Incontinence chart
Peer reviewed by Dr Helen Huins, MRCGPLast updated by Dr Laurence KnottLast updated 20 Sept 2017
Meets Patient’s editorial guidelines
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This form is to: 1) Record the times you pass urine, 2) Record the amount of urine you pass on each occasion and 3) Record the times you leak urine (are incontinent).
Video picks for Urinary tract infections and symptoms
Tick (to the nearest hour) each time you go to the toilet to pass urine.
If your doctor or nurse asks, when possible, also record the amount (volume) of urine you pass each time. You can use a household measuring jug to do this. If you are away from home and it is inconvenient to measure the amount then just record the time with a tick.
If you leak urine unintentionally, record the times it happens (to the nearest hour). Put one, two or three + signs in the box. + = damp. ++ = wet. +++ = soaking.
Patient picks for Urinary tract infections and symptoms
Kidney and urinary tract
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Urinary tract infections, also known as UTIs and bladder infections, are a common health issue, particularly for women, and can recur with frustrating frequency. We asked a urologist whether it's safe to let a UTI 'run its course', or if antibiotics are always the best treatment.
by Sally Turner
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What is a UTI and how do you get it?
Around 50% of women and 5% of men will experience a urinary tract infection - UTI - in their lifetime. Why is this bacterial infection so common, and what are the different risk factors for men and women?
by Amberley Davis
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Article history
The information on this page is peer reviewed by qualified clinicians.
20 Sept 2017 | Latest version
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