【摘要】 良性前列腺增生（benign prostatic hyperplasia,BPH）是中老年男性常见的排尿障碍性疾病，也是泌尿外科临床诊疗中最为常见的疾病之一。下尿路症状（lower urinary tract symptoms,LUTS）主要包括储尿期症状（尿频、尿急、尿失禁及夜尿增多等）、排尿期症状（排尿等待、排尿困难及排尿间断等）以及排尿后症状（尿不尽感、尿后滴沥等）。导致LUTS的原因除了BPH以外，还包括膀胱功能障碍、尿道及周围组织异常等。随着对BPH及LUTS的深入研究，以及循证医学的发展，各国泌尿外科学会BPH诊治指南的重心，从过去以BPH产生梗阻的解剖结构及病理诊治为主，转向了以LUTS症状学诊治为主。2022年4月由ELTERMAN等发表在Canadian Urological Association Journal上的“加拿大泌尿外科学会男性下尿路症状/良性前列腺增生指南更新”一文，通过对2018版加拿大泌尿外科学会BPH诊治指南的更新，总结了继发于BPH的男性LUTS的最新诊治策略。本文对该指南更新内容进行介绍及解读。更多还原

【Abstract】 Benign prostatic hyperplasia(BPH) is a common urination disorder in middle-aged and elderly males, which is one of the most common diseases in urological clinical diagnosis and treatment in the world. Lower urinary tract symptoms(LUTS) mainly include storage symptoms(frequency, urgency,urinary incontinence and increased nocturnal ruination, etc.), voiding symptoms(urinary waiting, dysuria and interrupted urination, etc.) and post-voiding symptoms(urinary insufficiency, post-voiding dripping,etc.). In addition to BPH, causes of LUTS also include bladder dysfunction, urethra and surrounding tissue abnormalities. With the in-depth study of BPH or LUTS and the development of evidence-based medicine, the focus of BPH diagnosis and treatment guidelines of urological societies in various countries has shifted from the anatomical structure and pathology of obstruction caused by BPH to the symptomatological diagnosis and treatment of LUTS. UPDATE-Canadian Urological Association guideline: Male lower urinary tract symptoms/benign prostatic hyperplasia, published in the Canadian Urological Association Journal by Elterman et al. at April 2022, updated the 2018 edition of the Canadian Society of Urological Surgery guidelines for diagnosis and treatment of BPH, and summarized the latest diagnosis and treatment strategies for male LUTS secondary to BPH. The article introduces and interprets the updated content of the guideline.更多还原