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Evidence checklist

Varicocele

DC 754338 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 3 collected
Scrotal ultrasound documenting varicoceleCritical

Doppler ultrasound confirming the presence and grade of the varicocele, including measurements of venous reflux.

Private provider · independent opinion
Nexus opinion linking varicocele to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your varicocele is connected to your military service, including physically demanding duties.

Private provider · independent opinion
Semen analysis (if infertility claimed)

Laboratory results documenting reduced sperm count or quality if claiming infertility as a complication of the varicocele.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Pain documentation and supportive garment use

Medical records documenting chronic scrotal pain, prescribed supportive garments, and impact on daily activities.

VA or private records · written request
03

Lay statements

0 of 2 collected
SMC-K documentation if loss of use claimed

Documentation supporting Special Monthly Compensation (SMC-K) if loss of use of a creative organ is claimed due to varicocele-related infertility.

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

Benefits questionnaire

0 of 1 collected
Completed DBQ Male Reproductive System ConditionsCritical

Standardized form capturing varicocele findings, pain level, and reproductive impact.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 2 collected
Documentation of physically demanding military duties

Service records showing heavy lifting, prolonged standing, or other physically strenuous duties that may have contributed to the varicocele.

NPRC / milConnect · SF-180
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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