BPH Ablation Study

International Prostate Symptom Score (I-PSS), Flows, Volumes

Date *
Date
Center *
0- Not at all 1- Less than 1 in 5 2- Less than Half the Time 3- About Half the Times 4- More than Half the Time 5- Almost Always
0- Not at all 1- Less than 1 in 5 2- Less than Half the Time 3- About Half the Times 4- More than Half the Time 5- Almost Always
0- Not at all 1- Less than 1 in 5 2- Less than Half the Time 3- About Half the Times 4- More than Half the Time 5- Almost Always
0- Not at all 1- Less than 1 in 5 2- Less than Half the Time 3- About Half the Times 4- More than Half the Time 5- Almost Always
0- Not at all 1- Less than 1 in 5 2- Less than Half the Time 3- About Half the Times 4- More than Half the Time 5- Almost Always
0- Not at all 1- Less than 1 in 5 2- Less than Half the Time 3- About Half the Times 4- More than Half the Time 5- Almost Always
Indicate 5 - If 5 times or more
0- Delighted 1- Pleased 2- Mostly Satisfied 3- Mixed 4- Mostly Dissatisfied 5- Unhappy 6- Terrible
cc/s
cc/s
Voiding pressure @ MaxFlow
Prostate Calcifications
Taking -Flomax-Rapaplo-Doxasozin *
Taking - Finasteride or Dutasteride *
Taking - Cialis or Tadanafil *
Patient
Patient
Birthdate
Birthdate