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BPH becomes a true medical emergency if a man is completely unable to urinate from prostate blockage. The bladder may feel very full and painful. The patient has to emergently have a rubber tube called a catheter placed in the bladder to drain the urine. Sometimes retention of urine, which is what this situation is called, can be less obvious. There’s frequent urination of small amounts of urine. Imagine a dam full of water with water flowing over the dam. Patients are urinating frequent small amounts, but the dam is still full. That’s another scenario where a catheter needs to be placed because of BPH.