Dr. Barroso Recommends: Cendry Bedwetting Assistant
I highly recommend the Cendry app. I use it with my own patients, and it offers an incredibly robust approach to overcoming bedwetting. Cendry features advanced progress tracking to pinpoint exactly what works for each user, alongside built-in alarms and targeted hypnosis tracks designed with two goals: helping you wake up at night, or training the brain to stay dry until tomorrow.
Tool A - Free Clinical Bladder, Bowel, and Nighttime Diary
Title on PDF: Clinical Bladder, Bowel, and Nighttime Diary
Subtitle: A structured record to support a conversation with a pediatric urologist or healthcare professional
Audience: Children with a parent or caregiver, teenagers, or adults
Version: [v1.0 | August 2026]
Medical reviewer: Ubirajara Barroso, Jr., MD, PhD
Safety notice: This diary does not diagnose the cause of bedwetting. Bedwetting is a medical symptom driven by factors like genetics, deep sleep (arousal disorder), and functional bladder capacity. Do not deliberately restrict fluids, change medication, or delay urgent care in order to complete this diary. Never blame the child.
Instructions for the user: Complete the diary for the period recommended by your healthcare professional. Record approximate times honestly; perfection is not required. Note any Dietary Restrictions (like cutting evening caffeine, citrus, or sugar) and whether you practiced Double Voiding (peeing twice before bed). For children, an adult may help, but the child’s privacy and dignity should be respected. Use “not sure” rather than inventing a measurement. The goal is to collect baseline data for clinical review, which helps expedite treatment and protect self-esteem.
Daily table 1 - Fluids and voiding
| Time | Drink and approximate amount | Urination? | Urgency 0–3 | Leakage? | Pain/burning? | Notes |
|---|---|---|---|---|---|---|
Urgency key: 0 = none; 1 = mild; 2 = strong; 3 = could not defer comfortably. This key is for communication, not diagnosis. (Frequent, urgent small voids may suggest small functional bladder capacity).
Daily table 2 - Bowel health
| Day/date | Bowel movement? | Hard or painful? | Withholding? | Soiling? | Notes or treatment prescribed by clinician |
|---|---|---|---|---|---|
Clinical Pearl: Constipation is a critical, hidden cause of bedwetting. A full rectum presses against the bladder, reducing its functional capacity and confusing nerve signals. Constipation must always be treated first before moving on to alarms or medications.
Daily table 3 - Night
| Date | Bedtime | Toilet before bed? | Wet/dry | Small/large/unknown | Number of episodes | Woke independently? | Alarm used? | Medication taken only as prescribed? | Sleep quality 0–3 | Notes |
|---|---|---|---|---|---|---|---|---|---|---|
End-of-period summary:
| Question | Answer |
|---|---|
| Number of wet nights | |
| Number of dry nights | |
| Any daytime urgency, leakage, pain, or weak stream? | |
| Any constipation, soiling, or painful bowel movements? | |
| Any “Red Flags” (e.g., blood-tinged urine, severe pain, extreme thirst, or loud snoring)? | |
| Any recent Psychological Triggers (e.g., major life changes, stress)? | |
| Has a clinician discussed Pelvic Floor Rehabilitation for this case? | |
| What appeared to help? | |
| What appeared to make things harder? | |
| What are the three questions for the clinician? | 1. 2. 3. |
