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BPH Study Pre Survey

BPH Study Pre Survey

Please fill out this form completely for our BPH Therapy Study.

The International Prostate Symptom Score (IPSS) questionnaire was developed to measure the severity of your BPH symptoms. Your score is not meant to provide medical advice or replace your doctor’s expert opinion and care. Only your doctor can diagnose whether you have BPH and assess your individual condition. There are other conditions that can cause urinary symptoms besides BPH.

The following is a series of questions that ask how often certain symptoms occur. To mark your response, click on the box that best describes your symptoms.

Incomplete Emptying

Frequency

Intermittency

Urgency

Weak Stream

Straining

Sleeping

Quality of Life

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