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The IPSS-M provides a continuous patient-specific risk score grouped into six risk categories, defined as very low (VL), low (L), moderate low (ML), moderate high (MH), high (H) and very high (VH) [7].
Inferior petrosal sinus sampling (IPSS) is an invasive procedure in which adrenocorticotropic hormone (ACTH) levels are sampled from the veins that drain the pituitary gland; these levels are then compared with the ACTH levels in the peripheral blood to determine whether a pituitary tumor (as opposed to an ectopic
Blood samples will be taken from the left and right petrosal sinuses, and from the femoral vein. Corticotrophin-releasing hormone (CRH) will be injected into the peripheral vein. More blood samples will be taken 2, 5, and 10 minutes after the CRH injection.
IPSS: Score 0 to 7 points: Mild symptoms. You can continue to observe for now and return to repeat the test again if your urinary symptoms are troubling you. 8 to 19 points: Moderate symptoms. If your lifestyle is affected, it may be worth considering consulting with a doctor. 20 to 35 points: Severe symptoms.
The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. Each question concerning urinary symptoms allows the patient to choose one out of six answers indicating increasing severity of the particular symptom.