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. 1999 Summer;1(3):160–169.
No problem Maximal severity
1. Pain or discomfort in the penis 0 1 2 3 4 5 6 7 8 9 10
2. Pain or discomfort in the area between the testicles & anus (perineum) 0 1 2 3 4 5 6 7 8 9 10
3. Pain or discomfort in the pubic or bladder area 0 1 2 3 4 5 6 7 8 9 10
4. Pain or discomfort during or after ejaculation 0 1 2 3 4 5 6 7 8 9 10
5. Pain or discomfort in the testicles 0 1 2 3 4 5 6 7 8 9 10
6. Pain or discomfort in the low back, upper leg, or groin area 0 1 2 3 4 5 6 7 8 9 10
7. Feeling of incomplete bladder emptying after urinating 0 1 2 3 4 5 6 7 8 9 10
8. Urinating too often 0 1 2 3 4 5 6 7 8 9 10
9. Difficulty postponing urination 0 1 2 3 4 5 6 7 8 9 10
10. Pain or burning during urination 0 1 2 3 4 5 6 7 8 9 10