Decision Considerations - Aerospace Medical Dispositions
Item 41. G-U System - Urinary System


Note: A history of recent or significant hematuria requires further evaluation.

Common Conditions and Course of Action

Disease/Condition Class Evaluation Data Disposition
Hydronephrosis with impaired renal function All Submit all pertinent medical information and status report Requires FAA Decision
Nephrectomy (non-neoplastic) All Submit all pertinent medical information and status report If the remaining kidney function and anatomy is normal, without other systemic disease, hypertension, uremia, infection of the remaining kidney - Issue

Otherwise - Requires FAA Decision
Nephrocalcinosis All Submit all pertinent medical information and status report If calculus is not in collecting system or renal pelvis - Issue

Otherwise - Requires FAA Decision
Calculus 11

Renal - Single episode
All Submit current metabolic evaluation and status report If there is no residual calculi and the metabolic workup is negative - Issue

Otherwise - Requires FAA Decision
Renal - Multiple episodes or Retained Stones All Submit current metabolic evaluation and status report Initial Special Issuance - Requires FAA Decision

Followup Special
Issuance's - See AASI Protocol
Ureteral or Vesical All Single episode and no retained calculi, submit current metabolic evaluation and status report (Ureteral stent is acceptable if functioning without sequela) If metabolic workup is negative and there is no sequela or retained calculi - Issue

Otherwise - Requires FAA Decision

11 Complete studies to determine the possible etiology and prognosis are essential to favorable FAA consideration. Determining factors include site and location of the stones, complications such as compromise in renal function, repeated bouts of kidney infection, and need for therapy. Any underlying disease will be considered. The likelihood of sudden incapacitating symptoms is of primary concern. Report of imaging studies (KUB, IVP, or spiral CT) must be submitted in order to conclude that there are no residual or retained calculi.