International prostate symptom score (IPSS)

*** This form will be submitted electronically by standard email as a password-protected pdf file directly to the practice nurse. If you wish to send your name and date of birth in a de-identified manner please write a bogus name and advise reception by phone to link to your file. ***

  • What is the IPSS score?

    The IPSS questionnaire allows your urologist to better understand the severity of your water work symptoms. It is used for men who are having problems that are likely to be related to an enlarged prostate. It is helpful in determining which treatment option is best for you and then monitoring any improvement.

    What does it involve?

    There are 7 questions relating to different symptoms you might be experiencing and one question relating to your overall quality of life. Once you have scored each question the values are added together to give an indication of the severity of your symptoms.

    Instruction

    When you submit the questionnaire, you will see your score at the next screening with an explanation.

    Score Guide
    0-7 = Mildly symptomatic
    8-19 = Moderately symptomatic
    20-35 = Severely symptomatic

  • Over the past month, how often have you had a sensation of not emptying your bladder completely after you finish urinating?
  • Over the past month, how often have you had to urinate again less than two hours after you finished urinating?
  • Over the past month, how often have you found you stopped and started again several times when you urinated?
  • Over the last month, how difficult have you found it to postpone urination?
  • Over the past month, how often have you had a weak urinary stream?
  • Over the past month, how often have you had to push or strain to begin urination?
  • Over the past month, many times did you most typically get up to urinate from the time you went to bed until the time you got up in the morning?
  • If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that?

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