Background: Benign prostatic hyperplasia is a non-malignant condition of the prostate, increases morbidity, and declining quality of life among geriatric patients. Study aim: to assess quality of life and benign prostatic hyperplasia-related symptoms among geriatric patients. Design: A descriptive cross-sectional research design was used. Settings: Assiut University, urology hospital, out-patient clinics. Sample: EPI information was utilized to assess the sample size [140 geriatric patients] with a 95%confidence interval and a margin of error of 5%. Study tools: 3 tools were utilized. Tool (I): socio-demographic structured interview schedule, Tool (II): International prostate symptom score. Tool (III): Quality of Life Scale for benign prostatic hyperplasia. The results: The present study revealed that 84.0% of the studied geriatrics had low levels of quality of life. There was a statistically significant difference between the age group of the studied sample and their quality of life P = 0.006, and there was a statistical relation between the international prostate symptoms score of the study group and their quality of life P = 0.000. Conclusion: Age negatively affects on benign prostatic hyperplasia related symptoms and quality of life among geriatrics. The highest symptom severity was observed in patients aged more than 70 years. Lower urinary tract symptoms associated with benign prostatic hyperplasia have a significant negative impact on the quality of life of geriatric patients. Recommendations: Provide health education programs about benign prostatic hyperplasia to the geriatric patient to help them following their disease.