Air Force Flying Physical
Medical Examination Standards
Genitourinary System, Flying Class I, IA, II and Ill.
History of recurrent or bilateral renal calculus. Uncomplicated single episode
of renal calcu lus does not require waiver, but should be evaluated.
Retained renal calculus. Retained calculus located in a papillary duct or any
more distal portion of the collecting system may be considered for a flying
Class IIA waiver.
Proteinuria under normal activity (at least 48 hours post strenuous exercise)
greater than 200 mg in 24 hours. Waiver may be considered for fixed and reproducible
orthostatic proteinuria when the urinary protein to urinary creatinine ratio
on a randomly collected urine (not first morning void) is less than or equal
to 0.2. It is not necessary to collect a 24 hour urine specimen.
Persistent or recurrent hematuria.
Cylindruria, hemoglobmuria, or other findings indicative of significant renal
disease.
Chronic nephritis.
Stricture of the urethra.
Urinary fistula.
Urinary incontinence.
Absence of one kidney. Functional impairment of either or both kidneys.
Horseshoe kidney.
Chronic pyelitis or pyelonephritis.
Renal ptosis (floating kidney) causing impaired renal drainage, hypertension
or pain.
Hydronephrosis or pyonephrosis.
Polycystic kidney disease.
Chronic cystitis.
Amputation of the penis.
Hermaphroditism.
Epispadias or hypospadias with unsatisfactory surgical correction.
Hydrocele, unless small and asymptomatic
Large or painful left varicocele. Any right varicocele unless significant underlying
pathol ogy has been excluded.
Undescended testicle. Absence of both testicles.
Chronic orchitis or epididymitis.
Urinary dtverston.
Major abnonnalities and defects of the genitalia such as a change of sex, a
history thereof, or complications (such as adhesions or disfiguring scars) residual
to surgical correction of these con ditions.
Information derived from Air Force Instruction 48-23, Current as of Dec 2000.
