Male Urinary Tract (IPSS) | St Mary's Surgery

Full Name: *

Phone Number: *

Email Address *

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?

*

I confirm that the information provided is accurate to the best of my knowledge