by removing the prostate gland by surgery. Besides medicines and surgery, there are some life-style changes which might relieve your symptoms to some extent. Advice 1. Consult a general surgeon and an urologist for further assessment of your condition 2. Avoid drinking alcohol, tea, coffee or cola as these substances irritate urinary bladder and symptoms worse 3. Consume less water in the evening but drink at least 3 liters of water in the day time 4. Empty your bladder while going out of home or office 5. Eating more fruit and fiber to avoid constipation which can put pressure on the bladder worsening symptoms 6. Double void to completely empty your bladder – this This involves waiting a few moments after you have finished passing urine before trying to go again 7. Investigation – serum PSA, serum creatinine, R/E of urine, C/S of urine Thanks