# Bladder & Bowel Manager vs NEPHRA

The clearest difference is in-app purchases: Bladder & Bowel Manager at none against NEPHRA's 3. Bladder & Bowel Manager also leads on update cadence (every 2 days vs every 8 days). NEPHRA's advantage is iOS requirement (15.1 vs 17.0). On price, ads and device support there is nothing between them.

Both are free to download. NEPHRA sells 3 in-app purchases, starting at $2.99 per month. Bladder & Bowel Manager asks for nothing beyond the download.

Bladder & Bowel Manager ships an update every 2 days, NEPHRA every 8 days. The most recent releases landed on November 10, 2026 and November 6, 2026 respectively.

## The numbers

| Metric | Bladder & Bowel Manager | NEPHRA |
| --- | --- | --- |
| Price | Free | Free |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 2 days** | Every 8 days |
| Monetization | Free | — |
| Size | 4 MB | 54 MB |
| Requires iOS | 17.0 | **15.1** |
| Devices | iPhone, iPad, Apple Watch | iPhone, iPad, iPod |
| Age rating | 4+ | 17+ |
| Developer | [andre m. bajorat](https://appshunter.io/developer/725539153) | [Alin Totolici](https://appshunter.io/developer/6794032650) |

## What reviewers say

### Bladder & Bowel Manager

[App page](https://appshunter.io/ios/app/bladder-and-bowel-manager/id6792282103)

This app helps manage neurogenic bladder conditions by logging fluid intake, urine output, bowel movements, and medication. It provides reminders for catheterization and medication, tracks UTI symptoms, and manages catheter stock. Data can be exported for doctor consultations.

**Highlights:** Urine and bowel logging, Medication and fluid intake tracking, UTI symptom monitoring, Catheter stock management, Package scanning for products, Customizable reminders, Data export for doctors

**Features:** macOS Compatibility, Apple Watch app, Vision Pro support

**In-app purchases:** none


### NEPHRA

[App page](https://appshunter.io/ios/app/nephra/id6808670148)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| NEPHRA Premium Monthly | $2.99 | per month |
| NEPHRA Premium Yearly | $22.99 | per year |
| NEPHRA Premium Lifetime | $49.99 | one-time |


## Frequently asked questions

### Is Bladder & Bowel Manager free?

Bladder & Bowel Manager is free to download, with no in-app purchases.

### Is NEPHRA free?

NEPHRA is free to download, with in-app purchases available.

### Do Bladder & Bowel Manager or NEPHRA have ads?

Neither Bladder & Bowel Manager nor NEPHRA shows ads.

### Which is updated more often, Bladder & Bowel Manager or NEPHRA?

Bladder & Bowel Manager ships an update every 2 days, and NEPHRA every 8 days. Most recently, Bladder & Bowel Manager was updated on November 10, 2026 and NEPHRA on November 6, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*