What are IPSS severity categories?

IPSS 0-7: mild symptoms (watchful waiting). IPSS 8-19: moderate (medical therapy). IPSS 20-35: severe (surgical evaluation). QoL item 5-6 regardless of total score supports intervention discussion.

What medications are used for moderate LUTS/BPH?

Alpha-blockers (tamsulosin, alfuzosin) for rapid symptom relief. 5-alpha reductase inhibitors (finasteride, dutasteride) for prostate volume >40mL to reduce progression. Combination therapy for large prostate with moderate-severe symptoms.

When is surgical intervention indicated for BPH?

Surgical indications: refractory urinary retention, recurrent UTI from residual urine, upper tract dilation/renal failure from obstruction, recurrent gross hematuria from BPH, and patient preference after medical therapy failure.

IPSS International Prostate Symptom Score

Calculate IPSS for benign prostatic hyperplasia (BPH): 7 symptom questions scored 0-35 plus quality of life item. Score >=20 indicates severe LUTS warranting surgical consideration.

Use the full interactive calculator below, or

IPSS International Prostate Symptom Score

Frequently Asked Questions

What are IPSS severity categories?

What medications are used for moderate LUTS/BPH?

When is surgical intervention indicated for BPH?