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Type of Diversion
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% Impairment of the Whole Person
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Uretero-intestmnal
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10
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Cutaneous Ureterostomy
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10
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Nephrostomy or lntubated Ureterostomy
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15
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Cystectomy with Urinary Diversion
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24
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URINARY BLADDER
When evaluating permanent impairment of the bladder, the status of the upper urinary tract must also be considered. The appropriate impairment values for both should be combined using the Combined Values Charts in order to determine the extent of impairment of the whole person.
Class 1. Impairment of the Whole Person, 1—10%
A person belongs in Class 1 when the patient has symptoms and signs of bladder disorder requiring intermittent treatment with normal function between episodes of malfunction.
Class 2. Impairment of the Whole Person, 11—20% A person belongs in Class 2 when
(a) there are symptoms and/or signs of bladder disorder requiring continuous treatment, or
(b) there is good bladder reflex activity, but no voluntary control.
Class 3. Impairment of the Whole Person, 21 —30% A patient belongs in Class 3 when the bladder has poor reflex activity, that is, there is intermittent dribbling, and no voluntary control.
Class 4. Impairment of the Whole Person, 31—40%
A patient belongs in Class 4 when there is no reflex or voluntary control of the bladder, that is, there is continuous dribbling.
URETHRA
When evaluating permanent impairment of the urethra, one must also consider the status of the upper urinary tract and bladder. The values for all parts of the urinary system should be combined using the Combined Values Charts to determine the extent of impairment of the whole person.
Class 1. Impairment of the Whole Person, 1—9%
A patient belongs in Class 1 when symptoms and signs of urethral disorder are present that require intermittent therapy for control.
Class 2. Impairment of the Whole Person, 10—20%
A person belongs in Class 2 when there are symptoms and signs of a urethral disorder that cannot be effectively controlled by treatment.
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