Complete this survey to help us assess your enlarged prostate symptoms.As men age, the prostate gland continues to grow. By age 50, many men experience symptoms of an enlarged prostate, including difficulty urinating, frequent urination, pain or pressure in the bladder, and getting up repeatedly at night to urinate. This is often due to an enlarged prostate, also called benign prostate hyperplasia (BPH).The answers you give to the survey below can help ARA experts determine if you might be a candidate for prostate artery embolization (PAE), a non-surgical way to shrink the prostate that can also avoid the dysfunction and side effects that standard prostate surgery can cause.Fill out and submit the following survey and an ARA interventional coordinator will contact you to determine if prostate artery embolization is right for you.* RequiredAmerican Urological Association Symptom ScoreNot at AllLess than 1 time in 5Less than half the timeAbout half the timeMore than half the timeAlmost AlwaysOver the past month, how often have you had a sensation of not emptying your bladder completely after you finished urinating?Over the past month, how often have you had to urinate again less than 2 hours after you finished urinating?Over the past month, how often have you stopped and started again several times when you urinated?Over the past month, how often have you found it difficult to postpone urination?Over the past month, how often have you had a weak urinary stream?Over the past month, how often have you had to push or strain to begin urination?Over the past month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning? (Check the column which best represents the number of times you awake each night, on average.)ScoreInterpreting Your Test Score0-7 Points Enlarged Prostate Symptoms, also known as BPH Symptoms, are considered mild.8-19 Points Enlarged Prostate Symptoms, also known as BPH Symptoms, are considered moderate.20-35 Points Enlarged Prostate Symptoms, also known as BPH Symptoms, are considered severe.This index is a guide for determining the severity of your symptoms and is only one step in diagnosing enlarged prostate. Regardless of the prostate test score, if you are experiencing BPH symptoms that interfere with your quality of life, you may wish to see a urologist for further evaluation and additional information regarding this condition.Submit your scores to ARA Diagnostic ImagingWe are here to help you walk through the process of finding out more about your prostate concerns. Please enter the information below to submit your scores to us and we will follow-up with you about your next steps. Yes, I consent to submit my scoresName * Required First Last Age * RequiredEmail * Required Phone * RequiredCAPTCHACommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.