Incontinence chart
Peer reviewed by Dr Helen Huins, MRCGPLast updated by Dr Laurence KnottLast updated 20 Sept 2017
- DescargarDescargar
- Compartir
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).
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.
Historia del artículo
La información de esta página ha sido revisada por médicos cualificados.
20 Sept 2017 | Latest version
Pregunte, comparta, conecte.
Explore debates, formule preguntas y comparta experiencias sobre cientos de temas de salud.
¿Se encuentra mal?
Evalúe sus síntomas en línea de forma gratuita