Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:174:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 174 (pt 1/3)
Character Range: 292291–295491

174

STEP            If the lower urinary tract condition causes impairment          Page
     4 of an intermittent nature, determine a rating for the 174
             condition by applying Chapter 15 (Intermittent
             Impairment).

    STEP            If the lower urinary tract condition causes impairment         Page
     5 of an intermittent nature, compare the ratings obtained 174
             in Steps 3 and 4. Take the higher rating.

    Step 1: Determine an impairment rating for impairment of urinary excretion if appropriate by applying Table 9.2.1.

    Step 2: Determine an impairment rating for lower urinary tract infections impairment if appropriate by applying Table 9.2.2.

    The ratings obtained in Steps 1 and 2 are not to be compared or combined at this stage but are to be included in the final combining of all ratings, except if the condition causes impairment of an intermittent nature.

    If the condition does not cause impairment of an intermittent nature, the assessment of an impairment rating for the condition ceases at this point.  If the condition causes impairment of an intermittent nature, proceed to Step 3.

Step 3: If the lower urinary tract condition causes impairment of an intermittent nature, combine the ratings determined in Steps 1 and 2 by applying Chapter
18 (Combined Values Chart).

 Step 4: If the lower urinary tract condition causes impairment of an intermittent nature, determine a rating for the condition by applying Chapter 15 (Intermittent Impairment).

 Step 5: If the lower urinary tract condition causes impairment of an intermittent nature, compare the ratings obtained in Steps 3 and 4. Take the higher rating.

 If the rating obtained in Step 3 is higher than that obtained in Step 4, the impairment rating obtained in Step 1 and the impairment rating obtained in Step 2 are to be included in the final combining of all impairment ratings.

Functional Loss
Table 9.2.1

       Impairment

URINARY EXCRETION
        Ratings Criteria

   * Occasional stress incontinence; infrequent and small amounts of urine lost, and incontinence pad not needed.
                    * Mild symptoms of bladder outlet or urethral obstruction, eg hesitancy, or poor stream.
                    * Bladder outlet or urethral obstruction as above, but with more severe symptoms such as urge frequency, nocturia, or recurrent urinary tract infections.
                    * Minor stress incontinence, needing use of 1-2 incontinence pads a day.
                    * Mild urge incontinence, but rarely unable to find a toilet in time.
                    * Any disorder of lower urinary tract resulting in
                  recurrent pyelonephritis, or hydronephrosis within past 12 months.
                    * Moderate stress incontinence, needing several incontinence pads a day.
                    * Urethral stricture, necessitating passage of sounds at internals of three months or less.
                    * Frequent and severe stress incontinence causing significant embarrassment and some avoidance of social activities and public places.
                    * Loss of voluntary control of bladder, but satisfactory