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AMC7 MED.C.025 Content of aero-medical assessments

ED Decision 2019/002/R

GENITOURINARY SYSTEM

(a) Urine analysis should form part of every aero-medical examination and assessment. The urine should not contain any abnormal element(s) considered to be of pathological significance.

(b) Cabin crew members with any disease or sequelae of surgical procedures on the kidneys or the urinary tract, in particular any obstruction due to stricture or compression likely to cause incapacitation should be assessed as unfit.

(c) Cabin crew members with a genitourinary disorder, such as:

(1) renal disease; or

(2) a history of renal colic due to one or more urinary calculi

may be assessed as fit subject to satisfactory renal/urological evaluation.

(d) Cabin crew members who have undergone a major surgical operation in the genitourinary apparatus involving a total or partial excision or a diversion of its organs should be assessed as unfit and be re-assessed after recovery before a fit assessment may be made.

(e) Cabin crew members who have undergone renal transplantation may be considered for a fit assessment if it is fully compensated and tolerated with only minimal immuno-suppressive therapy after at least 12 months. A requirement to undergo specific medical examinations (SIC) and a restriction to operate only in multi-cabin crew operations (MCL) should be considered.

(f) Cabin crew members requiring dialysis should be assessed as unfit.