AMC2 MED.B.035 Genitourinary system

• ED Decision 2019/002/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Aug 2023)

AMC2 MED.B.035 Genitourinary system ED Decision 2019/002/R (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. AMC2 MED.B.035 Genitourinary system ED Decision 2019/002/R (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. ##### AMC2 MED.B.035 Genitourinary system *ED Decision 2019/002/R* (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.