• IPSS INTERACTIVE TOOL
  • BPH SCREENING INTERACTIVE TOOL

International Prostate Symptom Score (IPSS)1,2

1

Incomplete Emptying1

During the last month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating?

2

Frequency1

During the last month or so, how often have you had to urinate again less than 2 hours after you finished urinating?

3

Intermittency1

During the last month or so, how often have you found you stopped and started again several times when you urinated?

4

Urgency1

During the last month or so, how often have you found it difficult to postpone urination?

5

Weak Stream1

During the last month or so, how often have you had a weak urinary stream?

6

Straining 1

During the last month or so, how often have you had to push or strain to begin urination?

7

Nocturia 1

During the last month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?

Your Score:

0
!

Severely
Symptomatic

!

Asymptomatic

Not applicable as all scores are 0.

  • SYMPTOM SCORE
  • Incomplete emptying
    ?
  • Frequency
    ?
  • Intermittency
    ?
  • Urgency
    ?
  • Weak stream
    ?
  • Straining
    ?
  • Nocturia
    ?
15
Your Score: Moderately Symptomatic
8

Quality of Life due to Urinary Symptoms1

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?

Not applicable as all scores are 0.

Select appropriate score

Select level of satisfaction

  • 0
    Not at all
    0
    None
  • 1
    Less than
    1 time in 5
    1
    1 time
  • 2
    Less than half
    the time
    2
    2 times
  • 3
    About half
    the time
    3
    3 times
  • 4
    More than half
    the time
    4
    4 times
  • 5
    Almost always
    5
    5 times or more
The IPSS test is reproduced with the permission of Wolters Kluwer Health, Inc. It was first published in Barry MJ, et al. The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. J Urol 1992;148(5) 1992;148:1549–1557. https://www.auajournals.org/journal/juro.
  • 0
    Delighted
  • 1
    Pleased
  • 2
    Mostly satisfied
  • 3
    Mixed about
    equally satisfied
    and dissatisfied
  • 4
    Mostly dissatisfied
  • 5
    Unhappy
  • 6
    Terrible
The IPSS test is reproduced with the permission of Wolters Kluwer Health, Inc. It was first published in Barry MJ, et al. The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. J Urol 1992;148(5) 1992;148:1549–1557. https://www.auajournals.org/journal/juro.
Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5. https://www.auajournals.org/journal/juro.
The IPSS test is reproduced with the permission of Wolters Kluwer Health, Inc. It was first published in Barry MJ, et al. The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. J Urol 1992;148(5) 1992;148:1549–1557. https://www.auajournals.org/journal/juro.
Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5.
The IPSS test is reproduced with the permission of Wolters Kluwer Health, Inc. It was first published in Barry MJ, et al. The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. J Urol 1992;148(5) 1992;148:1549–1557. https://www.auajournals.org/journal/juro.

BPH screening tool3

Your Score:

0
  • In the last month how often:
  • 0
    1. Have you found it difficult to start urinating if you held on for too long?
  • 0
    2. Have you found it difficult to start urinating during the night?
  • 0
    3. Has your urinary stream been weaker at night?

Your Score:

0

If the score is ≥3, and the PSA is ≥2 ng/mL, the urinary symptoms are most probably caused by an enlargement of the prostate. Further assessments are required to confirm a diagnosis of LUTS/BPH.

Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5.
Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5.

Your Score:

0

If the score is ≥3, and the PSA is ≥2 ng/mL, the urinary symptoms are most probably caused by an enlargement of the prostate. Further assessments are required to confirm a diagnosis of LUTS/BPH.

Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5.
Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5.
  • 0
    Never
  • 1
    Rarely
  • 2
    Less than half the time
  • 3
    Half the time
  • 4
    More than half the time
  • 5
    Always or almost always
  • Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5.
  • 0
    Never
  • 1
    Rarely
  • 2
    Less than
    half the time
  • 3
    Half
    the time
  • 4
    More than half
    the time
  • 5
    Always or
    almost always
Reproduced by permission of Edizioni Minerva Medica from Minerva Urol Nefrol. 2020 Sep 29. doi: 10.23736/S0393-2249.20.03834-5.

Important Information for Use
The information in this Tool should not be used for the diagnosis, prevention, monitoring, prediction, prognosis, treatment or alleviation of any health problem or disease. The User is advised that correctness, comprehensiveness and/or accuracy of the information is not guaranteed. The User assumes sole responsibility for any decisions made or actions taken based on the information contained in this Tool. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER.

References

  • [1] Barry M, et al. J Urology 1992;148:1549–1557.
  • [2] Gravas S, et al. EAU guidelines on the treatment of non-neurogenic male LUTS. 2021. Available at: https://uroweb.org/guideline/treatment-of-non-neurogenic-male-luts. Accessed August 2021.
  • [3] Tubaro A, et al. Minerva Urologica e Nefrologica 2020 Sept 29. DOI: 10.23736/S0393-2249.20.03834-5.

Abbreviations

BPH, benign prostatic hyperplasia; IPSS, International Prostate Symptom Score; LUTS, lower urinary tract symptoms; PSA, prostate-specifc antigen.

NP-MY-URU-WCNT-220001 11/22