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Urinary Symptom Score


**Disclaimer:  This is used as a guideline to help with your urinary issues.  For further help, please consult your general practitioner or urologist.

The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions
concerning urinary symptoms and one question concerning quality of life. Each question
concerning urinary symptoms allows the patient to choose one out of six answers indicating
increasing severity of the particular symptom. The answers are assigned points from 0 to 5. The
total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).
The questions refer to the following urinary symptoms:
Questions Symptom
1 Incomplete emptying
2 Frequency
3 Intermittency
4 Urgency
5 Weak Stream
6 Straining
7 Nocturia
Question eight refers to the patient’s perceived quality of life.
The first seven questions of the I-PSS are identical to the questions appearing on the American
Urological Association (AUA) Symptom Index which currently categorizes symptoms as
follows:
Mild (symptom score less than of equal to 7)
Moderate (symptom score range 8-19)
Severe (symptom score range 20-35)



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