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Evidence checklist

Vaginal Fistula

DC 762438 CFR § 4.116Gynecological/Breast

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
Gynecology or urogynecology evaluation documenting fistulaCritical

Records from a specialist showing the type of fistula (vesicovaginal, rectovaginal, or other), its size, location, and the severity of leakage.

Private provider · independent opinion
Nexus opinion linking vaginal fistula to service or surgical complicationCritical

A medical opinion connecting the fistula to military service, such as childbirth injury during service, surgical complication from a service-connected procedure, or pelvic trauma.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Surgical repair records (if applicable)

Operative reports from any surgical repair of the fistula, including success or recurrence after repair.

VA or private records · written request
Documentation of incontinence and daily life impact

Records showing the severity of urine or stool leakage, pad or absorbent use, skin problems, and how the condition limits your activities.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Imaging confirming fistula (MRI, CT, or contrast study)Critical

Imaging studies that confirm the abnormal connection between the vagina and bladder or rectum, showing its size and exact location.

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

Benefits questionnaire

0 of 1 collected
DBQ — Gynecological Conditions

Disability Benefits Questionnaire completed by your doctor documenting the fistula type, leakage severity, and how the condition affects your daily life.

Provider-completed · VA DBQ formHow to get this →
06

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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