BPH Patient Self-Assessment Tool
Both the American Urological Association Symptom Index and the International Prostate Symptom Score (IPSS) assessment tool contain 7 symptom questions that probe for irritative BPH symptoms of frequency, urgency, and nocturia, and obstructive symptoms of intermittency, incomplete emptying, weak stream, and straining/hesitancy.12
The questions are scored on a scale from 0 to 5, with higher values indicating greater severity of symptoms. The total score ranges from 0 to 35, with scores of 0-7 indicating mild symptoms, 8-19 indicating moderate symptoms, and 20-35 indicating severe symptoms.
These questionnaires are used to assess the frequency and severity of BPH symptoms. The questionnaire, along with the results of the physical examination and PSA tests, can help confirm the diagnosis and assess the need for treatment. After treatment is started, the BPH Patient Self-Assessment Tool can be readministered to determine the efficacy of treatment.
The IPSS assessment also contains a quality of life question that assesses the extent of bother that BPH symptoms cause.12
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RAPAFLO® is indicated for the treatment of the signs and symptoms of benign prostatic hyperplasia (BPH). RAPAFLO® is not indicated for the treatment of hypertension.
RAPAFLO® is contraindicated in patients with severe renal impairment (CCr <30 mL/min), severe hepatic impairment (Child-Pugh score ≥10), and with use of strong CYP3A4 inhibitors. Postural hypotension with or without symptoms (eg, dizziness) may develop when beginning treatment with RAPAFLO®. As with all alpha-blockers, there is a potential for syncope. Patients should be warned of the possible occurrences of such events and should avoid situations where injury could result. RAPAFLO® should be used with caution in patients with moderate renal impairment. Patients should be assessed to rule out the presence of prostate cancer prior to starting treatment with RAPAFLO®. Patients planning cataract surgery should inform their ophthalmologist that they are taking RAPAFLO®.
The most common side effects are retrograde ejaculation, dizziness, diarrhea, orthostatic hypotension, headache, nasopharyngitis, and nasal congestion.
