Incontinence chart
Peer reviewed by Dr Helen Huins, MRCGPLast updated by Dr Laurence KnottLast updated 20 Sept 2017
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
- Add to preferred sources on Google
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
9 ways to get rid of a UTI
Urinary tract infections - UTIs - aren't serious or life threatening, but they can be very uncomfortable and bothersome. Whether you're looking to clear up an existing infection or wanting to lower your chances of recurring UTIs, we've put together nine UTI home treatments, medications, and supplements that can help free you from UTI irritation.
by Amberley Davis
Kidney and urinary tract
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
Continue reading below
About the authorView full bio
Dr Laurence Knott
General Practitioner, Medical Author
BSc (Hons) Biochemistry, MBBS
Dr Laurence Knott qualified in 1973 and has had extensive experience as a General Practitioner.
About the reviewerView full bio
Dr Helen Huins, MRCGP
General Practitioner, Medical Author
MB, BS, Lond, DCH, DRCOG, MRCGP, JCPTGP, DFFP
Helen qualified at Guy’s Hospital in 1989 and left London in 1990 to settle in the countryside.
Article history
The information on this page is peer reviewed by qualified clinicians.
20 Sept 2017 | Latest version
Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.
Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.