UGSA Bladder Diary Information Sheet

This diary will assist your gynaecologist in identifying your main bladder concerns.

To complete this diary, you have to be able to measure your fluid intake and your urine output (how much urine you have passed) over three days. You can add additional information, such as “changed pad” or “soaked through clothing” – anything you think may be useful for your gynaecologist to know. When you pass urine, state whether you had urgency (sudden desire to pass urine) – you can grade this from 0 (no urgency) to 4 (severe urgency)