Urinary symptom score

To evaluate the severity of your benign prostatic hyperplasia (BPH) and determine what treatment, if any, might be best for you, your doctor may ask you to complete a questionnaire like the one below. Circle one number to respond to each question, and then calculate the total score.

In general, if your symptoms are mild (scores of 1–7), no treatment is needed. If your symptoms are moderate (scores of 8–19), you probably need some form of treatment, such as medication. If your symptoms are severe (scores of 20 or greater), surgery is likely to be your best treatment option.

1. Over the past month, how often have you had a sensation of not having emptied your bladder completely after you finished urinating?

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

2. Over the past month, how often have you had to urinate again less than two hours after you last finished urinating?

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

3. Over the past month, how often have you stopped and started again several times while urinating?

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

4. Over the past month, how often have you found it difficult to postpone urination?

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

5. Over the past month, how often have you had a weak urinary stream?

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

6. Over the past month, how often have you had to push or strain to begin urination?

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

7. Over the past month, how many times, typically, did you get up to urinate between the time you went to bed at night and the time you got up in the morning?

0 ____ None
1 ____ Once
2 ____ Twice
3 ____ Three times
4 ____ Four times
5 ____ Five times or more

8. How would you feel if you had to live with your urinary condition the way it is now, no better, no worse, for the rest of your life?

0 ____ Delighted
1 ____ Pleased
2 ____ Mostly satisfied
3 ____ Mixed
4 ____ Mostly not satisfied
5 ____ Unhappy

Total score: ____

Source: American Urological Association