Symptoms of an enlarged prostate include: finding it difficult to start peeing straining to pee having a weak flow of urine “stop-start” peeing needing to pee urgently and/or frequently needing to get up frequently in the night to pee accidentally leaking urine (urinary incontinence) Leaking urine can happen when you feel a sudden need to pee and cannot stop some pee leaking out before you get to a toilet. This is called urge incontinence. Leaking urine can also happen when you strain. For example, when you cough, sneeze or lift a heavy object. This is called stress incontinence. The most common form of leaking is when a small amount of urine dribbles into your underwear after peeing.