Male Urinary Tract (IPSS)

If you have been advised by the surgery to submit a male urinary tract (IPSS) review, please use this form.

Male Urinary Tract (IPSS)

Male Urinary Tract (IPSS)

Which surgery are you registered with? *

Urinary Tract Review

Over the past month, how often have you had a sensation of not emptying your bladder completely after you finish urinating? *
Over the past month, how often have you had to urinate again less than two hours after you finished urinating? *
Over the past month, how often have you found that you stopped and started again several times when you urinated? *
Over the past month, how often have you found it difficult to postpone urination? *
Over the past month, how often have you had a weak urinary stream? *
Over the past month, how often have you had to push or strain to begin urination? *
Over the past month, many times did you most typically get up to urinate from the time you went to bed until the time you got up in the morning? *
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? *
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