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Enlarged Prostate Special Report

Do You Have BPH? Take This Prostate Symptom Questionnaire to Find Out

Approximately 50% of all men experience symptoms of enlarged prostate, BPH, by age 75. If you're one of them, you'll want to take this easy, self-scoring questionnaire to calculate the severity of your symptoms.

The International Prostate Symptom Score questionnaire, also called the American Urological Association Symptom Index, was developed by the American Urological Association to help men evaluate the severity of their symptoms from benign prostatic hyperplasia (BPH) -- enlarged prostate. This self-administered BPH test can help determine which type of prostate treatment is needed, if any.

However, the BPH questionnaire alone cannot be used for diagnosis for two main reasons. First, other diseases can cause lower urinary tract symptoms similar to those of BPH. Second, as men age, the bladder naturally becomes less efficient at storing urine, and symptoms of urinary frequency and urgency become more common.

Therefore, a careful medical history, physical examination, and laboratory tests are required to exclude conditions such as urethral stricture (narrowing of the urethra) and bladder disease. In fact, some reports indicate that as many as 30% of men who undergo surgery for BPH are found not to have urethral obstruction (meaning their symptoms were caused by something other than BPH).

Prostate Symptoms Questionnaire:

Use this key to answer each question, then tabulate your score to assess your BPH severity: mild BPH (1 to 7), moderate BPH (8 to 19), or severe BPH (20 to 35).

Generally, no treatment is needed if BPH symptoms are mild; moderate BPH symptoms usually call for some form of BPH treatment; and severe symptoms indicate that surgery for BPH is most likely to be effective.

Not at all = 0
Less than 1 time in 5 = 1
Less than half the time = 2
About half the time = 3
More than half the time = 4
Almost always = 5

  1. Over the past month, how often have you had the sensation of not emptying your bladder completely after you finished urinating?
  2. Over the past month, how often have you had to urinate again less than two hours after you finished urinating?
  3. Over the past month, how often have you found you stopped and started again several times when you urinated?
  4. Over the past month, how often have you found it difficult to postpone urination?
  5. Over the past month, how often have you had a weak urinary stream?
  6. Over the past month, how often have you had to push or strain to begin urination?
  7. Over the past month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?

Posted in Enlarged Prostate on April 6, 2010

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