The American Urological Association (AUA) has developed the
following questionnaire to help men determine how bothersome their urinary
symptoms are and to check how effective their treatment is.1 This questionnaire has also been adopted worldwide and
is known as the International Prostate Symptom Score (IPSS). It is sometimes
seen with a Quality of Life Scale at the end of the questionnaire.
Symptom score point scale
Use the following point scale to answer the questions.
0 points means you answered "never" to the
1 point means you answered "less than 1 out of 5 times"
to the question.
2 points means you answered "less than half of the
time" to the question.
3 points means you answered "about half of
the time" to the question.
4 points means you answered "more than
half of the time" to the question.
5 points means you answered
"almost always" to the question.
Symptom score questions
Over the past month, how often have you had the feeling of not
completely emptying your bladder after you finished urinating?
the past month, how often have you had to urinate again less than 2 hours after
you finished urinating?
Over the past month, how often have you
found that you stopped and started again several times when you
Over the past month, how often have you found it hard to
hold your urine?
Over the past month, how often have you had a weak
Over the past month, how often have you had to push
or strain to begin urination?
Over the past month, have you had to
get up to urinate during the night? Give a score to the number of times.
0 means you did not get up at
1 means you got up 1 time.
2 means you got up 2
3 means you got up 3 times.
4 means you got up 4
5 means you got up 5 times or more.
For example, for question number 1, a man who had the
feeling of not completely emptying his bladder less than half the time (but
more than 1 out of 5 times) would get 2 points for that question. For question
number 4, a man who found it hard to hold his urine less than once out of every
5 times would get 1 point for that question.
Symptom score total
Your score shows how severe your symptoms are. This
symptom index may be used to develop a treatment plan. Your doctor may also ask
you to take the test again after treatment to see how well treatment helped
Compare your total score to the list below.
Score and severity of problem
0 to 7
8 to 19
20 to 35
Quality of life
were to spend the rest of your life with your urinary condition just the way it
is now, how would you feel about that?
Barry MJ, et al. (1992). American Urological
Association symptom index for benign prostatic hyperplasia. Journal of Urology, 148(5): 1549–1557.
How this information was developed to help you make better health decisions.