MALE REPRODUCTIVE ORGANS
The male reproductive organs include the penis, scrotum, testes, epid- idymides, spermatic cords, prostate, and seminal vesicles. The values of impair- ment of the male reproductive organs are given in the following sections for men 40-65 years of age. These values may be increased by 25% of a given value for those below the age of 40 years, and decreased by 25% for those over the age of 65 years. For instance, a 25% increase of a 20% impairment equals 25% impairment.
Penis
When evaluating impairment of the penis, it is necessary to consider impairment of both the sexual and the urinary functions. The degree of impairment of sexual function should be determined in accordance with the criteria that follow, and it should be combined with the appropriate value for an impairment of urinary function that is present to determine the impairment of the whole person.
Class 1. Impairment of the Whole Person, 1—9% A patient belongs in Class 1 when sexual function is possible, but there are varying degrees of difficulty of erection, ejaculation, and/or sensation.
Class 2. Impairment of the Whole Person, 10—20% A patient belongs in Class 2 when sexual function is possible and there is sufficient erection, BUT ejaculation and sensatmon are absent.
Class 3. Impairment of the Whole Person, 25% A patient belongs in Class 3 when no sexual functions possible.
Scrotum
Class 1. Impairment of the Whole Person, 1—9% A patient belongs in Class 1 when there are symptoms and signs of scrotal loss or disease and there is no evidence of testicular malfunction, although there may be testicular malposition.
Class 2. Impairment of the Whole Person, 10—15% A patient belongs in Class 2 when
(a) there are symptoms and signs of architectural alteration or disease such that the testes must be implanted in other than a scrotal position to preserve testicular function, and pain or discomfort is present with activity; OR
(b) there is total loss of the scrotum.
Testes, Epididymides, and Spermatic Cords
Class 1. Impairment of the Whole Person, 1—9% A patient belongs in Class 1 when
(a) symptoms and signs of testicular, epididymal, and/ or spermatic cord disease are present and there is anatomic alteration; and
(b) continuous treatments not requmred; and
(c) there is no abnormality of seminal or hormonal function; or
(d) a solitary testis is present.
|
