Keeping a Bladder Diary
Keeping an accurate and thorough diary of your bladder weakness will allow your doctor to gain insight into the severity of your condition and enable them to develop a bladder training program specifically for you.
Try to keep your diary for at least a week before you see your doctor, then take it with you to your appointment.
Instructions for Bladder Diary
- Make at least seven copies of the blank bladder diary form [PDF*, 1 page, 44 kB] so that you can keep the diary for a week.
- Record the date and time of day when you urinated in the toilet or have leakage.
- Record (yes/no) that you urinated in the toilet in the “Toilet” column.
- Indicate the degree of leakage (none/damp/wet) in the “Leakage” column.
- Indicate if you changed your absorbent product or had to change your clothing.
- Note the activity you were undertaking at the time of any leakage.
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Measuring the amount you drank or urinated may help the doctor or nurse assess your condition. If possible, record these measurements in the “Fluid Intake” and “Fluid Output” columns.
(Note: Instead of measuring, you can count the time it takes to urinate. Ten seconds of constant urine flow is approximately 300 ml. Make sure to count evenly i.e. one 1000, two 1000, three 1000, etc.)
* To view bladder diary form you will need the free Adobe Reader.