AMC1 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)

AMC1 MED.B.035 Genitourinary system ED Decision 2019/002/R (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. AMC1 MED.B.035 Genitourinary system ED Decision 2019/002/R (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. ##### AMC1 MED.B.035 Genitourinary system *ED Decision 2019/002/R* (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.