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Background: Benign prostatic enlargement (BPH) is an age-related condition. Males above the age of 40 years commonly experience lower urinary tract symptoms (LUTS) related to the progressively growing prostate. BPH is coined by a deterioration in the quality of the patient`s life. Medicines along with advanced surgical procedures may not be suitable for treating oversized prostate glands. Case presentation: A 84-years-old man presented to the urology clinic with severe LUTS that are getting worse over 2 years. He was never catheterized. Medicinal treatments failed to alleviate the symptoms. He has no past medical or surgical history of significance. Prostate ultrasonography revealed a huge prostate of 340cc. He underwent open prostatectomy and enjoyed an uneventful post-operative hospital stay. Histology showed a benign nodular prostatic hyperplasia. Conclusion: This case presents one of the largest prostates reported in the literature.