[PDF] International Prostate Symptom Score (I-PSS)





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International Prostate Symptom Score (I-PSS)

The first seven questions of the I-PSS are identical to the questions appearing on the AmericanUrological Association (AUA) Symptom Index which currently categorizes symptoms asfollows: 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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At enrollment detailedmedical history was recorded and InternationalProstate Symptom Score (IPSS) digital rectal exam-ination urinary ultrasound prostate speci?c antigen(PSA) level and uro?owmetry were determined BPH patients with IPSS greater than 8 and maximumurinary ?ow rate (Qmax) lower than 15 ml/s wererandomly divided into a Alf-Tam

International Prostate Symptom Score (I-PSS)

Patient Name: ______________________ Date of birth: ________ Date compl eted _______ Score:1-7: Mild8-19: Moderate20-35: SevereIn the past month:Not at

AllLess than

1 in 5

TimesLess than

Half the

TimeAbout

Half the

TimeMore

than Half the TimeAlmost

AlwaysYour

score

1. Incomplete Emptying

How often have you had the

sensation of not emptying your bladder?0123452. Frequency

How often have you had to

urinate less than every two hours?0123453. Intermittency

How often have you found

you stopped and started again several times when you urinated?0123454. UrgencyHow often have you found itdifficult to postpone urination?0123455. Weak Stream

How often have you had a

weak urinary stream?0123456. StrainingHow often have you had tostrain to start urination?

012345None1 Time2 Times3 Times4 Times5 Times

7. Nocturia

How many times did you

typically get up at night to urinate?012345Total I-PSS Score

Quality of Life Due to

Urinary SymptomsDelightedPleasedMostly

SatisfiedMixedMostly

DissatisfiedUnhappyTerrible

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?0123456

About the I-PSS

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:

QuestionsSymptom

1Incomplete emptying

2Frequency

3Intermittency

4Urgency

5Weak Stream

6Straining

7Nocturia

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)

The International Scientific Committee (SCI), under the patronage of the World Health Organization (WHO) and the International Union Against Cancer (UICC), recommends the use of only a single question to assess the quality of life. The answers to this question range from "delighted" to "terrible" or 0 to 6. Although this single question may or may not capture the global impact of benign prostatic hyperplasia (BPH) Symptoms or quality of life, it may serve as a valuable starting point for a doctor-patient conversation. The SCI has agreed to use the symptom index for BPH, which has been developed by the AUA Measurement Committee, as the official worldwide symptoms assessment tool for patients suffering from prostatism. The SCI recommends that physicians consider the following components for a basic diagnostic workup: history; physical exam; appropriate labs, such as U/A, creatine, etc.; and DRE or other evaluation to rule out prostate cancer.quotesdbs_dbs11.pdfusesText_17
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