Benign Prostate Hyperplasia (BPH) is a condition in men in which the prostate gland is enlarged and not cancerous. This study on the prevalence and risk factors associated with benign prostate hyperplasia among patients in Enugu State Nigeria from 2014 to 2018. A descriptive, retrospective epidemiological survey design was adopted for this study. The study area of this research was Enugu State, in the South-East geopolitical zone of Nigeria. Population of this study comprised the case files or folders of all the male patients aged 45 years and above who attended benign prostatic hyperplasia screening and checkup in all the purposively drawn health facilities in Enugu State between 2014 and 2018 and they are 2883 folders. Patients' case files will represent the actual patients of the study since the study was mainly concerned with the patients' past records. Purposive sampling technique was used to draw four health facilities that were used for the study. The findings include the prevalence of BPH among patients in Enugu State from 2014 to 2018 showed that the highest prevalence (29.6%) was in 2018, while 2017 had the lowest prevalence (11.6%) over the five-year period. The prevalence of BPH among patients in Enugu State from 2014 to 2018 based on age showed that the patients within the age bracket of 70-79 years had the highest prevalence (21.4%) of benign prostate hyperplasia, while the patients aged between 40-49 years had the lowest prevalence (10.5%). It was recommended that the Federal and State government should build additional hospitals and health centers that offer specialized checkup services on benign prostate hyperplasia to males within the ages of 35-40.