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IPSS

IPSS

International Prostate Symptom Score

    Determine Your Enlarged Prostate Symptoms

    Over The Past Month

    Not At All
    0

    Less Then one Time In Five
    1

    Less then half the Time
    2

    About half the Time
    3

    More then half the Time
    4

    Almost Alwyas
    5

    Incomplete emptying - How often have you had the sensation of not emptying your bladder completly after you finished urinating ?

    0

    1

    2

    3

    4

    5

    Frequency - How often have you had to urinate again less than two hours after you finished urinating ?

    0

    1

    2

    3

    4

    5

    Intermittency - How often have you found you stopped and started again you finished urinating ?

    0

    1

    2

    3

    4

    5

    Urgency - How often have you found it difficult to postpone urination ?

    0

    1

    2

    3

    4

    5

    Weak stream - How often have you had a weak urinary stream ?

    0

    1

    2

    3

    4

    5

    Straining- How often have you had to push or strain to begin urination ?

    0

    1

    2

    3

    4

    5

    Sleeping - How many time did you most typically get up to urinate from the time you want to bed at night until the time you get up in the morning?

    0

    1

    2

    3

    4

    5

    1-7 mild symptoms | 8- 19 moderate symptoms | 20 - 35 severe symptoms
    Regardless of the store, if your symptoms are bothersome you should notify your doctor

    Quality Of Life (QOL)

    Over The Past Month

    Delighted

    Pleased

    Mostly staisfied

    Mixed

    Mostly Dissatisfied

    Unhappy

    Trrible

    If you were to spend the rest of your with your urinary condition just the way it is now, how would you feel about that (check one)

    Delighted

    Pleased

    Mostly staisfied

    Mixed

    Mostly Dissatisfied

    Unhappy

    Trrible

    Have You tried medications to help your symptoms ? (Yes or No)

    Yes

    No

    Did these medications help your symptoms ? (check One)


    1


    2


    3


    4


    5


    6


    7


    8


    9


    10

    No Relief

    Complete Relief

    Would you be interested in learning about aminimally invasive option colud allow you to avoid or discontinue enlarged prostate medications ? (check Yes or No)

    yes

    no