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7525
§ 4.115b Ratings of the genitourinary system—diagnoses.

Chronic prostatitis, urethritis, epididymitis, or orchitis

Long-term inflammation of the prostate, urethra, epididymis, or testis that may cause pain or discomfort.

What the rating means

Chronic prostatitis, urethritis, epididymitis, and orchitis are rated under diagnostic code 7525. VA does not assign separate percentage criteria directly to these conditions. Instead, VA rates them as a urinary tract infection, following the urinary tract infection criteria in § 4.115a. If your condition involves a tubercular infection, it is rated under the tuberculosis rating rules in §§ 4.88b or 4.89, whichever applies to your case.

Under the urinary tract infection formula, the possible ratings are 30%, 10%, and 0%. A 30% rating applies when you have recurrent symptomatic infections that require drainage by stent or nephrostomy tube, more than two hospitalizations per year, or continuous intensive management. A 10% rating applies when infections require one or two hospitalizations per year or suppressive drug therapy lasting six months or longer. A 0% rating applies when infections recur but do not require hospitalization and suppressive drug therapy lasts less than six months. If infection has caused poor renal function, VA rates that separately as renal dysfunction.

Evidence that helps

Because your condition is rated as a urinary tract infection, the evidence that matters most is documentation showing how often your infections occur, how severely they affect you, and what treatment they require.

For a 30% rating, records showing hospitalizations for infection more than twice a year, placement of a stent or nephrostomy tube for drainage, or documentation of continuous intensive medical management would be relevant. For a 10% rating, records of one or two hospitalizations per year or pharmacy and treatment records showing suppressive antibiotic therapy lasting six months or longer support that level. For a 0% rating, records of recurring infections managed with shorter courses of suppressive therapy, without hospitalization, reflect that level.

At any level, your own statements describing how often symptoms flare, how they affect your daily activities and work, and what treatment you have undergone can help show the frequency and severity of your condition. Lab results, urology or primary care notes, and hospital discharge summaries all help document the pattern of infection and the treatment required.

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.