Cystitis. When complications or residuals of treatment themselves preclude
satisfactory performance of duty.
Dysmenorrhea. Not amenable to treatment, and incapacitating.
Endometriosis. Symptomatic and incapacitating.
Hypospadias. Not amenable to treatment.
Incontinence of urine. Not amenable to treatment.
Kidney:
Calculus
in kidney, symptomatic and incapacitating.
Congenital anomaly, resulting in frequent or recurring infections or
when there is evidence of obstructive uropathy not responding to medical
or surgical treatment.
Cystic kidney (polycystic kidney), when renal function is impaired,
or is the focus of frequent infection.
Hydronephrosis, more than mild, and causing continuous or frequent
symptoms.
Hypoplasia of the kidney, associated with elevated blood pressure or
frequent infections or reduction in renal function.
Nephritis, chronic, with renal function impairment.
Nephrosis, other than mild.
Pyelonephritis or pyelitis, chronic, which has not responded to medical
or surgical treatment, with evidence of persistent hypertension or
reduction in renal function.
Menopausal or premenstrual syndrome. Physiologic or artificial, significantly
interfering with the satisfactory performance of duty.
Strictures
of the urethra or ureter. Severe and not amenable to treatment.
Urethritis. Chronic, not responsive to treatment and necessitating
frequent absences from duty.
Cystectomy.
Cystoplasty. If reconstruction is unsatisfactory, or if refractory
symptomatic infections persist.
Nephrectomy. When after treatment, there is infection or pathologic
change (anatomic or functional) in the remaining kidney.
Nephrostomy or pyelostomy, if drainage persists.
Gonadectomy. Bilateral, when following treatment and convalescent period,
there remain incapacitating mental or constitutional symptoms.
Penis. Amputation
of. When urine is voided in such a manner that clothing or surroundings
are soiled, or results in severe mental symptoms.
Ureterointestinal or direct cutaneous urinary diversion.
Ureterocystostomy. When both ureters are markedly dilated with irreversible
changes.
Ureteroplasty.
When unilateral procedure is unsuccessful and nephrectomy is necessary,
consider on the basis of the standard for nephrectomy.
When bilateral and surgical repair is unsuccessful and associated with
significant complications or sequelae (for example, hydronephrosis,
residual obstruction or therapeutically refractive pyelonephritis).
Ureterosigmoidostomy.
Ureterostomy. External or cutaneous.
Urethrostomy. External or when a satisfactory urethra cannot be restored.
Major abnormalities and defects of the genitalia such as change of
sex, a history thereof, or complications (adhesions, disfiguring scars,
etc.). Residual to surgical corrections of these conditions.
