Pelvic Organ Prolapse

DC 7621Genitourinary38 CFR 4.115a/4.115b, DC 7621

A condition where pelvic organs (bladder, uterus, or rectum) drop from their normal position due to weakened pelvic floor muscles and ligaments. The VA rates based on the severity of prolapse and the degree of functional impairment, including whether a pessary or surgical repair is needed.

How the VA rates this condition

The VA rates this condition based on objective clinical measurements and test results. The examiner will use standardized tests or lab values to determine the severity of your condition rather than relying primarily on subjective symptom reports.

Diagnostic code

DC 7621

Rating range

0% – 50%

Rating levels

Rating criteria are defined in 38 CFR 4.115a/4.115b, DC 7621. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have complete prolapse of the uterus with persistent voiding dysfunction requiring an appliance or absorbent materials, or surgical repair has failed.

What the VA looks for

Complete prolapse with failed surgical repair documented
Persistent voiding dysfunction requiring appliance or absorbent materials
Multiple surgical interventions attempted
Severe impact on employment and daily functioning
Ongoing specialist management

Common Pitfalls

⚠Not getting a formal pelvic organ prolapse quantification (POP-Q) staging from a specialist — the objective measurement of prolapse grade directly supports the rating level.
⚠Not documenting all associated urinary symptoms (incontinence, retention, frequency) separately — voiding dysfunction from prolapse can support a higher rating or a separate secondary rating.
⚠Not connecting prolapse to service — physical strain from military duties, pregnancies during service, and pelvic injuries or surgeries during active duty should be documented.
⚠Not filing for secondary conditions such as urinary incontinence, recurrent UTIs, bowel dysfunction, and depression from the impact on quality of life.

Related DBQ Forms

DBQ Gynecological Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

Pelvic Organ Prolapse

How the VA rates this condition

Diagnostic code

DC 7621

Rating range

0% – 50%

Rating levels

Rating Levels

You have complete prolapse of the uterus with persistent voiding dysfunction requiring an appliance or absorbent materials, or surgical repair has failed.

What the VA looks for

Complete prolapse with failed surgical repair documented
Persistent voiding dysfunction requiring appliance or absorbent materials
Multiple surgical interventions attempted
Severe impact on employment and daily functioning
Ongoing specialist management

Common Pitfalls

⚠Not getting a formal pelvic organ prolapse quantification (POP-Q) staging from a specialist — the objective measurement of prolapse grade directly supports the rating level.

⚠Not documenting all associated urinary symptoms (incontinence, retention, frequency) separately — voiding dysfunction from prolapse can support a higher rating or a separate secondary rating.

⚠Not connecting prolapse to service — physical strain from military duties, pregnancies during service, and pelvic injuries or surgeries during active duty should be documented.

⚠Not filing for secondary conditions such as urinary incontinence, recurrent UTIs, bowel dysfunction, and depression from the impact on quality of life.