International Prostate Symptom Score (I-PSS) : Patient Name: in The Past Month: Your Score
International Prostate Symptom Score (I-PSS) : Patient Name: in The Past Month: Your Score
International Prostate Symptom Score (I-PSS) : Patient Name: in The Past Month: Your Score
2. Frequency
How often have you had to
urinate less than every two 0 1 2 3 4 5
hours?
3. Intermittency
How often have you found
you stopped and started again 0 1 2 3 4 5
several times when you
urinated?
4. Urgency
How often have you found it
difficult to postpone 0 1 2 3 4 5
urination?
5. Weak Stream
How often have you had a 0 1 2 3 4 5
weak urinary stream?
6. Straining
How often have you had to 0 1 2 3 4 5
strain to start urination?
7. Nocturia
How many times did you
typically get up at night to 0 1 2 3 4 5
urinate?
Total I-PSS
Score
Quality of Life Due to Delighted Pleased Mostly Mixed Mostly Unhappy Terrible
Urinary Symptoms Satisfied Dissatisfied
Questions Symptom
1 Incomplete emptying
2 Frequency
3 Intermittency
4 Urgency
5 Weak Stream
6 Straining
7 Nocturia
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:
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.