The American Urological Association (AUA) has developed the International Prostate Symptom Score (IPSS) based on patient responses to questions about incomplete bladder emptying, frequent voiding, hesitancy, incontinence, weak stream, straining, nocturia, and impact on quality of life to grade the severity of patient symptoms. The AUA IPSS categories are grouped as mild (0–7), moderate (8–19) and severe (20–35). The bother score, discussed in the case report, is part of the IPSS, and asks “If you were to spend the rest of your life with your prostate symptoms just as they are now, how would you feel about that?” and scores responses from 0, “delighted”, to 6, “terrible” (10).