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Evidence checklist

Hydronephrosis

DC 750938 CFR § 4.115bGenitourinary

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Urology evaluation and treatment recordsCritical

Records from a urologist documenting cause (obstruction, stone, stricture), kidney function impact, and treatment.

Private provider · independent opinion
Nexus opinion linking hydronephrosis to service or service-connected conditionCritical

Medical opinion connecting hydronephrosis to military service, a service-connected cause (kidney stones, stricture from in-service catheterization), or toxic exposure.

Private provider · independent opinion
02

Diagnostic tests and lab results

0 of 2 collected
Renal ultrasound or CT documenting hydronephrosis gradeCritical

Imaging confirming kidney dilation/hydronephrosis and grading severity (Grade I–IV), identifying the underlying cause.

Imaging or lab facility · records request
Kidney function labs (BMP, creatinine, eGFR)

Lab results documenting impact of hydronephrosis on overall kidney function.

Imaging or lab facility · records request
03

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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