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Evidence checklist

Interstitial Cystitis (Bladder Pain Syndrome)

DC 751238 CFR § 4.115aGenitourinary

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 documenting IC diagnosis and symptomsCritical

Records from a urologist documenting chronic pelvic pain, urinary frequency/urgency, and diagnosis of interstitial cystitis/bladder pain syndrome.

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

Medical opinion connecting interstitial cystitis to military service, including possible toxic exposure or recurrent UTI history during service.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Pain management and treatment records

Records documenting treatments tried (bladder instillations, medications, physical therapy) and their effects on pain and urinary symptoms.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Cystoscopy with hydrodistension findingsCritical

Procedure results documenting Hunner lesions or glomerulations that confirm the IC diagnosis.

Imaging or lab facility · records request
04

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 →
05

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

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