The current document summarizes the state-of-the-art knowledge as it relates to management of male lower urinary tract symptoms (MLUTS) secondary to benign prostatic hyperplasia (BPH) by updating the 2010 Canadian Urological Association (CUA) BPH guideline. The process continues to highlight the essential diagnostic and therapeutic information in a Canadian context. The information included in this document includes that reviewed for the 2010 guideline and further information obtained from an updated MEDLINE search of the English language literature, as well as review of the most recent American Urological Association (AUA) and European Urological Association (EAU) guidelines.