To submit the International Prostate Symptom Score (IPSS) assessment, ensure that all fields are completed and scores are accurately totaled. Email the completed form to your healthcare provider or use an online patient portal if available. You can also fax the form to your healthcare provider's office. If you prefer to submit a physical copy, mail it to your healthcare provider's address or hand it in during your next appointment. Contact your healthcare provider's office directly for specific submission instructions and preferred methods.

For the International Prostate Symptom Score (IPSS) assessment, there are no specific dates to be mindful of in 2024 and 2025. This form can be filled out and submitted at any time based on your symptoms and consultation needs with your healthcare provider.

The International Prostate Symptom Score (IPSS) assessment serves to evaluate and quantify urinary symptoms associated with benign prostatic hyperplasia (BPH). By answering a series of questions about symptoms such as incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and sleep disturbances, patients and healthcare providers can gauge the severity of the condition. The total score assists in understanding the impact of symptoms on quality of life and helps guide discussions regarding potential treatment options. It is a valuable tool for both patients and healthcare providers in managing and tracking the progression of urinary symptoms over time.

• 1. Patient Name: The full name of the patient completing the assessment.
• 2. Date of Birth: The birth date of the patient.
• 3. Age: The age of the patient.
• 4. Today's Date: The current date when the assessment is being completed.
• 5. Incomplete emptying: Evaluates how often the patient feels that their bladder is not completely emptied after urination.
• 6. Frequency: Assesses how often the patient needs to urinate again less than two hours after finishing urination.
• 7. Intermittency: Measures how often the patient experiences a stop-and-start flow of urine during urination.
• 8. Urgency: Determines how often the patient finds it difficult to postpone urination.
• 9. Weak stream: Evaluates the frequency of having a weak urinary stream.
• 10. Straining: Assesses how often the patient has to push or strain to begin urination.
• 11. Sleeping: Measures how often the patient gets up to urinate from the time they go to bed until getting up in the morning.
• 12. Add Symptom Scores: The section where patients sum up their scores to determine the total IPSS score.
• 13. Quality of Life (QoL): Assesses the patient's feelings about living with their current urinary condition and their interest in treatment options.

Failing to submit the International Prostate Symptom Score (IPSS) assessment can delay the evaluation and treatment of urinary symptoms. It is essential to complete and submit the form for timely and accurate diagnosis and management.

• Delayed Diagnosis: Without submitting the form, a proper diagnosis cannot be made.
• Worsened Symptoms: Symptoms may progress or worsen if not accurately assessed and treated.
• Missed Treatment Opportunities: Potential treatments may be missed without proper symptom evaluation.

• 1. Initial Symptom Evaluation: Use the form to assess the initial severity of urinary symptoms.
• 2. Ongoing Symptom Monitoring: Complete the form periodically to track changes and progress.
• 3. Pre-Medical Consultation: Fill out the form before visiting a healthcare provider to provide a detailed symptom overview.