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National Clinical Guideline Centre (UK). The Management of Lower Urinary Tract Symptoms in Men [Internet]. London: Royal College of Physicians (UK); 2010. (NICE Clinical Guidelines, No. 97.)

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  • Since original publication this guideline has been partially updated by NICE: In June 2015, we reviewed the evidence for phosophodiesterase-5 inhibitors, and added recommendation 1.4.10 on when to use them. We also added research recommendation 2.5 on the clinical and cost effectiveness of phosophodiesterase-5 inhibitors in men who do not have erectile dysfunction.

Since original publication this guideline has been partially updated by NICE: In June 2015, we reviewed the evidence for phosophodiesterase-5 inhibitors, and added recommendation 1.4.10 on when to use them. We also added research recommendation 2.5 on the clinical and cost effectiveness of phosophodiesterase-5 inhibitors in men who do not have erectile dysfunction.

Cover of The Management of Lower Urinary Tract Symptoms in Men

The Management of Lower Urinary Tract Symptoms in Men [Internet].

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Appendix HInternational Prostate Symptom Score (IPSS)

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DO NOT USE WITHOUT AUTHORISATION

INTERNATIONAL-PROSTATE SYMPTOM SCORE (I-PSS)
Not at allLess than 1 time in 5Less than half the timeAbout half the timeMore than half the timeAlmost always
1. Over the past 4 weeks, how often have you had a sensation of not emptying your bladder completely after you finished urinating?012345
2. Over the past 4 weeks, how often have you had to urinate again less than two hours after you finished urinating?0l2345
3. Over the past 4 weeks, how often have you found you stopped and started again several times when you urinated?012345
4. Over the past 4 weeks, how often have you found it difficult to postpone urination?012345
5 Over the past 4 weeks, how often has your urinary stream been weaker than usual?012345
6 Over the past 4 weeks, how often have you had to push or strain to begin urination?012345
None1 time2 times3 times4 times5 or more times
7. Over the past 4 weeks, how many times, in general, did you get up to urinate from the time you went to bed at night until the time you got up in the morning?012345
  Total I-PSS Score S =
QUALITY OF LIFE DUE TO URINARY SYMPTOMS
DelightedPleasedMostly satisfiedMixed - neither satisfied nor dissatisfiedMostly dissatisfiedUnhappyTerrible
1. If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?0123456
  Quality of life assessment index L =

I-PSS contact information and permission to use: MAPI Research Trust, Lyon, France. E-mail: gro.tsurt-ipam@tcatnoc Website: www​.mapi-trust.org I-PSS 1_Standard_UK English_Mapi lnstitute_ID2831

International Prostate Symptom Score – Acute version

INTERNATIONAL-PROSTATE SYMPTOM SCORE
QuestionNot at allLess than 1 time in 5Less than half the timeAbout half the timeMore than half the timeAlmost a1ways
1. Over the past week, how often have you had a sensation of not emptying your bladder completely after you finished urinating?012345
2. Over the past week, how often have you had to urinate again less than two hours after you finished urinating?012345
3. Over the past week, how often have you found you stopped and started again several times when you urinated?012345
4. Over the past week. how often have you found it difficult to postpone urination?012345
5. Over the past week, how often has your urinary stream been weaker than usual?012345
6. Over the past week, how often have you had to push or strain to begin urination?012345
None1 time2 times3 times4 times5 or more times
7. Over the past week, how many times, in general, did you get up to urinate from the time you went to bed at night until the time you got up in the morning?012345
QUALITY OF LIFE DUE TO URINARY SYMPTOMS
QuestionDelightedPleasedMostly satisfiedMixed - neither satisfied nor dissatisfiedMostly dissatisfiedUnhappyTerrible
1. If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?0123456

I-PSS contact information and permission to use: MAPI Research Trust, Lyon, France. E-mail: gro.tsurt-ipam@tcatnoc Website: www​.mapi-trust.org I-PSS1 Acute- UK English–ID3546_15/02/99

Copyright 1992, International – Prostate Symptom Score © (I-PSS©) Michael J Barry. All rights reserved.

Apart from any fair dealing for the purposes of research or private study, criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, no part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

The rights of the National Clinical Guideline Centre to be identified as Author of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act, 1988.

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