Menu

Male Urinary Tract (IPSS) Review Form

Male Urinary Tract Review and International Prostatism Symptom Score (IPSS)
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979

Your IPS Score

This is calculated automatically, based on the answers to the review questions.

0-7 Points:Mild symptoms
8-19 Points:Moderate Symptoms
20-35 Points:Severe symptoms

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
Translate