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Enlarged Prostate: Your BPH Symptoms Score

WebMD Medical Reference

WebMD Medical Reference

Enlarged Prostate: Your BPH Symptoms Score

Reviewed by Brunilda Nazario, MD, March 2006

The Benign Prostate Hyperplasia (BPH) Symptom Score Index can help your doctor understand how severe your urinary symptoms are.

If your total score is less than seven, your symptoms are considered mild. Higher scores indicate more severe symptoms. Your doctor can discuss your scores with you -- and what they indicate about your need for treatment.

Use the following point scale to answer each of the questions. Total the score from all the questions.

0 = Not at all3 = About half the time
1 = Less than once in 5 times you have urinated4 = More than half the time
2 = Less than half the time5 = Almost always

Over the past month, how often have you:

Had the sensation of not completely emptying your bladder after you finished urinating?
Had to urinate again less than 2 hours after you finished urinating?
Found that you stopped and started again several times when you urinated?
Found it difficult to postpone urination?
Had a weak urinary stream?
Had to push or strain to begin urination?

Had to get up to urinate from the time you went to bed at night until you got up in the morning?

For this question, use the following point scale:
0 = None3 = 3 times
1 = 1 time4 = 4 times
2 = 2 times5 = 5 times or more
Total score from all questions

Compare your total score to the list below.

ScoreSeverity of BPH
0 to 7Mild
8 to 19Moderate
20 to 35Severe

Print this page and take it with you to discuss your symptoms with your doctor.

Published March 2006.


SOURCES: American Urological Association.

How severe are your BPH symptoms?

  • Not a big deal
  • Bothersome
  • Seriously affecting my life
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