In Reply: As outlined by Dr Kessler, a bladder diary can be used in the assessment of urinary incontinence and also to evaluate response to treatment. No articles regarding the role of bladder diaries in diagnosing the type of urinary incontinence were identified in our systematic review of the literature. The absence of evidence supporting the use of bladder diaries does not necessarily mean that bladder diaries are not a useful part of the clinical assessment for incontinence but rather suggests that studies should be performed to evaluate their accuracy.
Holroyd-Leduc JM, Tannenbaum C, Straus SE. Diagnosis of Urinary Incontinence—Reply. JAMA. 2008;300(3):283. doi:10.1001/jama.2008.31