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International Prostate Symptom Score (I-PSS)

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?

Total I-PSS Score


Quality of Life due to
Urinary Symptoms
If you were to spend the rest of your life with
your urinary condition just the way it is now,
how would you feel about that?

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.

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