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. Author manuscript; available in PMC: 2015 Dec 1.
Published in final edited form as: BJU Int. 2014 Aug 11;114(6):916–925. doi: 10.1111/bju.12778
No symptoms Worst symptoms
0 1 2 3 4 5 6 7 8 9 10

Pain, pressure and discomfort associated with your bladder/prostate and/or pelvic region ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑

Urgency (urge or pressure to urinate) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑

Frequency of urination ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑

Overall urologic or pelvic pain symptoms ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑

Overall pain symptoms that were not urologic or pelvic pain symptoms (e.g., back pain, headache, etc) ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑