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7518
§ 4.115b Ratings of the genitourinary system—diagnoses.

Urethral stricture (narrowing)

Narrowing of the urethra, the tube that carries urine out of the body, which may obstruct urine flow.

What the rating means

Urethral stricture is rated under diagnostic code 7518. The regulation does not assign it a unique rating formula — instead, it directs VA to rate the condition as voiding dysfunction under § 4.115a. That means VA looks at whichever type of voiding problem is most prominent for you: urine leakage, urinary frequency, or obstructed voiding, and applies the criteria for that type. Only the predominant dysfunction is rated, unless separate symptoms do not overlap and qualify as distinct disabilities.

For urine leakage or incontinence, ratings of 60%, 40%, or 20% depend on how often absorbent materials must be changed. For urinary frequency, ratings of 40%, 20%, or 10% depend on how often you void during the day or how many times you wake to void at night. For obstructed voiding, a 30% rating applies if you need intermittent or continuous catheterization; 10% applies for marked obstructive symptoms combined with specific findings; and 0% applies for obstructive symptoms requiring dilation only one to two times per year.

Evidence that helps

Because the rating follows voiding dysfunction criteria, the evidence that matters most is whatever documents your specific voiding symptoms and their severity. For obstructed voiding, records showing you require catheterization, post-void residual measurements greater than 150 cc, uroflowmetry results with a peak flow rate below 10 cc per second, documentation of recurrent urinary tract infections caused by the obstruction, or records of how often you need stricture dilations all directly correspond to the rating criteria.

For frequency, clinic notes or urology records that record your daytime voiding intervals or how many times you wake at night to void support the frequency criteria. For leakage or incontinence, records documenting how often you must change absorbent materials each day are what the criteria measure. Your own statements, and statements from people who observe your daily routine, describing how symptoms affect sleep, work, and activities outside the home can help fill gaps between medical visits.

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.