VA Disability Rating for Ureteral Stricture (DC 7511)
Diagnostic Code 7511 · 38 CFR §§4.115a
What Is It?
Ureteral stricture is a narrowing of one or both ureters — the tubes that carry urine from the kidneys to the bladder. This narrowing can restrict urine flow, causing backup pressure on the kidneys and increasing the risk of infections and kidney damage. In veterans, strictures may develop from surgical complications, injuries sustained during service, radiation treatment, or chronic infections. The condition often requires ongoing monitoring and may need repeated procedures to keep the ureter open.
Rating Criteria
| Rating | Criteria |
|---|---|
| 30% | Severe ureteral stricture requiring recurrent interventional procedures such as stent placements or surgical dilation, or causing significant hydronephrosis and measurable kidney function decline. |
| 10% | Moderate stricture requiring periodic monitoring and occasional intervention, with some impact on urinary function but stable kidney function. |
| 0% | Mild stricture that has been corrected surgically with no current obstruction or residual symptoms. |
Evidence Needed
- Imaging studies showing the location and severity of the ureteral narrowing
- Records of procedures performed to treat the stricture (stent placements, dilations, surgeries)
- Kidney function lab work showing any impact from the obstruction
- Documentation of any ureteral stents currently in place and replacement schedule
- Medical records linking the stricture to an in-service event or condition
C&P Exam Tips
- Bring imaging reports that clearly show the stricture location and degree of narrowing
- Document all procedures you have undergone and their frequency
- If you have a ureteral stent, explain the replacement schedule and associated discomfort
- Describe urinary symptoms like flank pain, frequent urination, or recurrent infections
- Have kidney function labs available to show any decline over time
How to File
File under DC 7511 with imaging showing the stricture, procedure records, and kidney function labs. If the stricture resulted from an in-service injury, surgery, or condition, include documentation of that event and a nexus opinion linking the two.
Common Mistakes
Not providing imaging evidence of the current stricture severity Failing to document the need for repeated procedures or stent replacements Overlooking kidney damage caused by the obstruction as a secondary claim Not connecting the stricture to an in-service surgical procedure or injury
Frequently Asked Questions
What causes ureteral stricture in veterans?
Common causes include surgical complications from procedures performed during or after service, traumatic injuries to the urinary tract, radiation therapy, chronic kidney stones causing scarring, and infections. Identifying the specific cause helps establish the service connection.
Do I need to keep getting procedures to maintain my rating?
Not necessarily. The VA rates based on the overall functional impact. If your stricture requires ongoing monitoring and causes persistent symptoms even between procedures, that supports maintaining your rating. However, if the condition resolves completely after treatment, the VA may reduce your rating at re-examination.
Can a ureteral stricture affect both kidneys?
It is possible to have strictures in both ureters, though unilateral stricture is more common. Bilateral involvement significantly increases the risk of kidney damage and would typically support a higher rating due to greater functional impact.