Prostate gland hypertrophy (PGH) has a prevalence of over 50 % in men over 60 years and is associated with a number of urinary elimination problems. However, men delay in seeking treatment for urinary elimination problems despite the availability of reproductive health services. The purpose of the study was to identify the knowledge of PGH, practices and urinary elimination problems in men aged 50 and above. A descriptive research design was used on a convenient sample of 50 men aged 50 years and above. Data were collected using interviews and analysed using Microsoft Excel. The majority (92%) participants did not know the prostate gland and only 36% had heard about it before. Of the 36% that had heard about it before 22% had heard about it from non-medical sources. Twenty percent participants mentioned that PGH is caused by witchcraft while 18% did not know the causes. The most common symptom of PGH mentioned by 66% participants was difficulty starting flow of urine. Other symptoms were failure to pass urine (18%), frequency (10%) and weakening of stream of urine (10%). Only 10% participants admitted that they would seek medical care for urinary elimination problems while 90% would ignore, use home remedies or consult traditional healers. Majority 88% participants agreed they would benefit from screening for PGH. Health care providers, especially nurses, need to be trained on management of men's reproductive health issues. Access to men's reproductive health must be improved by subsidising treatment costs, decentralization of services and widespread health education.