Surgery is recommended for an IPSS score of more than 7 or if prostate enlargement severely affects quality of life.
The IPSS, or International Prostate Symptom Score, is used to subjectively reflect the severity of lower urinary tract symptoms caused by BPH.
The IPSS score is divided into three levels, where mild is 0-7, 8-19 is moderate, and severe is 20-35. If the higher the score, the more severe the lower urinary tract obstruction symptoms are, and surgery is generally recommended for scores over 7.
In addition to the IPSS score, timely surgical intervention is also recommended if prostate obstruction symptoms are severe enough to affect quality of life. If there are indications of recurrent urinary retention, urinary incontinence, hematuria, dilatation of infected upper urinary tract fluid, and renal impairment, surgery should be undertaken as soon as possible regardless of the IPSS score.
Patients with prostatic hyperplasia are advised to seek prompt medical attention for standardized diagnosis and treatment.