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International Prostate Symptom Score (I-PSS) : 1. Incomplete Emptying
International Prostate Symptom Score (I-PSS) : 1. Incomplete Emptying
Patient Name:
Date:
Not
At
All
Less
Than 1
Time
In 5
Less
Than
Half
The
Time
About
Half
The
Time
More
Than
Half
The
Time
Almost
Always
None
Once
Twice
3 times
4 times
5 or
more
Delighted
Pleased
Mostly
satisfied
Mixed
Mostly
unhappy
Unhappy
Terrible
YOUR
SCORE
1. Incomplete Emptying
Over the past month, how often have you had
a sensation of not emptying your bladder
completely after you finish urinating?
2. Frequency
Over the past month, how often have you had
to urinate again less than two hours after you
have finished urinating?
3. Intermittency
Over the past month, how often have you
found you stopped and started again several
times when you urinated?
4. Urgency
Over the past month, how often have you
found it difficult to postpone urination?
5. Weak Stream
Over the last month, how often have you had
a weak urinary stream?
6. Straining
Over the past month, how often have you had
to push or strain to begin urination?
YOUR
SCORE
7. Nocturia
Over the past month how many times did you
most typically get up each night to urinate
from the time you went to bed until the time
you got up in the morning?
The I-PSS is based on the answers to seven questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating
increasing severity of the particular symptom. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).
Although there are presently no standard recommendations into grading patients with mild, moderate or severe symptoms, patients can be
tentatively classified as follows: 0 - 7 = mildly symptomatic; 8 - 19 = moderately symptomatic; 20 - 35 = severely symptomatic.
The International Consensus Committee (ICC) recommends the use of only a single question to assess the patient's quality of life. The
answers to this question range from "delighted" to "terrible" or 0 to 6. Although this single question may or may not capture the global
impact of BPH symptoms on quality of life, it may serve as a valuable starting point for doctor-patient conversation.