Neurogenic Bladder: Medical History

Medical history (history of illness) represents an important component in the diagnosis of neurogenic bladder.

Family history

Social history

Current anamnesis/systemic anamnesis (somatic and psychological complaints).

• Have you noticed any changes in urination?
  • Straining to urinate
  • Dysuria – difficult (painful) urination.
  • Frequent urination
  • Urination disorders
  • Urinary incontinence – bladder weakness
  • Urinary interruptions
  • Urinary retention – inability to urinate despite a full bladder.
  • Frequent urination
  • Very infrequent urination with large urine volumes.
• How long have these changes been present?
• Was there a triggering event?
• Did you notice any other symptoms?

Vegetative anamnesis incl. nutritional anamnesis.

• Have you noticed any changes in bowel movements?

Self history including medication history.

• Pre-existing conditions (malformations; diabetes mellitus; neurological diseases, tumor disease).
• Operations
• Radiotherapy
• Allergies
• Medication history

Reference to keeping a daily diary

A diary (micturition log; urinary diary; bladder diary) should be kept for 2/14 days with the following entries:

• Frequency of micturition on 2 days
• Micturition volume
  • 1. morning urine
  • Maximum micturition volume (not including 1st morning urine).
  • Average micturition volume (without taking into account the 1st morning urine).
  • Nocturnal urine volume (1st morning urine + nocturnal urine volume).
• Drinking amount/24 h on 2 days
• Time to fall asleep and time to get up
• Complaints such as incontinence, urge or pain.
• Urinary incontinence events in 14 days
• Fecal incontinence events in 14 days