Bladder leaks can often be treated. The first step is a clear record.
Every drink, every trip to the toilet, every leak, and what was happening at the time.
When you see a doctor about bladder leaks, you may be asked to keep a diary of when you urinate and when you leak. The pattern helps show what kind of leakage it is, and the kind points to the treatment.
This diary gives you that record three times over: before the first visit, at week 6 and at week 12, so you can see what has changed.
Twelve weeks, step by step
Fill in About Me, your care team and your medicines. Keep the first 3-day diary, total it up, and bring the summary to the doctor.
Follow the plan you agree with your doctor or nurse: bladder training and pelvic floor exercises, ticked off day by day, plus the weekly continence chart.
Keep the next 3-day diaries and compare: fewer trips, longer gaps, fewer leaks? Bring all three summaries to the review.
For the person with leaks, and the family who helps.
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1Weekly continence chartSimple codes for toilet, dry, wet, bowel and pad, at eight times of day, so patterns jump out.
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2Bowel and night logsWith a stool-type guide, because constipation can make bladder leaks worse.
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3Skin checks and suppliesA weekly skin check, and a tracker for pads, sizes, prices and when to reorder.
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4Toileting and dementiaSigns someone needs the toilet, a regular routine, drinks, nights and keeping their dignity.
64 pages for 12 weeks and beyond
Pages shown with example entries.
What this diary is, and isn't
It is
- A clear record of drinks, toilet trips, urgency and leaks
- A 12-week plan with trackers, using steps from NIH and NHS guidance
- Something to bring to every appointment
- Yours to keep: no app, no subscription, no login
It isn't
- Medical advice, or a diagnosis
- A replacement for your doctor, nurse or physical therapist
- A reason to cut back on drinks or change a medicine on your own
- A paper book (it's a PDF you print or fill in)
- Three 3-day bladder diaries, with summary pages
- Urge control, bladder training and a 12-week tracker
- Pelvic floor exercises with a 12-week tick chart
- 12 weekly continence charts
- Bowel diary, night log, skin checks, supplies tracker
- Dementia toileting tips, checklists, 4 doctor-visit pages
- Large print, fillable, US Letter + A4
Good to know
What is a bladder diary?
A record, usually kept for three days, of what you drink, when you pass urine, how strong the urge was, and when you leak. Doctors and continence nurses use it to understand what kind of leakage someone has.
I'm filling it in for my mother or father. Does that work?
Yes. Every page works for a family caregiver, and there are pages just for you: the weekly continence chart, skin checks, supplies, and toileting tips for someone with dementia.
Do I have to measure my urine?
Only if your doctor or nurse asks you to. If you do, a measuring jug or a collection container that sits in the toilet works. If you forget, just write the time and an x.
Where do the exercise and training steps come from?
The pelvic floor steps follow MedlinePlus (U.S. National Library of Medicine). Bladder training and urge control follow the NIH's NIDDK and an NHS urge-suppression leaflet. If your doctor, nurse or physical therapist gives you a different plan, follow theirs.
Can I fill it in on my phone?
Yes, with the free Adobe Acrobat Reader app. On a computer, open it in Chrome, Edge or Adobe Acrobat Reader and save after each entry. Or print it and write by hand.
Is it dated?
No. Write your own dates, and start any time.
Health Records Bundle
The medical binder, the post-hospital recovery planner, and the 12-month blood pressure and blood sugar logs, together.
Three days of notes. A clearer conversation.
Keep the first 3-day diary before your appointment, and bring it with you.
Get the diary · $12