Patel Hospital, Civil Lines, Jalandhar City, (Pb) India.
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Do You Need Treatment for BPH

DO YOU NEED TREATMENT FOR BPH

IPSS QUESTIONNARIE

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

Over the past month, how often have you found it difficult to postpone urination? 0 1 2 3 4 5
Over the past month, how often have you had to push or strain to being urination? 0 1 2 3 4 5
Over the past month, how often have you had a weak urinary stream? 0 1 2 3 4 5
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
Over the past month, how often have you had the sensation of not emptying your bladder completely after your finished urinating? 0 1 2 3 4 5
Over the past month, how often have you had to urinate again less than every two hours after your finished urinating? 0 1 2 3 4 5
None 1 times 2 times 3 times 4 times 5 or more times
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 mormimg? 0 1 2 3 4 5

Total score =

Delighted Pleased Mostly Satisfied Mixed Mostly Dissatisfied Unhappy Terrible
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? 0 1 2 3 4 5 6

Scoring the response

Add the no. from your answer to questions 1 through 7. The maximum possible score is 35. The final question- will help you judge feel about your symptoms.

SCORE :

0-7           MILD

8-18         MODERATE

> 18         SEVERE

Please note : This test ts to measure the severity of your symptoms. It is not a diagnostic test. In other words, it will not tell you whether or not you have BPH. Talk to your doctor to determine whether your symptoms are due to BPH. This information is not a substitute for medical treatment.