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©2013 UpToDate ® Print Email American Urological Association Urinary symptom score (International Prostate Symptom Score [IPSS]) Questions to be answered Not at all Less than 1 time in 5 Less than half the time About half the time More than half the time Almost always (Circle one number on each line) 1. Over the past month, how often have you had a sensation of not emptying your bladder completely after you finished urinating? 0 1 2 3 4 5 2. Over the past month, how often have you had to urinate again less than 2 hours after you finished urinating? 0 1 2 3 4 5 3. Over the past month, how often have you found you stopped and started again several times when you urinated? 0 1 2 3 4 5 4. Over the past month, how often have you found it difficult to postpone urination? 0 1 2 3 4 5 5. Over the past month, how often have you had a weak urinary stream? 0 1 2 3 4 5 6. Over the past month, how often have you had to push or strain to begin urination? 0 1 2 3 4 5 7. Over the past month, how many times did you most typicallyget up to urinate from the time you went to bed at night until the timeyou got up in the morning? 0 (none) 1 (1 time) 2 (2 times) 3 (3 times) 4 (4 times) 5 (5 or more times) Sum of circled numbers (AUA symptom score): _______ 0 to 7: Mild symptoms 8 to 19: Moderate symptoms 20 to 35: Severe symptoms Reproduced with permission from: 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. Copyright © 1992 Lippincott Williams and Wilkins.