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Bladder Diary Feasibility and Reliability in Neurogenic Lower Urinary Tract Dysfunction Patients.
Adrien Haegel1, Matthieu Grasland1, Hélène Robert1
1Neuro-Urology Unit, Physical and Rehabilitation Medecine Department, AP-HP, Hôpital Pitié Salpêtrière, Paris, France.
Neurourology and Urodynamics
|April 29, 2025
Summary
The bladder diary (BD) is a feasible tool for assessing adult neurogenic lower urinary tract dysfunction (ANLUTD) symptoms. However, its reliability is limited, with no factors found to influence completion rates in real-world practice.
Area of Science:
- Urology
- Neuro-urology
- Patient-reported outcomes
Background:
- Bladder diaries (BD) are crucial for evaluating lower urinary tract symptoms.
- Data on BD use in adult neurogenic lower urinary tract dysfunction (ANLUTD) are scarce.
- Real-world feasibility and reliability of BD in ANLUTD patients require investigation.
Purpose of the Study:
- To assess the feasibility and reliability of BD completion in ANLUTD patients during real-life practice.
- To identify factors influencing BD feasibility and reliability in this population.
Main Methods:
- Prospective study of 199 ANLUTD patients (excluding self-catheterization).
- Collected demographic data, validated symptom/quality of life questionnaires, and 3-day BD.
- Feasibility defined by non-empty return; reliability by 2+ completed days, intake-output balance, and questionnaire consistency.
Main Results:
- 199 ANLUTD patients included (mean age 56 ± 14 years; 55.7% women).
- BD feasibility was 64% (128/199); reliability was 40.5% (45/111).
- No demographic or clinical factors were associated with BD feasibility or reliability.
Conclusions:
- BD is a feasible tool for ANLUTD patients in clinical practice.
- Limited reliability necessitates cautious interpretation of BD data in this population.
- No identified factors predict BD feasibility or reliability in ANLUTD.
