Benign Prostatic Hyperplasia (BPH) Symptom Score? - GSK Source

What is Your
Benign Prostatic Hyperplasia (BPH) Symptom Score?
Use this American Urological Association (AUA) Symptom Index for BPH to
help determine your symptom score. Circle the number in each line that best
describes your symptoms. Add the 7 circled numbers to get a total score, then
talk to your doctor to see if you may have symptoms of BPH.
Over the past month...
Not
at all
Less
than 1
time in 5
Less
than
half the
time
About
half the
time
More
than
half the
time
Almost
always
How often have you had a sensation of not emptying
your bladder completely after you finished urinating?
How often have you had to urinate again less than
2 hours after you finished urinating?
How often have you found you stopped and
started again several times when you urinated?
How often have you found it difficult to postpone
urination?
How often have you had a weak urinary stream?
How often have you had to push or strain to
begin urination?
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
0 1 2 3 4 5
None 1 Time 2 Times 3 Times 4 Times
5 or
more
times
Over the past month, how many times did you
typically get up to urinate from the time you went to
bed until the time you got up in the morning?
0 1 2 3 4 5
Your total symptom score:
Symptom Score: q 1–7 Mild q 8–19 Moderate q 20–35 Severe
Adapted from American Urological Association Education and Research, Inc. McVary K, Roehrborn C, Avins A, et al. American Urological Association
Guideline: Management of Benign Prostatic Hyperplasia (BPH), Revised 2010. Linthicum, MD; 2010.

UNDERSTANDING
Benign Prostatic Hyperplasia (BPH)
Normal Anatomy
The prostate gland sits below the bladder and surrounds the
urethra—the tube through which urine and semen pass out of
the body. Normally the prostate is about the size of a walnut.
Bladder
What is BPH?
BPH is a growth in the number
of cells in the prostate.
• The cause of BPH is not
well understood.
• Some men over the age
of 50 may experience
prostate growth.
• In some men this prostate
growth may cause
urinary symptoms.
Prostate cross-section view
Normal
Prostate cells
Prostate cell
growth in BPH
Ejaculatory
duct
Prostate
Normal Anatomy
Bladder
neck
Urethra
Urine flow
restricted
Because of the prostate’s location in the body, when it
enlarges it can narrow the tube carrying urine out of
the body and obstruct the emptying of the bladder.
The following urinary symptoms may all be signs of BPH:
• Feeling the need to urinate frequently
• Difficulty starting to urinate
Enlarged
prostate
BPH
Urethra gets
squeezed
• Difficulty emptying your bladder completely, and because
of this, urine may dribble when you are done
Urine flow
restricted
• The stream of your urine is weak and may start and stop
• Frequently urinating at night
• Sudden strong urges to urinate
If you have any of these symptoms, talk to your doctor.
If you have BPH, your doctor will help you find a
treatment plan that is right for you.
Normal prostate
size for comparison
Urethra gets
squeezed
Symptomatic BPH IN MAN WITH
AN ENLARGED PROSTATE
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