Background: Benign prostatic hyperplasia [BPH] is a frequent cause of lower urinary tract symptoms [LUTS] in men and is a common histological finding, particularly in aging men. Benign prostatic hyperplasia [BPH] that presents with symptoms is accountable for the manifestation of lower urinary tract symptoms [LUTS], which have a detrimental impact on various dimensions of quality of life [QoL] and sexual function.
The aim of the work: To Assess the association between the frequency of ejaculation overtime on the incidence of benign prostatic hyperplasia.
Patients and Methods: This study was conducted on two groups, each group composed of 100 patients who were age-matched. All patients were subjected to the following: full history taking and thorough general examination, assessment of manifestations of lower urinary tract symptoms [LUTS], and sexual dysfunction.
Results: The two groups were comparable regarding demographics, smoking status or marital status, and Frequency of sex per week [P-value 0.98]. There was a significant difference between both groups as regards Prostatic size and prostate-specific antigen [PSA] Levels [P-value <0.001].  
Conclusion: PSA levels were significantly higher in benign prostatic hyperplasia patients. Most of the studied cases had mild LUTS and minor erectile dysfunction. But there was no difference in the incidence of BPH regarding frequencies of ejaculation over time.