Schönberger B
Zentralbl Chir. 1986;111(10):569-88.
The aetiological background of benign prostatic hyperplasia (BPH) is still obscure, though new information is steadily gained. In the context of pathomorphogenesis, major importance seems to be attributable to fibromuscular (stromal) tissue, since evidence has been produced to significant decline in glanduloparenchymal area relative to the normal overall volume of the prostate. Urine flow measurement has proved to be the most important screening test. Accurate presurgical determination of size of a hyperplastic prostate is not possible unless ultrasound is used. The hydrodynamic effects on the urinary bladder are recordable by means of combined flow and pressure measurement. Therapeutic medication is merely symptomatic, since no causative pharmacotherapy has so far become available. Transurethral prostatectomy is the optional approach to the majority of patients with prostatic symptoms. Postoperative complaints call for high-accuracy elucidation, since strictures and stones have frequently developed unnoticed.
良性前列腺增生（BPH）的病因背景仍不清楚，不过新信息在不断增加。在病理形态发生的背景下，纤维肌肉（基质）组织似乎极为重要，因为有证据表明相对于前列腺的正常总体积，腺实质面积显著减少。尿流测量已被证明是最重要的筛查测试。除非使用超声，否则术前无法准确确定增生前列腺的大小。通过联合流量和压力测量可以记录对膀胱的流体动力学影响。治疗药物仅仅是对症治疗，因为目前尚无病因性药物疗法。经尿道前列腺切除术是大多数有前列腺症状患者的首选治疗方法。术后的不适需要进行高精度的阐释，因为狭窄和结石经常在未被注意的情况下形成。
