Nightly urination
0-Absence of Symptom
1-Awakened 1 time each night because of need to
urinate
2-Awakened 2 to 3 times each night because of need
to urinate
3-Awakened 4 times each night because of need to
urinate
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Score:
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Frequency of daytime urination
0-Urinates 1 to 4 times daily
1-Urinates 5 to7 times daily
2-Urinates 8 to 12 times daily
3-Urinates 13 or more times daily
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Score:
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Hesitancy before urination
0-Occasional hesitation before urination (occurs in
20% or fewer of your attempts to urinate
1-Moderate hesitation before urination (occurs
during 20 to 50% of your attempts to urinate)
2-Frequent hesitation before urination (occurs
during more than 50% of the time, but not always,
and may last upto one minute)
3-Hesitation during every attempt to urinate, last
for one minute or longer
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Score:
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Intermittant urination
0-Urine flow is occasionally intermittant (irregular)
(occurs in 20% or fewer of your attempts to urinate
1-Urine flow is moterately intermittant (occurs
during 20 to 50% of your attemps to urinate
2-Urine flow is frequently intermittent (occurs
during more than 50% of the time, but not always,
and may last up to one minute)
3-Intermittent urine flow during every attempt to
urinate, lasts for one minute or longer
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Score:
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Dribbling after urination
0-Occasional dribbling after urination (occurs in 20%
or fewer of your voiding)
1-Moderate dribbling after urination (occurs in 20 to
50% or fewer of your voiding)
2-Frequent dribbling after urination (occurs more
than 50% of the time but not always
3-Dribbling occurs always, last for one minute or
longer, or wets clothing
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Score:
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Urgency
0-Never feel an urgent need to urinate
1-Occasionally difficult to postpone urination
2-Frequently difficult (more than 50% of the time) to
postpone urination and may rarely lose urine
3-Always difficult to postpone urination and
sometimes loses urine
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Score:
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Impairment of size and force of urinary stream
0-Absence of symptoms
1-Impaired direction of stream
2-Most of the time the size and force of the urine
stream are restricted
3-Urination takes great effort and stream is interrupted
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Score:
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Difficulty Urinating
0-No difficulty urinating
1-Occasional burning sensation during urination
2-Frequent (more than 50% of the time) burning
sensation during urination
3-Frequent and painful burning sensation during
urination
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Score:
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Sensation of incomplete voiding
0-No sensation of incomplete voiding
1-Occasional sensation of incomplete emptying of
bladder after urinating
2-Frequent (more than 50% of the time) sensation of
incomplete emptying of bladder after urinating
3-Constant and urgent sensation of incomplete
voiding and no relief upon urinating
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Score:
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Total: |
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