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Prostate and Prostatitis Self-Assessment Questionnaire

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Prostate and Prostatitis Self-Assessment Questionnaire

The International Prostate Symptom Score (IPSS) and the Chronic Prostatitis Symptom Index (CPSI) are common tools used to evaluate prostate health and symptoms of prostatitis. Here’s a brief overview of each:

The International Prostate Symptom Score (IPSS)

The International Prostate Symptom Score (IPSS)

1. How often have you had the sensation of not emptying your bladder completely after you finished urinating?
2. How often have you had to urinate again less than two hours after you finished urinating?
3. How often have you found you stopped and started again several times when you urinated?
4. How often have you found it difficult to postpone urination?
5. How often have you had a weak urinary stream?
6. How often have you had to push or strain to begin urination?
7. How many times did you typically get up to urinate from the time you went to bed at night until the time you got up in the morning?

Scoring Instructions:

Each question is scored from 0 (not at all) to 5 (almost always). The total score ranges from 0 to 35, with higher scores indicating more severe symptoms:


– 0-7: Mild
– 8-19: Moderate
– 20-35: Severe

 

The quality of life question asks how the patient would feel if they had to live with their urinary condition for the rest of their life, scored from 0 (delighted) to 6 (terrible).

Chronic Prostatitis Symptom Index (CPSI)

Chronic Prostatitis Symptom Index (CPSI)

Pain/Discomfort (total of 4 questions):

Urinary Symptoms (total of 2 questions):

Quality of Life Impact (total of 3 questions):

Scoring Instructions:

  • Pain/Discomfort Domain: Sum of scores for location (0-5), frequency (0-10), intensity (0-10), and urination pain (0-10). Total score range: 0-35.
  •  Urinary Symptoms Domain: Sum of scores for frequency (0-10) and emptying difficulty (0-10). Total score range: 0-20.
  •  Quality of Life Domain: Sum of scores for symptom thoughts (0-3), activity interference (0-6), and life impact (0-6). Total score range: 0-15.

OVERALL SCORE

  •  0-15: Mild Symptoms
  •  16-30: Moderate Symptoms
  •  31-45: Severe Symptoms

Self-Scoring

Both the IPSS and CPSI can be self-administered, allowing patients to monitor their symptoms and discuss the results with their healthcare provider.

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