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7517
§ 4.115b Ratings of the genitourinary system—diagnoses.

Bladder injury

Damage to the bladder from trauma or surgery that may affect bladder control or function.

What the rating means

Bladder injury is rated under diagnostic code 7517. VA does not assign a separate rating formula to this condition. Instead, it is rated as voiding dysfunction, which means VA looks at whichever type of voiding problem is most prominent for you: urine leakage, urinary frequency, or obstructed voiding. Only the predominant area of dysfunction is rated, though if you have distinct symptoms that do not overlap, those may be evaluated separately.

For urine leakage or incontinence, ratings of 60%, 40%, or 20% depend on how often absorbent materials must be changed each day. For urinary frequency, ratings of 40%, 20%, or 10% depend on how often you void during the day or how many times you wake at night to void. For obstructed voiding, ratings of 30%, 10%, or 0% depend on whether catheterization is required, how significant the blockage symptoms are, and supporting test results or infection history.

Evidence that helps

Because your bladder injury is rated as voiding dysfunction, the evidence that matters most is whatever shows the type and severity of your voiding problem. For urine leakage or incontinence, medical records or your own statements documenting how many times per day you must change absorbent materials or use an appliance are directly relevant to separating the 20%, 40%, and 60% levels.

For urinary frequency, records showing daytime voiding intervals or a voiding diary that tracks how many times you wake at night to void support the 10%, 20%, and 40% levels. For obstructed voiding, catheterization records, post-void residual measurements, uroflowmetry showing peak flow rate below 10 cc per second, documentation of recurrent urinary tract infections caused by obstruction, or records of stricture dilations help establish the 10% or 30% levels. Statements from you or people who live with you describing how these symptoms affect work, sleep, and daily activities can also help show the frequency and severity of your symptoms.

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.