Medical Park İzmir Hospital · Konak / İzmir
Assoc. Prof. Dr. Uygar Miçooğulları

Prostate Symptom Score (IPSS) Test — Free Calculator

Free test · 2 minutes

Find out your prostate symptom score

The International Prostate Symptom Score (IPSS) is a standard questionnaire used by urologists worldwide to measure the severity of urinary tract symptoms. Answer the 8 questions thinking about the past month.

  • 8 soru · answer thinking about the past month
  • 0–35 puan · mild, moderate or severe
  • Gizli · your answers never leave your device and are not stored
Question 1 / 8Over the past month, how often have you had a sensation of not emptying your bladder completely after you finished urinating?
Question 2 / 8Over the past month, how often have you had to urinate again less than two hours after you finished urinating?
Question 3 / 8Over the past month, how often have you found you stopped and started again several times when you urinated?
Question 4 / 8Over the past month, how often have you found it difficult to postpone urination?
Question 5 / 8Over the past month, how often have you had a weak urinary stream?
Question 6 / 8Over the past month, how often have you had to push or strain to begin urination?
Question 7 / 8Over 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?
Question 8 / 8 · Quality of lifeIf you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?
1 / 8
Visual guide · Prostate enlargement

How big is your prostate?

Using a comparison urologists also use during examinations: move the slider to see which treatments are usually considered as the prostate grows.

Prostate size alone does not determine treatment; the severity of symptoms, urine flow rate, urine left in the bladder and the examination are assessed together.

Walnut20–25 g

Walnut 20–25 g

Normal adult prostate size. If there are no symptoms, no treatment is needed; regular urological check-ups are recommended after age 50.

Measure your symptoms: IPSS test

Mandarin 30–50 g

Mild–moderate enlargement. If symptoms are mild, lifestyle advice and monitoring; if symptoms are significant, medication is usually the first step.

Medical prostate treatment

Orange 50–80 g

Moderate–advanced enlargement. If medication does not bring enough relief, or if there are problems such as inability to urinate, recurrent infection or bladder stones, surgery is considered: transurethral resection of the prostate (TURP) or laser.

Transurethral prostate surgery (TURP)

Grapefruit 80–130+ g

Advanced enlargement. Because laser prostate surgery (HoLEP / ThuFLEP) can be performed regardless of prostate size, it stands out at these sizes; most patients do not need open surgery.

Laser prostate surgery

How is the IPSS score interpreted?

The first seven questions are scored from 0 to 5, and the total score ranges from 0 to 35. 0–7 points indicates mild, 8–19 points moderate and 20–35 points severe symptoms. The eighth question measures quality of life on a scale of 0–6 and shows how much the symptoms bother you when making a treatment decision.

Does the score alone provide a diagnosis?

No. The IPSS shows the severity of symptoms; it does not determine the cause. Benign prostatic hyperplasia, overactive bladder, urinary tract infection or strictures can cause similar symptoms. A definitive evaluation is made through examination, urinalysis, ultrasound and, if necessary, PSA and urinary flow rate measurement.

If your score is moderate or severe

Depending on the cause of the symptoms, options such as lifestyle changes, medication or, for an enlarged prostate, laser prostate surgery (HoLEP / ThuLEP) are considered. After treatment, you can track your improvement by repeating the same test.

Frequently asked questions

Who is the IPSS test suitable for?
It is especially suitable for men with frequent urination, waking at night to urinate, a weak urinary stream or a feeling of incomplete emptying.
Are my answers saved?
No. The calculation is done entirely in your browser; your answers are not sent to the server and are not stored. If you wish, you can share the result yourself via a WhatsApp message.
My score is high. What should I do?
A moderate or severe score indicates that a urological examination is needed. If you cannot urinate, or have fever or blood in your urine, seek care without delay.
How often should I repeat the test?
Once treatment has started, repeating it at follow-up visits is useful for monitoring the effect of treatment.

Let's evaluate your result together

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