Abstract：
Benign prostatic hyperplasia (BPH) is a prevalent condition affecting aging men, necessitating a comprehensive and evidence-based approach to diagnosis and management. This manuscript, through the summarization of the latest evidence, aims to establish a consensus among clinicians regarding optimal strategies for diagnosing and managing BPH, to improve patient care and outcomes in clinical practice. A panel of urologists conducted a comprehensive review of the literature by searching various databases and search engines (PubMed, Google Scholar, and Cochrane databases). They identified relevant studies on the diagnosis and management of BPH. The literature was summarized and analyzed to develop 14 statements. The panel utilized a Delphi methodology over two rounds (R1 and R2) to reach a consensus on the statements, considering both the literature evidence and expert opinions. The expert panel reached a consensus on 14 statements addressing diverse aspects of BPH, including tailored therapies for different patient profiles and the necessity for a unified diagnosis and management algorithm to enhance patient outcomes. In conclusion, a unified approach to diagnosing and managing BPH promotes consistent and effective patient care. Proper drug selection, considering factors like efficacy and patient-specific characteristics, is crucial for managing BPH. This approach optimizes treatment outcomes and improves the quality of life for BPH patients.
摘要：
良性前列腺增生（BPH）是影响老年男性的一种普遍疾病，需要一种全面和基于证据的诊断和管理方法。这份手稿,通过对最新证据的总结，旨在在临床医生之间就诊断和管理BPH的最佳策略达成共识，改善临床实践中的患者护理和结果。一组泌尿科医师通过搜索各种数据库和搜索引擎（PubMed，谷歌学者，和Cochrane数据库)。他们确定了有关BPH诊断和管理的相关研究。对文献进行了总结和分析，形成了14种陈述。小组在两轮（R1和R2）中使用了Delphi方法，就声明达成了共识。同时考虑文献证据和专家意见。专家小组就涉及BPH各个方面的14项声明达成共识，包括针对不同患者的量身定制的疗法，以及统一诊断和管理算法以提高患者预后的必要性。总之,诊断和管理BPH的统一方法可促进一致和有效的患者护理。正确的药物选择，考虑到疗效和患者特定特征等因素，对于管理BPH至关重要。这种方法优化了治疗结果并改善了BPH患者的生活质量。
