BPH Symptom Score

BPH Symptom Score or AUA Score

For each question, circle the answer that best describes your situation. Add the circled numbers together to get your total score. See the key at the bottom of this form to determine the overall rating of your symptoms.
		Not at all	Less than one in five times	Less than half of the time	About half of the time	More than half of the time	Almost always
1.	In the past month, how often have you had a sensation of not emptying your bladder completely after you finished voiding?	0	1	2	3	4	5
2.	In the past month, how often have you had to urinate again less than 2 hours after you finished urinating before?	0	1	2	3	4	5
3.	In the past month, how often have you found you stopped and started again several times when you urinated?	0	1	2	3	4	5
4.	In the past month, how often have you found it difficult to postpone urination?	0	1	2	3	4	5
5.	In the past month, how often have you had a weak urinary stream?	0	1	2	3	4	5
6.	In the past month, how often have you had to push or strain to begin urination?	0	1	2	3	4	5
7.	In the past month, how many times did you typically get up to urinate from the time you went to bed until you arose in the morning?	0	1	2	3	4	5
		(none)	(one time)	(two times)	(three times)	(four times)	(five times)

Total: ___________
SCORING KEY: 0 to 7 = mild; 8 to 19 = moderate; 20 or more = severe.

FIGURE 1. Scoring system developed by the American Urological Association to evaluate the severity of urinary symptoms. (BPH = benign prostatic hyperplasia)

Adapted with permission from Barry MJ, Fowler FJ Jr, O'Leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, et al. The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol 1992;148:1549-57.