Male Urinary Tract (IPSS)

If you have been advised by the practice to submit Male Urinary Tract (IPSS) review please use this form.

Male Urinary Tract (IPSS)

Male Urinary Tract (IPSS)

Please only complete this form if you have been specifically requested to do so. Any submitted forms that have not been requested by a Medical Professional will be voided.

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Urinary Tract Review

How often does your bladder not feel empty when finished passing urine?
How often do you need to pass urine within 2 hours of last urinating?
How often does the flow stop and start when passing urine?
How often is it hard to delay passing urine?
How often is the flow poor?
How often do you need to push or strain to begin?
How often do you need to pass urine after going to bed?
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