TESTING

NIH-CPSI

Chronic prostatitis symptom index

By answering the questions of this questionnaire, you will be able to assess the severity of symptoms of chronic prostatitis and pelvic pain syndrome

9 questions ~4 minutes
01

Over the past week, how often have you experienced pain or discomfort in the area between the rectum and testicles (perineum)?

02

How often have you experienced pain or discomfort in your testicles over the past week?

03

In the last week, how often have you experienced pain or discomfort at the tip of the penis (not related to urination)?

04

Over the past week, how often have you experienced pain or discomfort below the navel, in the pubic or suprapubic area?

05

Over the past week, how often have you experienced pain or burning sensation when urinating?

06

In the last week, how often have you experienced pain or discomfort during or after ejaculation (ejaculation)?

07

How would you rate the intensity of your pain over the past week on a scale from 0 to 10?

08

Over the past week, how often have you felt the need to urinate more than every 2 hours?

09

How much have your symptoms affected your quality of life over the past week?