Doctor how to tell if my prostate is enlarged? Assess by yourself with these 7 questions.

Doctor how to tell if my prostate is enlarged? Assess by yourself with these 7 questions.

The prostate is a walnut-sized gland located between the bladder and the penis & commonly becomes larger in older men. This prostate gland enlargement is also called benign prostatic hyperplasia (BPH) and it is one of the most common problem for men over 50. Although many treatment options are available to treat BPH, you can assess yourself the severity simply by following these 7 questions.


(These are standard questions included in IPSS-International Prostate Symptom Score)


Give scores as follows, if the answer is 0-Not at all


1-Less than 1 time in 5


2-Less than half the time


3-About half the time


4-More than half the time


5-Almost always In the past month.

Now answer these 7


1. Incomplete Emptying

How often have you had the sensation of not emptying your bladder?


2. Frequency

How often have you had to urinate less than every two hours?


3. Intermittency

How often have you found you stopped and started again several times when you urinated?


4. Urgency

How often have you found it difficult to postpone urination?


5. Weak Stream

How often have you had a weak urinary stream?


6. Straining

How often have you had to strain to start urination?


7. Nocturia

How many times did you typically get up at night to urinate?


Calculate the total.


If,your total is

0-7 mildly symptomatic

8-19 moderately symptomatic

20-35 severely symptomatic


However, it would be a good starting point for you to meet a doctor, depends on how it affects your routine life.


This additional question will make you to decide,


If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?



Pleased -1

Mostly Satisfied -2

Mixed -3

Mostly Dissatisfied -4

Unhappy -5

Terrible -6


Depending on the severity & quality of life due to urinary symptoms, you need to seek medical care. You can use these questions to assess the improvement following treatment also.


However, please keep in mind that prostate cancers also common with elderly, so it is advisable to seek medical care in elderly men.


Dr. Yapa Wijeratne

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Dr Rikaz Sheriff

Director, Western Hospital

Rikaz Sheriff is responsible for all aspects of innovation and strategy of health informatics solutions of LankaDoctor. Rikaz joined UniverSL Software after working for 5 years as a Senior Medical Officer at Western Hospital where he leads the business development unit with responsibility for marketing strategy, brand management, advertising, and consumer promotions.

He also serves as the chief coordinator for their kidney transplant programme. Rikaz is a life member of the Sri Lanka Medical Association and the Health Informatics Society of Sri Lanka. Rikaz holds a MBBS degree from Baqai University (Pakistan) and a Master's degree in Biomedical Informatics from the Post Graduate Institute of Medicine, University of Colombo. He also works as the Provincial Health Informatician for the Department of Health Services, Western Province.


Dr. Yapa Wijeratne
MBBS University of Perdeniya.
Medical Officer, Mawanella Hospital.

Yapa entered Faculty of Medicine in 2008, following a successful career at the Dharmaraja College, Kandy. While continuing his undergraduate career, he joined UniverSL Software. He completed his MBBS degree from University of Peradeniya & worked as a Temporary lecturer at Department of Basic sciences, Faculty of Dental Sciences, University of Peradeniya. After completing his internship, he is still working at Teaching Hospital Peradeniya.