【Abstract】 Objective To explore the urodynamic change of benign prostatic hyperplasia (BPH) following cerebrovascular accident and evaluate its treatment strategies. Methods The urodynamic data and treatment efficacy of 72 patients with BPH following cerebrovascular accident were collected from 2009 to 2014. Their urodynamics characteristics were retrospectively summarized. The corresponding clinical treatment was recommended to the patients based on the urodynamics characteristics and the treatment efficacy was observed. Results Among 72 patients, the bladder outlet obstruction (BOO) were observed in 47 patient. No BOO were found in 16 patients and equivocal obstruction were noted in 9 patients. We found that 47 cases had definite detrusor hyperreflexia and 16 cases had detrusor underactivity, whereas 6 cases had detrusor  external sphincter dyssynergia. After clinic treatment of one week and one month based on their urodynamics characteristics, there were significant differences in QOL and IPSS scores compared with before intervention（P＜005）.Conclusion The changes of urodynamics parameters of BPH following cerebrovascular accident are more complex than those of cerebrovascular accident without BPH. The corresponding clinic treatment based on their urodynamics characteristics may contribute to the improvement of quanlity of life.