Symptom Index for Benign Prostatic Hyperplasia (BPH)

Directions: Answer the questions below by selecting the appropriate number.

Questions 1-6 are to be answered:

• 0—Not at all
• 1—Less than one time in five
• 2—Less than half the time
• 3—About half the time
• 4—More than half the time
• 5—Almost always

1. During the past month, after you finished urinating, how often did you have the sensation that you had not emptied your bladder completely?

0 1 2 3 4 5

2. During the past month, how often did you have to urinate again within less than two hours after you finished urinating?

0 1 2 3 4 5

3. During the past month, how often did you find that you stopped and started again several times when you urinated?

0 1 2 3 4 5

4. During the past month, how often did you find it difficult to postpone urination?

0 1 2 3 4 5

5. During the past month, how often did you have a weak urinary stream?

0 1 2 3 4 5

6. During the past month, how often did you have to strain to begin urination?

0 1 2 3 4 5

7. During the past month, how many times, on average, did you have to get up to urinate, from the time you went to bed until the time you got up in the morning? (Select the number of times.)

0 1 2 3 4 5

Calculate your BPH symptom score: