The Benign Prostate Hyperplasia (BPH) Symptom Score Index can help your doctor understand how severe enlarged prostate symptoms are.
If your total score is less than seven, your symptoms are considered mild. Higher scores indicate more severe symptoms. Your doctor can discuss your scores with you -- and what they indicate about your need for treatment.
Use the following point scale to answer each of the questions. Total the score from all the questions.
0 = Not at all
3 = About...
TUIP may be a good option for men
with only slightly enlarged prostates.
TUIP may be chosen instead
of TURP by men who:
Are at higher risk for complications from
surgery and anesthetic, including men with serious health problems. TUIP
involves less blood loss and can be done more quickly than
Want to avoid the risk of developing retrograde ejaculation,
a condition in which semen flows backward into the bladder. This side effect is
more common with TURP than with TUIP.
How Well It Works
Symptoms improve after TUIP in about
8 out of 10 men.1 Men notice about a 73% improvement
American Urological Association (AUA) symptom index
scores.1 For example, if you have a score of 25
(indicating severe symptoms), it could be reduced to about 6 (indicating mild
Short-term improvement in BPH symptoms is about the
same for TUIP as for TURP. Studies comparing the two types of surgery suggest
that the outcomes are similar. But men who have had TUIP generally are less
likely to develop retrograde ejaculation than men who have TURP.
The possible risks of transurethral incision of
the prostate (TUIP) include the following:
Retrograde ejaculation, in which semen flows
backward into the bladder, occurs in about 6 to 55 men out of 100.1 Retrograde ejaculation is not harmful.
Erection problems in men who did not have one of these
problems before the surgery are reported in about 4 to 25 men out of
The need for a blood transfusion during surgery is
For about 10 men out of 100, a second operation is needed
after 15 years.1
What To Think About
Surgery usually is not required to
treat BPH, but it may be a reasonable choice for some men. Choosing surgery
depends largely on your preferences and comfort with the idea of having
surgery. Things to consider include your expectations, the severity of your
symptoms, and the possibility of developing complications.
who have severe symptoms often have great improvement in quality of life
following surgery. Men whose symptoms are mild may find that surgery does not
greatly improve quality of life. Men with only mild symptoms may want to think
carefully before having surgery to treat BPH.
Fitzpatrick JM (2007). Minimally invasive and
endoscopic management of benign prostatic hyperplasia. In AJ Wein, ed.,
Campbell-Walsh Urology, 9th ed., vol. 3. pp. 2803-2844.
Philadelphia: Saunders Elsevier.
Primary Medical Reviewer
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer
Christopher G. Wood, MD, FACS - Urology, Oncology
March 23, 2010
WebMD Medical Reference from Healthwise
March 23, 2010
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this