Surveys should never ask for any sensitive or secure data. Do not provide passwords, credit card numbers, identification numbers, or other sensitive information. Report Abuse.
Skip survey header

Colorado CyberKnife International Prostate Symptom Score (I-PSS)

Page One

The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. Each question concerning urinary symptoms allows the patient to choose one out of six answers indicating increasing severity of the particular symptom. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).
Patient Information:
calendar
Over The Past Month:
1. Incomplete emptying
How often have you had a sensation of not emptying your bladder completely after you finish urinating? *This question is required.
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
2. Frequency
How often have you had to urinate again less than two hours after you finished urinating? *This question is required.
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
3. Intermittency
How often have you found you stopped and started again several times when you urinated? *This question is required.
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
4. Urgency
How difficult have you found it to postpone urination? *This question is required.
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
5. Weak stream
How often have you had a weak urinary stream? *This question is required.
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
6. Straining
How often have you had to push or strain to begin urination? *This question is required.
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
7. Nocturia
How many times did you most typically get up to urinate from the time you went to bed until the time you got up in the morning? *This question is required.
None1 time2 times3 times4 times5 times or more
8. Quality of life due to urinary symptoms
If you were to spend the rest of your life with your urinary condition the way it is now, how would you feel about that? *This question is required.
Delighted
0		Pleased
1		Mostly satisfied
2		Mixed-about equally satisfied and dissatisfied
3		Mostly dissatisfied
4		Unhappy
5		Terrible
6
The first seven questions of the I-PSS are identical to the questions appearing on the American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows:
  - Mild (symptom score less than of equal to 7)
  - Moderate (symptom score range 8-19)
  - Severe (symptom score range 20-35)

The International Scientific Committee (SCI), under the patronage of the World Health Organization (WHO) and the International Union Against Cancer (UICC), recommends the use of only a single question to assess the quality of life. The answers to this question range from "delighted" to "terrible" or 0 to 6. Although this single question may or may not capture the global impact of benign prostatic hyperplasia (BPH) Symptoms or quality of life, it may serve as a valuable starting point for a doctor-patient conversation.

The SCI has agreed to use the symptom index for BPH, which has been developed by the AUA Measurement Committee, as the official worldwide symptoms assessment tool for patients suffering from prostatism.

The SCI recommends that physicians consider the following components for a basic diagnostic workup: history; physical exam; appropriate labs, such as U/A, creatine, etc.; and DRE or other evaluation to rule out prostate cancer.
0%
Survey Software powered by SurveyGizmo
Survey Software