Abstract: Benign prostate hyperplasia is one of the major health challenges of older men and is thought to be linked to obesity. This study investigated the prevalence of clinical symptoms of BPH in 747 male, Nigerians aged 40 years or older and assessed the relationship between the symptom scores and measures of obesity. The International Prostate Symptom Score (IPSS) was used to diagnose the clinical symptoms of BPH. Anthropometric data were collected using standard protocol and Body Mass Index (BMI), Waist-to-Hip Ratio (WHpR) and Waist-to-Height Ratio (WHtR) were derived. Appropriate statistical tools were used for the data analysis. The prevalence of BPH (moderate-to-severe symptoms) in the studied population is 35.3% (6.0% in those aged 40-49 years to 69.9% in those aged 70+ years). Compared to those with mild symptoms of BPH, BMI and WHtR did not differ significantly (p>0.05) (though WHpR was significantly higher (p<0.05)) in those with either moderate or severe symptoms. Only WHpR was found to be minimally associated with symptoms of BPH. The prevalence of symptoms of BPH is very high in this population and it appears that visceral adiposity may be the critical part of obesity that is related to BPH.