In order to help diagnose the causes of your urinary incontinence and/or frequency, we would like you to keep a diary. You will need to keep track of ALL that you drink and void for three days. The days you choose should be “average” days — that is, you should not change your drinking or bathroom habits while you record this information.
- Choose 3 days (entire 24 hours for each day) to complete this record.
- Pick days that will be convenient for you to measure MOST or EVERY void.
- You should measure and record even when you get up in the middle of the night.
- If you work outside your home, we would like you to record one full day at work and instead of measuring urine output, you can just “√” indicating that you voided.
- Begin recording when you first wake up in the morning and continue for a full 24 hours (until the next morning). You don’t need to write the date on every line, just when it changes. Do this for 3 days.
- Measure voids using the lines on the hat given to you.
- Measure what you drink in the column labeled “What type” write (i.e. coffee, water, soda, soup) and in the “How much?” column write the amount in ounces (oz).
- In the three shaded columns, record only when you leak – please indicate the volume (1, 2 or 3), your activity during the leak, and if you had an urge (yes or no). If you NEVER leak, you can skip this section.
- When you have finished all the days email or fax it to us (or you can bring your completed diary with you to your next appointment)
- IF you have an appointment for urodynamic testing scheduled, you should bring the diary with you for that visit. This will help us guide your testing.
Make sure that you have a follow-up visit to go over all the results. If this was not set up at your visit, please call us. Do not hesitate to call our office at 408-827-4274 with any questions!
