Management of Benign Prostatic Hyperplasia: A New Guideline

Clinical Takeaway

: Although written primarily for urologists, this guideline has useful information for primary care clinicians.

An overview of Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline (2026)

Background

This three-part guideline from the American Urological Association addresses (1) evaluation, (2) medical management, and (3) procedural/surgical management of benign prostatic hyperplasia (BPH). Although the target readership is urologists, the nonsurgical sections contain useful information for primary care clinicians.

Useful Points

BPH often presents with both voiding symptoms (abnormal stream, straining, hesitancy, dribbling) and storage symptoms (frequency, urgency, nocturia, and incontinence). Isolated storage symptoms — in the absence of voiding symptoms — aren’t typically BPH-related.
Initial evaluation of …

Reviewing Author

Allan S. Brett, M.D.

Disclosures

Nothing to disclose