Neurourology and Urodynamics 34:128–132 (2015) The 3-Day Bladder Diary Is a Feasible, Reliable and Valid Tool to Evaluate the Lower Urinary Tract Symptoms in Women Miguel A. Jimenez-Cidre, 1 Luis Lopez-Fando, 1 Manuel Esteban-Fuertes, 2 Luis Prieto-Chaparro, 3 Francisco J. Llorens-Martinez, 3 Jesus Salinas-Casado, 4 David Castro-Diaz, 5 Carlos M€ uller-Arteaga, 6 Jose M. Adot-Zurbano, 7 Fernando Rodriguez-Escobar, 8 Cristina Gutierrez, 8 Salvador Arlandis-Guzman, 9 Miguel A. Bonillo-Garcia, 9 Blanca Madurga-Patuel, 10 Manuel Leva-Vallejo, 11 Agustin Franco de Castro, 12 Lluis Peri-Cusi, 12 Joan Conejero-Sugra ~ nes, 13 Jesus Jimenez-Calvo, 14 Pablo Rebollo, 15 and Ana Mora 16 1 Department of Urology, Hospital Universitario Ram on y Cajal, Madrid, Spain 2 Department of Urology, Hospital Nacional de Parapl  ejicos, Toledo, Spain 3 Department of Urology, Hospital de Elche, Elche, Spain 4 Department of Urology, Hospital Cl  ınico San Carlos, Madrid, Spain 5 Department of Urology, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain 6 Department of Urology, Hospital Povisa, Vigo, Spain 7 Department of Urology, Hospital General Yag € ue, Burgos, Spain 8 Department of Urology, Fundaci  on Puigvert, Barcelona, Spain 9 Department of Urology, Hospital La Fe, Valencia, Spain 10 Department of Urology, Hospital Puerta del Mar, C  adiz, Spain 11 Department of Urology, Hospital Reina Sof  ıa, C  ordoba, Spain 12 Department of Urology, Hospital Clinic i Provincial, Barcelona, Spain 13 Department of Urology, Hospital Vall d’Hebr  on, Barcelona, Spain 14 Department of Urology, Hospital Virgen del Camino, Pamplona, Spain 15 BAP Health Outcomes, The LA-SER Group, Oviedo, Spain 16 Medical Department, Astellas Pharma, Madrid, Spain Aims: To evaluate the feasibility (% of completion), reliability (test–retest and inter-observer) and validity (convergent vs. questionnaires and vs. urodynamic study-UDS) of the 3-day bladder diary (3dBD) in women with lower urinary tract symptoms (LUTS). Methods: Epidemiological, descriptive, cross-sectional and prospective study. Fourteen Functional Urology and Urodynamic Units participated. One hundred thirty-six women with mean age (SD) 55.2 (13.8) years with LUTS, without bladder catheterization and who were able to fill in the 3dBD were included. An UDS was performed. They filled in the 3dBD in two times separated by 15 days (test and retest), the International Consultation on Incontinence— Short Form (ICIQ-UI SF) and the Bladder Control Self-Assessment Questionnaire (BSAQ). Results: One hundred ten women completed 3dBD for test and retest. Feasibility: each 3dBD has 42 variables, 77.2% women completed 80%. Test– retest reliability: there were not differences in the proportion of patients classified as positive for each symptom (urgency: P ¼ 0.3173; incontinence: P ¼ 1; nocturia: P ¼ 0.0522; frequency: P ¼ 0.4386). The Intraclass Correlation Coefficient (ICC) ranged from 0.67 to 0.92, except for night time VV max which was lower (0.54). Inter-observer reliability: ICC ranged from 0.64 to 0.99, except for day time VV max (0.29) and the number of urgency episodes (0.45). Validity: Spearman correlation coefficients for ICIQ-UI SF and BSAQ ranged from 0.4 to 0.6 (P < 0.0001) and for UDS were lower (P < 0.05). Conclusions: The 3dBD showed good feasibility, reliability and validity to be used in the assessment of LUTS in women. Neurourol. Urodynam. 34:128–132, 2015. # 2013 Wiley Periodicals, Inc. Key words: bladder diary; lower urinary tract symptoms-LUTS; patient reported outcome measures-PROM; women INTRODUCTION The terminology of lower urinary tract symptoms (LUTS) was defined in the standardization report of the International Continence Society. 1,2 Urologists have yet to concur on a definition of clinically meaningful change in urinary incontinence (UI) status for their patients. 3 The fourth International Consultation on Inconti- nence 4 recommends that in patients with urinary symptoms the use of a simple frequency volume chart or bladder diary is highly recommended to document the frequency of micturi- tion, the volumes of urine voided, incontinence episodes and the use of incontinence pads. The same document states that patient-reported outcomes (PRO) constitute the greatest source of information on the impact of symptoms and the treatment benefit from the patient’s perspective. The bladder diary (BD) is the most commonly used instrument to evaluate UI and ‘‘urgency’’ in clinical trials, although it is rarely used in the regular practice of urologists, and not used at all by primary Robert Pickard led the peer-review process as the Associate Editor responsible for the paper. Conflict of interest: none. Grant sponsor: Astellas Pharma S.A.  Correspondence to: Miguel A. Jim enez Cidre, Servicio de Urolog  ıa Hospital Ram on y Cajal, Ctra. Colmenar Viejo Km 9,1, 28034 Madrid, Spain. E-mail: mjcidre00@hotmail.com Received 5 July 2013; Accepted 21 October 2013 Published online 22 November 2013 in Wiley Online Library (wileyonlinelibrary.com). DOI 10.1002/nau.22530 # 2013 Wiley Periodicals, Inc.