Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library American Urological Association Symptom Index

American Urological Association Symptom Index

Overview

The American Urological Association (AUA) has developed the following questionnaire to help men determine how bothersome their urinary symptoms are and to check how effective their treatment is.footnote 1 This questionnaire has also been adopted worldwide and is known as the International Prostate Symptom Score (IPSS). It is sometimes seen with a Quality of Life Scale at the end of the questionnaire.

Symptom score point scale

Use the following point scale to answer the questions.

  • 0 points means you answered "never" to the question.
  • 1 point means you answered "less than 1 out of 5 times" to the question.
  • 2 points means you answered "less than half of the time" to the question.
  • 3 points means you answered "about half of the time" to the question.
  • 4 points means you answered "more than half of the time" to the question.
  • 5 points means you answered "almost always" to the question.

Symptom score questions

  1. Over the past month, how often have you had the feeling of not completely emptying your bladder after you finished urinating?
  2. Over the past month, how often have you had to urinate again less than 2 hours after you finished urinating?
  3. Over the past month, how often have you found that you stopped and started again several times when you urinated?
  4. Over the past month, how often have you found it hard to hold your urine?
  5. Over the past month, how often have you had a weak urine stream?
  6. Over the past month, how often have you had to push or strain to begin urination?
  7. Over the past month, have you had to get up to urinate during the night? Give a score to the number of times.
    • 0 means you did not get up at all.
    • 1 means you got up 1 time.
    • 2 means you got up 2 times.
    • 3 means you got up 3 times.
    • 4 means you got up 4 times.
    • 5 means you got up 5 times or more.

For example, for question number 1, a man who had the feeling of not completely emptying his bladder less than half the time (but more than 1 out of 5 times) would get 2 points for that question. For question number 4, a man who found it hard to hold his urine less than once out of every 5 times would get 1 point for that question.

Symptom score total

Total your score.

Your score shows how severe your symptoms are. This symptom index may be used to develop a treatment plan. Your doctor may also ask you to take the test again after treatment to see how well treatment helped your symptoms.

Compare your total score to the list below.

Score and severity of problem

Score

Severity

0 to 7

Mild

8 to 19

Moderate

20 to 35

Severe

Quality of life

If 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?

  • Delighted
  • Pleased
  • Mostly satisfied
  • Mixed
  • Mostly dissatisfied
  • Unhappy
  • Terrible
References

References

Citations

  1. Barry MJ, et al. (1992). American Urological Association symptom index for benign prostatic hyperplasia. Journal of Urology, 148(5): 1549–1557.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

Related Links

Benign Prostatic Hyperplasia (BPH)

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice [PDF] Language Assistance [PDF] Report Fraud Sitemap

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details