A physician can perform a urinary catheterization to help relieve symptoms. While over-the-counter medications can relieve the discomfort, they may worsen the problem. While there are several possible causes of an enlarged prostate, there are two main treatments: symptomatic management and treatment of the underlying cause. Although most men will live with symptoms for years before seeking medical treatment, it is important to seek the advice of your doctor to determine the best course of treatment. An acute inability to urinate can be a medical emergency and should be treated by a doctor. This causes problems such as urinary tract infections, bladder stones, incontinence, and acute urinary retention. Gay Prostate Massage Nyc A large prostate affects the way the bladder empties.