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Prostate Symptom Score
Dec 21, 2024
•
Mark Morgan
categories:
urology
This is a urologic symptom scale.
Prostate Symptom Score
Summary: A decision tool to help determine severity of lower urinary tract symptoms. The American Urological Association Symptom Score.
Not at all (0 points)
Less than 1 in 5 times (1 point)
Less than half the time (2 points)
About half the time (3 points)
More than half the time (4 points)
Almost always (5 points)
<-- 1. Incomplete Emptying: Over the last month, how often have you had a sensation of not emptying your bladder?
Not at all (0 points)
Less than 1 in 5 times (1 point)
Less than half the time (2 points)
About half the time (3 points)
More than half the time (4 points)
Almost always (5 points)
<-- 2. Frequency: Over the last month, how often have you had to urinate less than every two hours?
Not at all (0 points)
Less than 1 in 5 times (1 point)
Less than half the time (2 points)
About half the time (3 points)
More than half the time (4 points)
Almost always (5 points)
<-- 3. Intermittency: Over the last month, how often have you found you stopped and started again several times when you urinated?
Not at all (0 points)
Less than 1 in 5 times (1 point)
Less than half the time (2 points)
About half the time (3 points)
More than half the time (4 points)
Almost always (5 points)
<-- 4. Urgency: Over the last month, how often have you found it difficult to postpone urination?
Not at all (0 points)
Less than 1 in 5 times (1 point)
Less than half the time (2 points)
About half the time (3 points)
More than half the time (4 points)
Almost always (5 points)
<-- 5. Weak Stream: Over the last month, how often have you had a weak urinary stream?
Not at all (0 points)
Less than 1 in 5 times (1 point)
Less than half the time (2 points)
About half the time (3 points)
More than half the time (4 points)
Almost always (5 points)
<-- 6. Straining: Over the last month, how often have you had to strain to start urination?
None (0 points)
Once (1 point)
Twice (2 points)
Three times (3 points)
Four times (4 points)
Five times (5 points)
<-- 7. Nocturia: Over the last month, how many times did you typically get up at night to urinate?
score
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)
out of 35 points. Interpretation:
interpretation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7);score>19?'Severe':score>7?'Moderate':score>0?'Mild':'Asymptomatic'
display/hide references
reference:
#1
Barry, MJ, Fowler, FJ Jr, O'Leary, MP, et al. The American Urological Association Symptom Index for Benign Prostatic Hyperplasia. J Urol 1992; 148:1549-57
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