The natural history of benign prostate hyperplasia (BPH) is a slow enlargement of fibromuscular and epithelial structures within the gland, eventually leading to obstructive urinary symptoms experienced to some extent by most men over the age of 50. Its etiology and pathogenesis have not yet been clearly defined. Therefore, the therapy strategy is controversial. Besides the transurethral resection of the prostate, medical treatments, including alpha-receptor blocking agents, 5-alpha-reductase inhibitors, and phytomedicines, are becoming more and more important world-wide. Herbal remedies, such as Cucurbitae peponis semen, Serenoae repentis fructus, Urticae radix, and other herbal drugs, have a long tradition for successful treatment of BPH in Europe, although no exact mechanism of action nor precise classification of the active compounds are known. However, in the past decade many clinical and pharmacological studies have confirmed the empirical observations, thereby advancing these traditionally used phytomedicines to rational drugs.Benign prostatic hyperplasia (BPH) is one of the most common causes of urination problems in men, manifesting itself as hesitancy, incomplete voiding of the bladder, terminal dribbling, urgency, frequency, and nocturia.Pronounced BPH is found in 25% of men 40 to 50 years of age and in nearly 80% of men over 70 years of age. Despite the considerable importance of the clinical picture, particularly for general practitioners and urologists, the etiology and pathogenesis of BPH remain unclear (7). The ongoing controversy concerning therapeutic strategy is therefore entirely understandable. Many urologists believe that treatment should not target BPH as such but only the associated symptoms, especially the distressing obstructive and irritative urination symptoms (2).Provided that the patient receives regular medical attention, the symptoms are not life-threatening, but they can substantially diminish the patient's quality of life. The strategy of "watchful waiting" until surgery becomes necessary is understandably 62