Benign prostatic hyperplasia (BPH) is characterized by proliferation of the cellular elements of the prostate. The complications faced by elderly people need to be minimized and most of elderly don not prefer a surgical approach. Therefore, treatment of BPH with medicines is prioritized by elderly people. The present case report adds a little to the field that how to treat BPH cases in elderly without surgical approach but with homeopathic formulations. Case report presented here is diagnosed case of BPH having grade III prostatomegaly on USG. Patient presented with increased frequency of urination in feeble stream and sudden urging occasionally. Patient was treated with homoeopathic medication and assessed using Ultrasonography, International Prostate Symptom Score, and Uroflowmetry with significant improvement. Hence, it is suggestive that homoeopathic treatment could be effective in the management of cases of BPH in elderly people. Keywords: Homoeopathy, BPH, Uroflowmetry, International Prostate Symptom Score (IPSS), Constitutional medicine, Organopathic medicine, Sabal serrulat