• 0141-429-0943
  • 36 Admiral Street, Kinning Park, G41 1HU
  • ggc.gp52260@nhs.scot

Mull Medical Practice

Male Urinary Tract (IPSS) Review Form

What is the IPSS score?

The IPSS questionnaire allows us to better understand the severity of your water work symptoms. It is used for men who are having problems that are likely to be related to an enlarged prostate. It is helpful in determining which treatment option is best for you and then monitoring any improvement.

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Name*
DD slash MM slash YYYY

Your IPS Score

Over the past month, how often have you had a sensation of not emptying your bladder completely after you finished urinating?*
Over the past month, how often have you had to urinate again less than 2 hours after you finished urinating?*
Over the past month, how often have you found you stopped and started again several times when you urinated?*
Over the past month, how often have you found it difficult to postpone urination?*
Over the past month, how often have you had a weak urinary stream?*
Over the past month, how often have you had to push or strain to begin urination?*
Over the past month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?*

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
We need your consent to proceed. Please tick the box to consent.*
We need your consent to proceed. Please tick the box to consent.

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  • 0141-429-0943
  • 36 Admiral Street, Kinning Park, G41 1HU
  • ggc.gp52260@nhs.scot

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