It contains seven questions related to symptoms related to BPH and one question related to the patient's perceived quality of life. Created in 1992 by the American Urological Association, it originally lacked the eighth quality of life question, hence its original name: the American Urological Association symptom score (AUA-7).[1] World Health Organization International Consultation on BPH adopted the "eight question" index and labeled it the IPSS.[2]
The IPSS was designed to be self-administered by the patient, with speed and ease in mind. Hence, it can be used in both urology clinics as well as the clinics of primary care physicians (i.e. by general practitioners) for the screening and diagnosis of BPH.[1]
Additionally, the IPSS can be performed multiple times to compare the progression of symptoms and their severity over months and years.[1]
In addition to diagnosis and charting disease progression, the IPSS is effective in helping to determine treatment for patients.[1]
The symptoms must have been experienced in the last month and each answer is scored from 0 to 5 for a maximum score of 35 points.[1]
The first six questions are scored based on the following:[1]
0
Not at all
1
Less than 1 time in 5
2
Less than half the time
3
About half the time
4
More than half the time
5
Almost always
The seventh question, relating to nocturia, is scored from 0 to 5 based on how many times the patient gets up at night to urinate (viz. 1 is scored for one time per night and 5 for five times per night).[1]
The eighth, and final question (not included in the main IPSS score), relating to the patient's perceived quality of life, is assigned a score of 0 (delighted) to 6 (terrible).[3]
Mnemonicedit
The mnemonic "FUN WISE" can be used to remember the seven questions relating to symptoms of BPH. They are as follows:
F
Frequency
U
Urgency
N
Nocturia
W
Weak stream
I
Intermittency
S
Straining
E
Sensation of incomplete emptying
Standardisationedit
In research, the IPSS is used to standardise patients' complaints and symptoms. However, a meta-analysis on the subject of the influence of position (whether standing or sitting) on urodynamics (that is, on tests of how completely the bladder, sphincter and urethra store and release urine) noted that, in most cases, physicians either did not use the IPSS, or did not use it adequately.[4]
^ abcdefghInternational Prostate Symptom Score (IPSS) at Urological Sciences Research Foundation. Retrieved November 2011
^Cockett, A. T. K. (1992). The International Consultation on Benign Prostatic Hyperplasia. 1991 : Paris, France: World Health Organization. ISBN2905744111.{{cite book}}: CS1 maint: location (link)
^(PDF). Archived from the original (PDF) on 2015-02-09. Retrieved 2015-04-11.{{cite web}}: CS1 maint: archived copy as title (link)
^de Jong, Y; Pinckaers, JH; ten Brinck, RM; Lycklama à Nijeholt, AAB; Dekkers, OM (2014). "Urinating Standing versus Sitting: Position Is of Influence in Men with Prostate Enlargement. A Systematic Review and Meta-Analysis". PLOS ONE. 9 (7): e101320. Bibcode:2014PLoSO...9j1320D. doi:10.1371/journal.pone.0101320. PMC4106761. PMID 25051345.
December 15, 2023
international, prostate, symptom, score, ipss, eight, question, written, screening, tool, used, screen, rapidly, diagnose, track, symptoms, suggest, management, lower, urinary, tract, symptoms, benign, prostatic, hyperplasia, contains, seven, questions, relate. The International Prostate Symptom Score IPSS is an eight question written screening tool used to screen for rapidly diagnose track the symptoms of and suggest management of the lower urinary tract symptoms of benign prostatic hyperplasia BPH It contains seven questions related to symptoms related to BPH and one question related to the patient s perceived quality of life Created in 1992 by the American Urological Association it originally lacked the eighth quality of life question hence its original name the American Urological Association symptom score AUA 7 1 World Health Organization International Consultation on BPH adopted the eight question index and labeled it the IPSS 2 IPSS score out of 35 Score Correlation0 7 Mildly symptomatic8 19 Moderately symptomatic20 35 Severely symptomaticThe seven questions relating to symptoms experienced in the last month include feeling of incomplete bladder emptying frequency of urination intermittency of urine stream urgency of urination weak stream straining and waking at night to urinate 1 The IPSS was designed to be self administered by the patient with speed and ease in mind Hence it can be used in both urology clinics as well as the clinics of primary care physicians i e by general practitioners for the screening and diagnosis of BPH 1 Additionally the IPSS can be performed multiple times to compare the progression of symptoms and their severity over months and years 1 In addition to diagnosis and charting disease progression the IPSS is effective in helping to determine treatment for patients 1 Contents 1 Scoring 2 Mnemonic 3 Standardisation 4 External links 5 ReferencesScoring editThe symptoms must have been experienced in the last month and each answer is scored from 0 to 5 for a maximum score of 35 points 1 The first six questions are scored based on the following 1 0 Not at all1 Less than 1 time in 52 Less than half the time3 About half the time4 More than half the time5 Almost alwaysThe seventh question relating to nocturia is scored from 0 to 5 based on how many times the patient gets up at night to urinate viz 1 is scored for one time per night and 5 for five times per night 1 The eighth and final question not included in the main IPSS score relating to the patient s perceived quality of life is assigned a score of 0 delighted to 6 terrible 3 Mnemonic editThe mnemonic FUN WISE can be used to remember the seven questions relating to symptoms of BPH They are as follows F FrequencyU UrgencyN NocturiaW Weak streamI IntermittencyS StrainingE Sensation of incomplete emptyingStandardisation editIn research the IPSS is used to standardise patients complaints and symptoms However a meta analysis on the subject of the influence of position whether standing or sitting on urodynamics that is on tests of how completely the bladder sphincter and urethra store and release urine noted that in most cases physicians either did not use the IPSS or did not use it adequately 4 External links edithttp www urospec com uro Forms ipss pdf Archived 2015 02 09 at the Wayback Machine International Prostate Symptom Score IPSS formReferences edit a b c d e f g h International Prostate Symptom Score IPSS at Urological Sciences Research Foundation Retrieved November 2011 Cockett A T K 1992 The International Consultation on Benign Prostatic Hyperplasia 1991 Paris France World Health Organization ISBN 2905744111 a href Template Cite book html title Template Cite book cite book a CS1 maint location link Archived copy PDF Archived from the original PDF on 2015 02 09 Retrieved 2015 04 11 a href Template Cite web html title Template Cite web cite web a CS1 maint archived copy as title link de Jong Y Pinckaers JH ten Brinck RM Lycklama a Nijeholt AAB Dekkers OM 2014 Urinating Standing versus Sitting Position Is of Influence in Men with Prostate Enlargement A Systematic Review and Meta Analysis PLOS ONE 9 7 e101320 Bibcode 2014PLoSO 9j1320D doi 10 1371 journal pone 0101320 PMC 4106761 PMID 25051345 Retrieved from https en wikipedia org w index php title International Prostate Symptom Score amp oldid 1074323227, wikipedia, wiki, book, books, library,
