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Urine Frequency / Volume / Leaks Chart
This form is to: 1) Record the times you pass urine. 2) Record the amount of urine you pass on each occasion. 3) Record the times you leak urine (are incontinent). So...
- Please 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.
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Related pages in Patient UK
Your Experience (^ top of page)
Please add your experience about this condition / medicineInformation leaflets related to this topic (^ top of page)
Incontinence - Picture Summary Incontinence - Stress Incontinence Incontinence - Urge Incontinence Incontinence (Urinary) Overactive Bladder Syndrome Pelvic Floor ExercisesPatient Support related to this topic (^ top of page)
Allanda Ltd Dry-For-Life Incontact PromoCon Robinson Healthcare Ltd Women's Health ConcernMedical reference articles in PatientPlus related to this topic (^ top of page)
Barthel's Index Lower Urinary Tract Symptoms (LUTS) in Women Urinary IncontinenceUK guidelines related to this topic (^ top of page)
Guidelines on Incontinence Of Urine Guidelines on Stress IncontinenceOnline videos related to this topic (^ top of page)
Online videos on Incontinence Of Urine Online videos on Stress IncontinenceOther - Useful resources (^ top of page)
Pictures, diagrams, photos, images, etc.Evidence based medicine
Online textbooks and journals
A-Z of UK Guidelines
A-Z of Online Videos
Medline
Other good health sites
Medical equipment products related to this topic (^ top of page)
Pelvic Floor Toners / Exercisers
Books related to this topic (^ top of page)
Female Urinary Incontinence (Understanding) Incontinence in Women : British Medical Association's Family Doctor Series Urinary Incontinence : British Medical Association's Family Doctor Series
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Disclaimer: Patient UK has no control of the content of the above links. Inclusion does not imply endorsement by Patient UK.