Role of frequency volume chart for the assessment of urinary incontinence in men

Debasis Samaddar, Dilip Kumar Pal


Background: This study was conducted to evaluate the role of FVC (frequency volume chart) in the male patient with urinary incontinence. That will definitely help to evaluate patient’s objective lower urinary tract symptoms including incontinence and guide to manage those symptoms. But there are less number of reported studies showing role of FVC in men with urinary incontinence.

Methods: Male patient (19-60 years) presenting with incontinence symptoms from 1st February 2018 to 30th July 2018, were enrolled in the study. They were asked to record the time and volume of each oral fluid intake, voided volume for 3 consecutive days and put tick in the column of incontinence in the FVC if present.

Results: Total 205 male patients presented with incontinence symptoms were evaluated, they were divided into 3 age groups (19-32, 33-46 and 47-60 years). Mean incontinence were found 2.65 (19-32 years). 2.99 (33-46 years) and 3.13 (47-60 years). In 47-60 years group total oral fluid intake is positively correlated with frequency (p <0.05) but not in other groups. Correlation of Nocturia with incontinence (p >0.05) and frequency with incontinence (p >0.05) were not statistically significant in any age groups.

Conclusions: The FVC is the registration of voiding parameters by patient in his own environment. Assessment of lower urinary tract symptoms based on a history alone is not accurate, value of FVC are found to be consistent and accurate, so it will guide us to initiate management in male with urinary incontinence and also help to assess treatment responsiveness.


Frequency volume chart, Incontinence, Lower urinary tract symptoms, Nocturia

Full Text:



Diokno AC, Estanol MV, Ibrahim IA, Balasubramaniam M. Prevalence of urinary incontinence in community dwelling men: a cross sectional nationwide epidemiological survey. Int Urol Nephrol. 2007;39:129-36.

van Haarst EP. The evaluation of voiding patterns. An analysis of frequency-volume charts and symptom scores (Doctoral dissertation, Universiteit Utrecht). 2015;1:10-11.

McCormack M, Infante‐Rivard CL, Schick E. Agreement between clinical methods of measurement of urinary frequency and functional bladder capacity. Br J Urol. 1992 Jan;69(1):17-21.

Hansen P. The accuracy of the frequency-volume chart: comparison of self‐reported and measured volumes. Br J Urol. 1998 May;81(5):709-11.

Diokno AC, Wells TJ, Brink CA. Comparison of self-reported voided volume with cystometric bladder capacity. J Urol. 1987 Apr 1;137(4):698-700.

Kassis A, Schick E. Frequency‐volume chart pattern in a healthy female population. Br J Urol. 1993 Nov;72(5):708-10.

Bryan NP, Chapple CR. Frequency volume charts in the assessment and evaluation of treatment: how should we use them?. Eur Urol. 2004 Nov 1;46(5):636-40.

Abrams P, Klevmark B. Frequency volume charts: an indispensable part of lower urinary tract assessment. Scand J Urol Nephrol. Supplementum. 1996;179:47-53.

Sooriakumaran P, Brown C, Emberton M. Frequency volume charts should be used in men with lower urinary tract symptoms. Int J Surg. 2005 Jan 1;3(2):147-50.

Matthiesen TB, Rittig S, Mortensen JT, Djurhuus JC. Nocturia and polyuria in men referred with lower urinary tract symptoms, assessed using a 7-day frequency-volume chart. BJU Int. 1999 Jun;83(9):1017-22.

Golomb J, Chertin B, Mor Y. Anatomy of urinary continence and neurogenic incontinence. Therapy. 2009 Mar 1;6(2):151-5.

Koraitim MM. The male urethral sphincter complex revisited: an anatomical concept and its physiological correlate. J Urol. 2008 May 1;179(5):1683-9.

Neilson D. The accuracy of the frequency-volume chart: comparison of self-reported and measured volumes. Br J Urol. 1998 Nov;82(5):776.

Hinchliffe A. Utilising frequency volume charts. Nursing Times. 2003;99(1):52-3.

Larsson G, Abrams P, Victor A. The frequency/volume chart in detrusor instability. Neurourol Urodynamics. 1991;10(6):533-43.

Bryan NP, Chapple CR. Frequency volume charts in the assessment and evaluation of treatment: how should we use them?. Eur Urol. 2004 Nov 1;46(5):636-40.

Roehrborn CG. Focus on lower urinary tract symptoms: nomenclature, diagnosis, and treatment options: highlights from the 5th international consultation on benign prostatic hyperplasia june 25–27, 2000, Paris, France. Reviews Urol. 2001;3(3):139.

Nygaard I, Holcomb R. Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. International Urogynecol J. 2000 Jan 1;11(1):15-7.

Dmochowski RR, Sanders SW, Appell RA, Nitti VW, Davila GW. Bladder‐health diaries: an assessment of 3‐day vs 7‐day entries. BJU Int. 2005 Nov;96(7):1049-54.