Many genitourinary conditions, from an enlarged prostate to bladder injury to cancer residuals, are rated using this same voiding-dysfunction framework: whichever single subcategory (urine leakage, urinary frequency, or obstructed voiding) is your predominant problem determines your rating.
Only your PREDOMINANT symptom category counts, the three subcategories are not combined or added together even if you have some of each. Make sure your medical records clearly document which pattern is actually your main problem (how often you change absorbent materials, how often you wake to urinate, or your urinary retention/catheterization needs), vague documentation across all three can result in being rated on whichever one an examiner happens to emphasize.
| Rating | Criteria |
|---|---|
| 60% | Urine leakage: requires an appliance or absorbent materials changed more than 4 times per day |
| 40% | Urine leakage: absorbent materials must be changed 2–4 times per day |
| 20% | Urine leakage: absorbent materials must be changed less than 2 times per day |
| 40% | Urinary frequency: daytime voiding interval less than 1 hour, or awakening to void 5+ times per night |
| 20% | Urinary frequency: daytime voiding interval 1–2 hours, or awakening to void 3–4 times per night |
| 10% | Urinary frequency: daytime voiding interval 2–3 hours, or awakening to void 2 times per night |
| 30% | Obstructed voiding: urinary retention requiring intermittent or continuous catheterization |
| 10% | Obstructed voiding: marked obstructive symptoms (hesitancy, slow or weak stream, decreased force) with at least one of: post-void residuals over 150cc, markedly diminished peak flow rate on uroflowmetry, recurrent UTIs secondary to obstruction, or stricture disease requiring dilation every 2–3 months |