International Prostate Symptom Score I-PSS

Authored by Dr Hayley Willacy, 07 Nov 2016

Reviewed by:
Hilary Cole, 07 Nov 2016

Patient professional reference

Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find the Prostate Specific Antigen Test (PSA) article more useful, or one of our other health articles.

See separate related Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms in Men articles.

The International Prostate Symptom Score (I-PSS) is used in the assessment of lower urinary tract symptoms in men (LUTS)[1, 2, 3, 4].

The I-PSS is free for use by individual clinicians and for non-funded research. It is available on the web from Urology Specialists PC.

I-PSS© 1992 Michael J Barry, all rights reserved. I-PSS contact information and permission to use: Mapi Research Trust, Lyon, France. E-mail see:, internet:

The I-PSS was originally based on the American Urological Association seven-item symptom score (AUA-7).[1]The 'quality of life' question was added by the World Health Organization when it was adopted by the International Consensus Committee as an international questionnaire for evaluating prostatic symptoms. Although the single 'quality of life' question may not capture the full impact of prostate symptoms, it can be used as a starting point for a doctor-patient discussion on management.

Further reading and references

  1. Barry MJ, Fowler FJ Jr, O'Leary MP, et al; The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol. 1992 Nov148(5):1549-57

  2. Bosch JL, Hop WC, Kirkels WJ, et al; The International Prostate Symptom Score in a community-based sample of men between 55 and 74 years of age: prevalence and correlation of symptoms with age, prostate volume, flow rate and residual urine volume. Br J Urol. 1995 May75(5):622-30.

  3. Wadie BS, Ibrahim EH, de la Rosette JJ, et al; The relationship of the International Prostate Symptom Score and objective parameters for diagnosing bladder outlet obstruction. Part I: when statistics fail. J Urol. 2001 Jan165(1):32-4.

  4. Eckhardt MD, van Venrooij GE, Boon TA; Symptoms and quality of life versus age, prostate volume, and urodynamic parameters in 565 strictly selected men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia. Urology. 2001 Apr57(4):695-700.

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