MED.B.035 Genitourinary System

(a)Abnormal urinalysis Investigation is required if there is any abnormal finding on urinalysis.

(b)Renal disease

(1)Applicants presenting with any signs of renal disease should be assessed as unfit. A fit assessment may be considered if blood pressure is satisfactory and renal function is acceptable.

(2)Applicants requiring dialysis should be assessed as unfit.

(c)Urinary calculi

(1)Applicants with an asymptomatic calculus or a history of renal colic require investigation.

(2)Applicants presenting with one or more urinary calculi should be assessed as unfit and require investigation.

(3)Whilst awaiting assessment or treatment, a fit assessment with an OML may be considered.

(4)After successful treatment for a calculus a fit assessment without an OML may be considered.

(5)Applicants with parenchymal residual calculi may be considered for a fit assessment with an OML.

(d)Renal and urological surgery

(1)Applicants who have undergone a major surgical operation on the genitourinary system or its adnexa involving a total or partial excision or a diversion of any of its organs, should be assessed as unfit until recovery is complete, the applicant is asymptomatic, and the risk of secondary complication is minimal.

(2)After other urological surgery, a fit assessment may be considered when the applicant is completely asymptomatic and there is only minimal risk of secondary complication or recurrence.

(3)Applicants with compensated nephrectomy without hypertension or uraemia may be considered for a fit assessment.

(4)Applicants who have undergone renal transplantation may be considered for a fit assessment with an OML if it is fully compensated and tolerated with only minimal immuno-suppressive therapy after at least 12 months.

(5)Applicants who have undergone total cystectomy may be considered for a fit assessment with an OML if there is satisfactory urinary function, no infection and no recurrence of primary pathology.

(a)Renal disease Applicants presenting with renal disease may be assessed as fit if blood pressure is satisfactory and renal function is acceptable. Applicants requiring dialysis should be assessed as unfit.

(b)Urinary calculi

(1)Applicants presenting with one or more urinary calculi should be assessed as unfit.

(2)Applicants with an asymptomatic calculus or a history of renal colic require investigation.

(3)While awaiting assessment or treatment, a fit assessment with an OSL may be considered.

(4)After successful treatment the applicant may be assessed as fit.

(5)Applicants with parenchymal residual calculi may be assessed as fit.

(c)Renal and urological surgery

(1)Applicants who have undergone a major surgical operation on the genitourinary system or its adnexa involving a total or partial excision or a diversion of any of its organs, should be assessed as unfit until recovery is complete, the applicant is asymptomatic, and the risk of secondary complication is minimal.

(2)After other urological surgery, a fit assessment may be considered when the applicant is completely asymptomatic and there is only minimal risk of secondary complication or recurrence.

(3)Applicants with compensated nephrectomy without hypertension or uraemia may be assessed as fit.

(4)Applicants who have undergone renal transplantation may be considered for a fit assessment if it is fully compensated and with only minimal immuno-suppressive therapy.

(5)Applicants who have undergone total cystectomy may be considered for a fit assessment if there is satisfactory urinary function, no infection and no recurrence of primary pathology.