American Urological Association (AUA) Symptom Index for BPH

So, you have a number of male urinary symptoms—but you're not sure if they're related to BPH. You can begin to find out by answering 8 quick, easy questions—the first 7 on symptoms, then 1 on how they affect your life.

Whether your symptoms are mild, moderate or severe, it is recommended that you schedule an appointment with a physician to discuss your symptoms and appropriate treatment options. This quiz cannot diagnose an enlarged prostate and is not meant to replace the expert care and advice of a qualified physician. Only your doctor can tell if you have BPH, not a more serious condition like prostate cancer.

Click on the circle that best applies to you for each question. The responses to each question range from 0 to 5 points, with 0 points for "not at all" and 5 points for "almost always." Once you have answered all of the questions, click on Submit, and your total score will be calculated.

1. INCOMPLETE EMPTYING Over the last month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating?

0 1 2 3 4 5

2. FREQUENCY During the last month or so, how often have you had to urinate again less than 2 hours after you finished urinating?

0 1 2 3 4 5

3. INTERMITTENCY During the last month or so, how often have you stopped and started again several times when you urinated?

0 1 2 3 4 5

4. URGENCY During the last month or so, how often have you found it difficult to postpone urination?

0 1 2 3 4 5

5. WEAK STREAM During the last month or so, how often have you had a weak urinary stream?

0 1 2 3 4 5

6. STRAINING During the last month or so, how often have you had to push or strain to begin urination?

0 1 2 3 4 5

7. SLEEPING During the last month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?

0 1 2 3 4 5 (times at night)

The Disease Specific Quality of Life Question
The International Prostate Symptom Score uses the same 7 questions as the AUA Symptom Index for BPH (presented above) with the addition of the following Disease Specific Quality of Life Question (bother score) scored on a scale from 0 to 6 points (delighted to terrible).

If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?

Delighted	Pleased	Mostly satisfied	Mixed	Mostly disappointed	Unhappy	Terrible
0	1	2	3	4	5	6

Adapted from American Urological Association. Guideline on the Management of Benign Prostatic Hyperplasia (BPH), Linthicum, Md: American Urological Association Education and Research, Inc; 2003:1-22, 1-23, 3-51.