The Danish Prostatic Symptom Score (DAN-PSS-1) can be used to measure the severity and impact of uncomplicated benign prostatic hyperplasia. It can be used to monitor the response following medical or surgical interventions. The authors are from 5 hospitals in Denmark.
There are 12 symptoms, each of which has a question (see Table I, page 46 Flyger et al).
(1) hesitancy
(2) weak stream
(3) incomplete emptying
(4) straining
(5) daytime frequency
(6) nocturia
(7) urge
(8) urge incontinence
(9) painful voiding
(10) postmicturition dribbling
(11) stress incontinence
(12) overflow/seeping incontinence
Measures for each symptom:
(1) severity
(2) frequency
|
Symptom Feature |
Findings |
Points |
|
severity (generic) |
absent, never |
0 |
|
|
rarely |
1 |
|
|
daily |
2 |
|
|
every time, always |
3 |
|
severity for weak stream |
normal |
0 |
|
|
weak |
1 |
|
|
very weak |
2 |
|
|
dribbling |
3 |
|
severity for incomplete emptying |
always |
0 |
|
|
occasionally |
1 |
|
|
rarely |
2 |
|
|
never |
3 |
|
severity for daytime frequency |
> 3 hours |
0 |
|
|
2-3 hours |
1 |
|
|
1-2 hours |
2 |
|
|
< 1 hour |
3 |
|
severity for nocturia |
none |
0 |
|
|
1-2 times |
1 |
|
|
3-4 times |
2 |
|
|
>= 5 times |
3 |
|
severity for postmicturition dribbling |
never |
0 |
|
|
in the toilet |
1 |
|
|
small amounts in the trousers |
2 |
|
|
large amounts in the trousers |
3 |
|
bother |
not a problem |
0 |
|
|
small problem |
1 |
|
|
moderate problem |
2 |
|
|
major problem |
3 |
subscore for each symptom =
= (points for severity) * (points for bother)
total score =
= SUM(subscore for all 12 symptoms)
Interpretation:
• minimum score: 0
• maximum score: 108
• The higher the score the greater the symptom severity.
• A patient usually shows satisfaction with an intervention if there is a reduction in the number of symptoms showing moderate and major bother.
Specialty: Urology
ICD-10: ,
