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7545
§ 4.115b Ratings of the genitourinary system—diagnoses.

Bladder diverticulum

A pouch or sac that forms in the bladder wall and may trap urine or cause infection.

What the rating means

Bladder diverticulum (diagnostic code 7545) is not rated by its own formula. Instead, VA rates it based on whichever problem is predominant for you: voiding dysfunction or urinary tract infection. Only the predominant area counts unless the symptoms are clearly distinct and do not overlap, in which case each may be rated separately.

If voiding dysfunction is predominant, VA looks at urine leakage, urinary frequency, or obstructed voiding — whichever best describes your situation. Ratings under those categories range from 0% to 60%. If urinary tract infection is predominant, ratings range from 0% to 30%, depending on how often infections occur, whether they require hospitalization, drainage procedures, or long-term suppressive drug therapy. If either problem leads to poor renal function, VA then rates the condition as renal dysfunction instead, with ratings that can reach 100% depending on how severely kidney function is affected.

Evidence that helps

Because the rating depends on which dysfunction is predominant, your evidence should directly reflect your symptoms and their severity. For voiding dysfunction involving leakage or incontinence, medical records showing how often absorbent materials must be changed each day are key. For urinary frequency, records documenting your daytime voiding interval or how many times you wake at night to void support the specific rating levels. For obstructed voiding, urology records showing post-void residual measurements, uroflowmetry results, catheterization requirements, or how often stricture dilation is performed all speak to the criteria.

For urinary tract infections, records showing how often infections occur, whether any required hospitalization, whether drainage by stent or nephrostomy tube was needed, and the length of any suppressive antibiotic therapy directly tie to the rating levels. If kidney function has been affected, lab results showing glomerular filtration rate (GFR) measurements taken over at least three consecutive months are essential. Your own statements describing how bladder symptoms affect your work and daily activities also help document the full picture.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.