ATCO.MED.B.035 Genitourinary system

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Regulation (EU) 2015/340

(a) Urinalysis shall form part of every aero-medical examination. The urine shall contain no abnormal element considered to be of pathological significance.    

(b) Applicants with any sequelae of disease or surgical procedures on the genitourinary system or its adnexa likely to cause incapacitation, in particular any obstruction due to stricture or compression, shall be assessed as unfit.

(c) Applicants with a genitourinary disorder, such as:

(1) renal disease;

(2) one or more urinary calculi;

may be assessed as fit subject to satisfactory renal/urological evaluation.

(d)  Applicants who have undergone:

(1) a major surgical operation in the genitourinary system or its adnexa involving a total or partial excision or a diversion of its organs; or

(2) major urological surgery;

shall be referred to the licensing authority for an aero-medical assessment after full recovery before a fit assessment may be considered.

AMC1 ATCO.MED.B.035 Genitourinary system

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ED Decision 2015/010/R

(a) Abnormal urinalysis

Any abnormal finding on urinalysis requires investigation. This investigation should include proteinuria, haematuria and glycosuria.

(b) Renal disease

(1) Applicants presenting with any signs of renal disease should be assessed as unfit. A fit assessment may be considered if blood pressure is satisfactory and renal function is acceptable.

(2) Applicants requiring dialysis should be assessed as unfit.

(c) Urinary calculi

(1) Applicants with an asymptomatic calculus or a history of renal colic require investigation. A fit assessment may be considered after successful treatment for a calculus and with appropriate follow-up.

(2) Residual calculi should be disqualifying unless they are in a location where they are unlikely to move and give rise to symptoms.

(d) Renal and urological surgery

(1) Applicants who have undergone a major surgical operation on the genitourinary system or its adnexa involving a total or partial excision or a diversion of any of its organs should be assessed as unfit until recovery is complete, the applicant is asymptomatic and the risk of secondary complications is minimal.

(2) Applicants with compensated nephrectomy without hypertension or uraemia may be assessed as fit.

(3) Applicants who have undergone renal transplantation may be considered for a fit assessment if it is fully compensated and tolerated with only minimal immunosuppressive therapy after at least 12 months.

(4) Applicants who have undergone total cystectomy may be considered for a fit assessment if there is satisfactory urinary function, no infection and no recurrence of primary pathology.