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American Urological Association (AUA) urinary symptom score/International Prostate Symptom Score (IPSS)

American Urological Association (AUA) urinary symptom score/International Prostate Symptom Score (IPSS)
Questions to be answered 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 Your score
  1. Over the past month, how often have you had a sensation of not emptying your bladder completely after you finished urinating?
 0 1 2 3 4 5  
  1. Over the past month, how often have you had to urinate again less than 2 hours after you finished urinating?
 0 1 2 3 4 5  
  1. Over the past month, how often have you found you stopped and started again several times when you urinated?
 0 1 2 3 4 5  
  1. Over the past month, how often have you found it difficult to postpone urination?
 0 1 2 3 4 5  
  1. Over the past month, how often have you had a weak urinary stream?
 0 1 2 3 4 5  
  1. Over the past month, how often have you had to push or strain to begin urination?
 0 1 2 3 4 5  
  1. Over the past 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?
 0 (none) 1 (1 time) 2 (2 times) 3 (3 times) 4 (4 times) 5 (5 or more times)  
Sum of numbers (AUA symptom score):  
Total score:
0 to 7: Mild symptoms
8 to 19: Moderate symptoms
20 to 35: Severe symptoms
Quality of life due to urinary symptoms Delighted Pleased Mostly satisfied Mixed – about equally satisfied and unsatisfied Mostly dissatisfied Unhappy Terrible
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? 0 1 2 3 4 5 6
The AUA symptom score and the IPSS use the same questions and scale. The IPSS additionally includes the last disease-specific quality-of-life question.
Modified with permission from: Barry MJ, Fowler FJ Jr, O'Leary MP, et al. The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. J Urol 1992; 148:1549. Copyright © 1992 Lippincott Williams & Wilkins.
Graphic 57680 Version 12.0

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