BPH Symptom Score for Benign Prostatic Hypertrophy

Description

Madsen and Iversen developed a symptom severity score sheet that can be used to evaluate patients with benign prostatic hypertrophy.

Parameters:

(1) stream

(2) voiding

(3) hesitancy

(4) intermittency

(5) bladder emptying

(6) incontinence

(7) urge

(8) nocturia

(9) diuria (frequency of urination during the day)

Parameter	Finding	Points
stream	normal	0
	variable	1
	weak	3
	dribbling	4
voiding	no strain	0
	abdominal strain or Crede maneuver	2
hesitancy	none	0
	present	3
intermittency	none	0
	present	3
bladder emptying	don't know	0
	complete	0
	variable	1
	incomplete	2
	single retention	3
	repeated retention	4
incontinence	none	0
	terminal dribbling	2
	present	2
urge	none	0
	mild	1
	moderate	2
	severe (with incontinence)	3
nocturia	0 to 1 episodes	0
	2 episodes	1
	3 or 4 episodes	2
	> 4 episodes	3
interval between urination during day	interval more than 3 hours	0
	interval 2 – 3 hours	1
	interval 1-2 hours	2
	interval < 1 hour	3

where:

• The Crede maneuver involves application of suprapubic pressure as an aid to emptying the bladder.

clinical score =

= SUM(points for all 9 parameters)

Interpretation:

• minimum score: 0

• maximum score: 27

• The higher the score, the more severe the symptoms from the BPH.

Score	Degree
< 10 points	mild
10 – 20	moderate
> 20	severe

Limitations:

• According to the US Department of Health and Human Services Clinical Practice Guidelines for BPH (1994, page 29), the score is not considered ideal since the point assignments were based on expert opinion rather than on randomized studies of patients.

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Description

Specialty

Objective

ICD-10

Symptom Score Sheet of Madsen and Iversen for Benign Prostatic Hypertrophy

Purpose: To determine the severity of symptoms associated with BPH using the symptom score of Madsen and Iversen.

Description

Specialty

Objective

ICD-10