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7621
§ 4.116 Schedule of ratings—gynecological conditions and disorders of the breast.

Pelvic organ prolapse

Dropping or displacement of pelvic organs such as the uterus, bladder, or rectum from their normal position.

What the rating means

Pelvic organ prolapse is rated under Diagnostic Code 7621 as a complete or incomplete prolapse due to injury, disease, or surgical complications of pregnancy. VA assigns a single 10 percent rating for this condition regardless of whether the prolapse is complete or incomplete.

Pelvic organ prolapse covers conditions in which a pelvic organ — such as the bladder, urethra, uterus, vagina, small bowel, or rectum — drops from its normal position. Related conditions rated under this code include uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or any combination of these.

The 10 percent rating under this code is not the end of the evaluation. If you also have genitourinary, digestive, or skin symptoms connected to the prolapse, VA rates those symptoms separately under the appropriate diagnostic codes and then combines all of those ratings with the 10 percent rating under DC 7621. Natural menopause and uncomplicated pregnancy and childbirth are not considered disabilities for rating purposes, but chronic residuals of medical or surgical complications of pregnancy may be.

Evidence that helps

Because the 10 percent rating applies to any complete or incomplete pelvic organ prolapse, the key evidence is documentation confirming the diagnosis and connecting it to your military service — or to a service-connected injury, disease, or surgical complication of pregnancy.

Medical records showing a clinical diagnosis of prolapse — such as uterine prolapse, cystocele, rectocele, urethrocele, enterocele, or vaginal vault prolapse — support the 10 percent rating. A provider's findings on pelvic examination, imaging results, or surgical records that confirm the prolapse and describe its extent are all relevant.

Because additional genitourinary, digestive, or skin symptoms are rated separately and then combined with this rating, records documenting those symptoms matter as well. For example, urology or gastroenterology notes, urodynamic test results, or bowel function records could support separate ratings that are added to the 10 percent. Your own statements describing how symptoms affect your daily activities and work can help show the full picture of how each related condition affects you.

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.