International Prostate Symptom Score (IPSS)
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The International Prostate Symptom Score (IPSS) is used to help you and your doctor assess the severity of your urinary symptoms. Please answer the following 7 questions based on your condition and click on the corresponding score. After completing the questionnaire, click “Calculate Score” to see the total score and the result analysis.
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0 Mark:
Your responses indicate that you do not have urinary symptoms. We recommend that you consult a doctor if needed and undergo an IPSS score assessment every 3 to 6 months for regular monitoring. Please save this assessment result for future reference.To learn more about prostate health testing, please visit this webpage.
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1 – 7 Marks:
Your responses indicate that you have mild urinary symptoms. We recommend that you consult a doctor if needed and undergo an IPSS score assessment every 3 to 6 months for regular monitoring. Please save this assessment result for future reference.To learn more about prostate health testing, please visit this webpage.
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8 – 19 Marks
Your responses indicate that you have moderate urinary symptoms. We recommend that you seek medical attention promptly for necessary examinations and appropriate treatment to alleviate urinary obstruction caused by prostate enlargement.To learn more about prostate health testing, please visit this webpage.
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20 – 35 Marks:
Your responses indicate that you have severe urinary symptoms. We strongly recommend that you seek medical attention immediately for necessary examinations and appropriate treatment to alleviate urinary obstruction caused by prostate enlargement.To learn more about prostate health testing, please visit this webpage.
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Question 1 of 7
1. Question
Incomplete Emptying
How often have you had the sensation of not emptying your bladder? -
Question 2 of 7
2. Question
Frequency
How often have you had to urinate less than every two hours? -
Question 3 of 7
3. Question
Intermittency
How often have you found you stopped and started again several times when you urinated? -
Question 4 of 7
4. Question
Urgency
How often have you found it difficult to postpone urination? -
Question 5 of 7
5. Question
Weak Stream
How often have you had a weak urinary stream? -
Question 6 of 7
6. Question
Straining
How often have you had to strain to start urination? -
Question 7 of 7
7. Question
Nocturia
How many times did you typically get up at night to urinate?
About
The International Prostate Symptom Score (IPSS) can be utilized to measure the severity of lower urinary tract symptoms.
It is a validated, reproducible scoring system to assess disease severity and response to therapy.
The IPSS is made up of 7 questions related to voiding symptoms. A score of 0 to 7 indicates mild symptoms, 8 to 19 indicates moderate symptoms and 20 to 35 indicates severe symptoms.
It is not a reliable diagnostic tool for lower urinary tract symptoms (LUTS) suggestive of BPH, but can be used to quantitatively measure LUTS after a diagnosis is made.
The IPSS isn’t adequate for ruling in or ruling out the diagnosis of bladder outlet obstruction. In the JAMA Rational Clinical Exam paper by D’Silva et al, a cut-off of ≥20 increased the likelihood of bladder outlet obstruction (positive LR, 1.5; 95% CI, 1.1-2.0), whereas scores of less than 20 had an LR that included 1.0 in the 95% CI (negative LR, 0.82; 95% CI, 0.67-1.00).