What is the IPSS?
The IPSS has seven symptom questions scored 0 to 5, plus one quality-of-life question.
IPSS scoring
| Score | Symptoms |
|---|
| 0–7 | Mild |
| 8–19 | Moderate |
| 20–35 | Severe |
Next steps (NICE CG97)
- Frequency-volume chart and urinalysis
- PSA discussion where appropriate
- Lifestyle advice for mild symptoms
- Alpha-blocker for moderate to severe voiding symptoms
- Refer if red flags are present
Frequently asked questions
What is a moderate IPSS score?
8 to 19. Severe is 20 to 35.
What does the quality-of-life question add?
It shows how bothersome symptoms are, which guides treatment.
Is IPSS used in women?
It was developed for men, though it is sometimes used more widely.
References
- Barry MJ, Fowler FJ, O’Leary MP, et al. The American Urological Association symptom index for benign prostatic hyperplasia. J Urol 1992;148(5):1549–57.
- NICE. Lower urinary tract symptoms in men: management. CG97. nice.org.uk/guidance/cg97
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