Secondary Condition Claim · VASRD 7518

Urethra, stricture of Secondary to Spinal Stenosis

A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Urethra, stricture of when it develops after Spinal Stenosis.

Why Urethra, stricture of Is Linked to Spinal Stenosis

Severe cases affect nerves to bladder

Primary condition · VASRD 5238

Spinal Stenosis

Spinal stenosis is narrowing of the spinal canal that puts pressure on the spinal cord and nerves.

Secondary condition · VASRD 7518

Urethra, stricture of

A urethral stricture is a narrowing of the urethra that obstructs the flow of urine. DC 7518 carries no criteria of its own; the schedule directs "Rate as voiding dysfunction", and § 4.115a in turn directs that the particular condition be rated as urine leakage, frequency, or obstructed voiding. The ladder published for this code is the obstructed voiding table, which is built on retention requiring catheterization and on objective measures of obstruction such as post-void residual volume and peak flow rate.

Urethra, stricture of VA Rating Tiers

The VA rates Urethra, stricture of the same way whether it's claimed directly or as secondary to Spinal Stenosis — severity of Urethra, stricture of itself determines the percentage.

RatingCriteria
30%Retention needing catheterization.
10%Marked obstruction plus one objective finding, including dilation every 2-3 months.
0%Dilation only once or twice a year.

Example combined rating

30% Spinal Stenosis + 30% Urethra, stricture of = 51%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 30% combine to 51%, not 60%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

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Evidence for a Urethra, stricture of Secondary Claim

  • Urology records stating the dilatation schedule — 1 to 2 times per year, or every 2 to 3 months — since that interval separates the 0 and 10 percent levels.
  • A post-void residual measurement in cc and a uroflowmetry report giving peak flow in cc/sec, both named in the 10 percent criteria.
  • Documentation of intermittent or continuous catheterization for urinary retention, which is the 30 percent criterion.
  • Urinalysis and treatment records for recurrent urinary tract infections attributed to the obstruction, which is another of the 10 percent alternatives.

Common questions about Urethra, stricture of secondary to Spinal Stenosis

Can Urethra, stricture of be service-connected as secondary to Spinal Stenosis?
Yes. Under 38 CFR § 3.310, a condition that is caused or aggravated by an already service-connected disability can be granted secondary service connection. Severe cases affect nerves to bladder You'll need a current Urethra, stricture of diagnosis and a medical nexus opinion linking it to your service-connected Spinal…
What VA rating can I get for Urethra, stricture of as a secondary condition?
Urethra, stricture of is rated under VASRD diagnostic code 7518 using the same criteria whether it's a direct or secondary claim: possible ratings are 30%, 10%, 0%. The rating depends on the severity of Urethra, stricture of itself, not on the severity of Spinal Stenosis.
How does a secondary Urethra, stricture of claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 30% rating for Spinal Stenosis combined with a 30% rating for Urethra, stricture of (example figures) produces a combined rating of 51%, not 60%. Approving Urethra, stricture of as secondary still typically raises your ov…
What evidence do I need to service-connect Urethra, stricture of as secondary to Spinal Stenosis?
Strong evidence for the underlying Urethra, stricture of diagnosis includes: Urology records stating the dilatation schedule — 1 to 2 times per year, or every 2 to 3 months — since that interval separates the 0 and 10 percent levels.; A post-void residual measurement in cc and a uroflowmetry report giving peak flow in…

Primary condition

Full Spinal Stenosis guide

Secondary condition

Full Urethra, stricture of guide

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