Cutterguide: N/A Printing Process: Offset Size: 148 x 210 mm, Pages: 4 Colors: C M Y K (4 Color) GD: NK 463804 Native File: Indesign CC, Generated in: Acrobat Distiller 11

Is FREQUENT troubling you all the time?

If you’re disappearing to the toilet to urinate with increasing frequency, having difficulty urinating or have a weak strem you may be experiencing symptoms of Benign Prostatic Hyperplasia (BPH).

Disclaimer: The images used in this material are not of actual patients and are for representational purposes only. The information in this leaflet is only for awareness and is not an alternative for formal medical advice. Please consult your doctor for further information. © Copyright 2018 GSK Group of Companies

AWA/URO/0003/18 Date of preparation: May 2018

GSK_IPSS_A5_LP_NG-9208131_D1.indd 1-2 5/22/2018 5:36:37 PM What is BPH? Check your symptom score

Benign prostatic hyperplasia (BPH) is a common condition as men get BPH Patient Questionnaire | IPSS, International Symptom Score. older. Untreated BPH can block the flow of urine out of the bladder and Simply spend 2 minutes of your time to fill in the below questionnaire to cause bladder, urinary tract or kidney symptoms. find out how your symptoms are ranked in severity. If your total score is above 8, please consult your doctor for further advice. Do you experience any of these symptoms of BPH? Not at Less than Less than About Half More than Almost In the past month: All 1 in 5 Times Half the Time the Time Half the Time Always 1. Incomplete Emptying How often have you 0 1 2 3 4 5 Difficulty starting urination had the sensation of not emptying your bladder?

2. Frequency How often have you had to 0 1 2 3 4 5 Straining while urinating urinate less than every two hours?

3. Intermittency How often have you found you stopped and started 0 1 2 3 4 5 Dribbling at the end of urination again several times when you urinated?

4. Urgency How often have you found 0 1 2 3 4 5 Inability to completely empty the bladder it diffcult to postpone urination?

5. Weak Stream How often have you had a 0 1 2 3 4 5 weak urinary stream? Weak urine stream or a stream that stops and starts 6. Straining How often have you had to 0 1 2 3 4 5 strain to start urination? None 1 Time 2 Times 3 Times 4 Times 5 Times Frequent or urgent need to urinate 7. How many times did you 0 1 2 3 4 5 typically get up at night to urinate?

Increased frequency of urination at night (nocturia) Total I-PSS Score

Score: 1-7: Mild 8-19: Moderate 20-35: Severe

Mostly Mostly Quality of Life Due to Delighted Pleased Mixed Unhappy Terrible Urinary Symptoms Satisfied Dissatisfied If you were to spend the rest If you are familiar with any of the symptoms above, you of your life with your urinary should check your symptom score. condition just the way it is now, how would you feel about that?

Reference: http://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/basics/definition/con-20030812 Last accessed: September 2017 Reference: Urospec International Prostate Symptom Score (I-PSS) form 2017. Available at: http://www.urospec.com/uro/Forms/ipss.pdf Last accessed: September 2017

GSK_IPSS_A5_LP_NG-9208131_D1.indd 3-4 5/22/2018 5:36:37 PM