Evidence Checklist: Chronic Urinary Tract Infection

Nexus opinion connecting chronic UTIs to service or service-connected conditionCritical

Medical opinion linking recurrent UTIs to service (e.g., catheterization during service, spinal cord injury, in-service first diagnosis).

Treatment records for antibiotic courses and urology managementCritical

Records showing repeated antibiotic treatments, prophylaxis regimens, and urology follow-up for recurrent UTIs.

Urine culture results documenting recurrent infectionsCritical

Lab results showing positive urine cultures over time, including organisms and antibiotic sensitivities — establishes chronicity (3+ per year).

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.