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C&P Exam Prep: Penis, Removal of Half or More

DC 7521 genitourinary 38 CFR 4.115b

DBQ Overview

Interview + Physical
Form Name
Male_Reproductive_Organ
Form Code
Male_Reproductive_Organ
Page Count
10
Examiner Type
Urologist or Physician
Estimated Duration
20-30 minutes
Exam Format
Interview + Physical

What to Expect During Your Exam

Exam Overview

To document the current anatomical status of the penis following partial or complete penectomy (including glans removal), assess associated urinary and sexual function impairments, identify secondary conditions, and establish or confirm the disability rating under 38 CFR 4.115b DC 7520/7521.

What the examiner evaluates:

  • Extent of penile tissue loss (less than half, half or more, or glans only) to assign the correct diagnostic code
  • Presence and degree of urinary voiding dysfunction, hesitancy, weak stream, frequency, and retention
  • Urinary incontinence severity and absorbent material requirements
  • Presence of urethral stricture disease and frequency of dilation required
  • Erectile dysfunction and any residual penile deformity
  • Any secondary or associated genitourinary conditions (epididymitis, orchitis, prostate conditions)
  • Testicular status (atrophy, removal) which may independently qualify for Special Monthly Compensation (SMC-K)
  • Overall functional impact of the condition on daily activities and quality of life
  • Review of surgical records, operative notes, pathology reports, and prior treatment history

The exam will include a physical examination of the genitalia. Veterans may request a same-sex examiner or a chaperone. In most states, veterans have the right to record the exam with prior notification to VA. The examiner will review service treatment records, private medical records, and any submitted nexus letters before or during the exam.

Typical duration: 20-30 minutes

Penile Anatomical Assessment

Extent of penile tissue loss - whether less than half, half or more of the penile shaft was removed, or whether only the glans was removed - directly determining the applicable diagnostic code and rating

What to expect:

The examiner will visually inspect and document the remaining penile tissue. They will describe the surgical site, residual tissue, and any scarring or deformity. This is the most critical measurement for rating purposes.

Key thresholds:

  • Removal of glans only — 20% under DC 7521
  • Removal of half or more of the penile shaft (including glans) — 30% under DC 7520
  • Complete penectomy (total removal) — Rated under DC 7520 at 30%; may also qualify for SMC-K for loss of use of a creative organ under 38 CFR 3.350(a)

Tips:

  • Know your surgical operative report and be prepared to describe the extent of tissue removed if asked
  • Bring documentation (operative reports, pathology) clearly stating whether the glans and/or half or more of the shaft was removed
  • If you have experienced additional tissue loss from radiation necrosis or secondary surgery, mention this clearly

Pain considerations: Describe any phantom pain, scar sensitivity, or discomfort at the surgical site accurately and specifically

Urinary Voiding Assessment (Symptom-Based)

Daytime voiding frequency intervals, nighttime awakenings to void, stream characteristics (weak, slow, hesitancy, decreased force), and presence of obstructive symptoms - all of which affect the overall genitourinary rating and may support a separate or combined rating

What to expect:

The examiner will ask detailed questions about your urinary habits. They may review recent uroflowmetry results or order urinary studies. Key thresholds: daytime voiding intervals less than 1 hour, 1-2 hours, or 2-3 hours; nighttime awakenings of 2, 3-4, or 5+ times.

Key thresholds:

  • Daytime voiding interval less than 1 hour — Supports higher rating for associated voiding dysfunction under relevant DC
  • Nighttime awakenings 5 or more times — Supports higher combined genitourinary rating
  • Uroflowmetry peak flow rate less than 10 cc/sec — Supports obstructive voiding dysfunction rating
  • Post-void residuals greater than 150 cc — Supports rating for urinary retention
  • Urinary retention requiring continuous catheterization — Supports maximum rating for voiding dysfunction

Tips:

  • Keep a voiding diary for 3-7 days before the exam recording time, volume, urgency, and nocturia episodes
  • Report your worst typical day, not your best day
  • Mention if you have had any urinary tract infections secondary to obstruction or catheterization

Pain considerations: Report any pain or burning with urination, pelvic discomfort, or perineal pain that accompanies voiding dysfunction

Urinary Incontinence Assessment

Whether urinary leakage requires absorbent material, the frequency of pad changes needed per day, and whether an external collection device or appliance is used - directly affecting the incontinence-related rating

What to expect:

Examiner will ask how many pads or absorbent materials you use per day and whether you use any urinary appliance. They will document whether incontinence does not require absorbent material, requires pads changed less than 2 times/day, 2-4 times/day, or more than 4 times/day.

Key thresholds:

  • Does not require absorbent material — Lower rating for incontinence component
  • Absorbent material changed 2-4 times daily — Moderate rating for incontinence
  • Absorbent material changed more than 4 times daily — Higher rating for incontinence

Tips:

  • Count the actual number of pads you use on a bad day, not an average day
  • Mention any appliance or external catheter you use
  • Note whether incontinence is stress, urge, or mixed in character

Pain considerations: Report any skin breakdown, rash, or wound care issues related to chronic incontinence

Urethral Stricture and Obstruction Evaluation

Presence of urethral stricture disease, frequency of dilation required, and severity of obstructive symptomatology - critical for assigning the urethral stricture diagnostic code if applicable as a secondary or combined condition

What to expect:

Examiner will ask about history of urethral stricture, frequency of urologic dilation procedures, and whether you require periodic or continuous dilation. Uroflowmetry or cystoscopy records may be reviewed.

Key thresholds:

  • Stricture requiring dilation 1-2 times per year — Lower stricture rating
  • Stricture requiring dilation every 2 to 3 months — Moderate stricture rating
  • Recurrent UTIs secondary to obstruction or continuous catheterization required — Higher stricture or combined rating

Tips:

  • Bring procedure logs or urology visit records documenting dilation frequency
  • Note how long the stricture has been present and its progression over time
  • Report how the stricture affects daily activities, work, and sleep

Pain considerations: Describe any pain during or after dilation procedures and any ongoing urethral discomfort

Estimate

Rating Criteria Breakdown

30% Removal of half or more of the penile shaft (DC 7520). This ...

Removal of half or more of the penile shaft (DC 7520). This includes partial penectomy where at least half of the penile length has been surgically excised. Complete penectomy also falls under this code. The rating is anatomically based on the extent of surgical loss confirmed by operative reports.

Key Symptoms

  • Documented partial or complete penectomy with removal of half or more of the penile shaft
  • Significant alteration or inability to direct urinary stream without assistance
  • Complete or near-complete erectile dysfunction
  • Inability to engage in penetrative sexual intercourse
  • Major psychological impact: PTSD, depression, relationship disruption, identity disturbance
  • Voiding dysfunction including urinary stricture at the surgical site
  • Need for urinary appliance or perineal urethrostomy

CFR: 38 CFR 4.115b DC 7520: Penis, removal of half or more - 30 percent. Additionally, anatomical loss of the penis (creative organ) may independently qualify the veteran for Special Monthly Compensation under 38 U.S.C. 1114(k) and 38 CFR 3.350(a), regardless of the combined disability percentage.

20% Removal of the glans penis only (DC 7521). The penile shaft ...

Removal of the glans penis only (DC 7521). The penile shaft remains intact but the glans (head of the penis) has been surgically removed. This is the anatomical criterion; no functional threshold is required beyond the verified surgical loss.

Key Symptoms

  • Documented surgical or traumatic removal of glans penis
  • Alteration in urinary stream direction or force due to meatal changes
  • Sexual dysfunction secondary to glans removal
  • Phantom sensation or scar pain at surgical site
  • Psychological impact including depression, anxiety, or relationship difficulties

CFR: 38 CFR 4.115b DC 7521: Penis, removal of glans - 20 percent. The rating is anatomically based; the confirmed removal of the glans is sufficient to meet criteria.

How to Describe Your Symptoms

Anatomical Loss and Physical Findings

How to describe:

State clearly and factually the extent of penile tissue removed, citing your operative report. Example: 'My surgeon removed approximately two-thirds of my penile shaft during a partial penectomy on [date] due to [service-connected cause]. My operative report confirms removal of half or more of the penis.' Bring the actual operative report and any pathology reports to the exam.

Worst-day example:

“On my worst days, the surgical scar is tender to the touch, the altered anatomy makes it difficult to control my urinary stream without sitting down, and I experience significant distress when I attempt to engage in any intimate activity.”

What the examiner listens for:

Confirmation that the surgical removal meets the anatomical threshold (half or more, or glans only) for the applicable diagnostic code; any secondary complications at the surgical site such as stricture, fistula, or wound breakdown.

Understatements to avoid:

Do not say 'the surgery went well and everything is fine now.' Even a technically successful surgery results in a permanent anatomical loss that is ratable regardless of healing outcome. Report all residual symptoms and functional changes honestly.

Urinary Voiding Dysfunction

How to describe:

Describe your urinary symptoms in terms of frequency (how often per hour during the day), nocturia (how many times you wake at night to urinate), stream quality (weak, intermittent, spraying, requiring sitting), and any retention episodes. Use specific numbers: 'I urinate every 45 minutes during the day and wake up 3-4 times per night.'

Worst-day example:

“On my worst days I urinate every 30-45 minutes, wake up 4 to 5 times at night, and have such a weak and misdirected stream that I must sit down to urinate and still experience leakage onto clothing. I use 3-4 absorbent pads per day.”

What the examiner listens for:

Specific voiding intervals to check the appropriate frequency boxes on the DBQ; whether a catheter is required; uroflowmetry data confirming peak flow rates; post-void residual volumes indicating retention.

Understatements to avoid:

Do not say 'I have some trouble urinating' without specifics. Vague answers prevent the examiner from checking the correct rating-relevant boxes. Quantify everything: pads per day, awakenings per night, minutes between voids.

Urinary Incontinence

How to describe:

Describe exactly how many absorbent pads or protective garments you use per day and whether you use any external collection device. Indicate whether incontinence is constant, occurs with activity, or is unpredictable. Example: 'I use 3 to 4 adult incontinence pads daily that are soaked and must be changed. I also use an external condom catheter at night.'

Worst-day example:

“On my worst days, I change soaked pads 5 or more times, experience leakage with any physical activity including walking, and have had to leave work or social situations due to embarrassing leakage episodes.”

What the examiner listens for:

Whether absorbent material is required at all, the frequency of pad changes (less than 2, 2-4, or more than 4 times daily), and use of any appliance - all of which correspond to specific DBQ checkboxes tied to rating levels.

Understatements to avoid:

Do not minimize incontinence by saying 'just occasional leakage.' If you use pads daily, specify the number. If you have stopped certain activities because of incontinence, say so explicitly.

Sexual Dysfunction and Erectile Dysfunction

How to describe:

Describe the complete inability or significant impairment of sexual function resulting from the penile loss. If you have erectile dysfunction, loss of sensation, or inability to engage in intercourse, state this directly. Example: 'Following my partial penectomy, I have complete erectile dysfunction and am unable to engage in sexual intercourse. This has severely impacted my marriage and emotional well-being.'

Worst-day example:

“I have had no sexual function since my surgery. I cannot achieve an erection, and the psychological impact has caused me to withdraw from intimate relationships entirely. I have been treated for depression directly related to this loss.”

What the examiner listens for:

Confirmation of erectile dysfunction for potential rating under DC 7522 (impotency) or DC 7522 as a secondary condition; any penile deformity noted; psychological sequelae that may support a separate mental health claim; whether the veteran is already service-connected for erectile dysfunction.

Understatements to avoid:

Do not omit sexual dysfunction because it feels uncomfortable to discuss. It is directly relevant to rating and to potential SMC-K entitlement. If you have a service-connected mental health condition secondary to penile loss, mention it.

Psychological and Functional Impact

How to describe:

Describe how the condition affects your ability to work, maintain relationships, perform activities of daily living, and participate in social activities. Use specific examples: 'I had to change careers because my voiding dysfunction requires me to be near a restroom at all times. I cannot take long trips or sit in meetings. My marriage has been severely strained.'

Worst-day example:

“On my worst days I am unable to leave the house due to incontinence and shame. I experience significant depression, avoid social situations, and have difficulty maintaining employment due to the need for frequent bathroom breaks and the psychological burden of this condition.”

What the examiner listens for:

Functional limitations that support both the genitourinary rating and potential secondary service-connected mental health conditions (PTSD, depression, adjustment disorder) which may be ratable separately under 38 CFR 4.130.

Understatements to avoid:

Do not say 'I manage okay.' If the condition limits your daily life, be specific about which activities are affected, how often, and to what degree. The DBQ specifically asks about functional impact.

Special Monthly Compensation (SMC-K) Awareness

How to describe:

While you do not need to claim SMC directly, be aware that anatomical loss of the penis (a creative organ) entitles veterans to SMC under 38 U.S.C. 1114(k) and 38 CFR 3.350(a) in addition to the schedular rating. The examiner's documentation of anatomical loss triggers this entitlement automatically in adjudication. Ensure the examiner documents the anatomical loss clearly.

Worst-day example:

“N/A - SMC-K is triggered by the confirmed anatomical loss itself, not by symptom severity. Ensure the examiner explicitly checks the appropriate anatomical loss boxes on the DBQ.”

What the examiner listens for:

Anatomical loss confirmed through physical exam and surgical records, which the rating authority will use to award SMC-K independently of the combined disability percentage.

Understatements to avoid:

Do not assume the VA will automatically connect SMC-K to your claim without clear documentation. Confirm with the examiner that the anatomical loss of the creative organ is explicitly documented in the DBQ narrative.

Common Mistakes to Avoid

Prep Checklist

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Before Your Exam

Day Of

During the Exam

After the Exam

Your Rights During a C&P Exam

  • You have the right to request a same-sex examiner for genitourinary examinations. Contact the scheduling facility in advance to make this request.
  • In most states, you have the right to record your C&P exam for personal records. Check your state's laws and notify the examiner and facility before recording. Do not record covertly.
  • You have the right to review and obtain a copy of the completed DBQ after your examination. Request it from the VA or contracted exam vendor (QTC, LHI, VES).
  • You have the right to submit a personal statement (VA Form 21-4138) correcting inaccuracies or omissions in the DBQ after the exam.
  • You have the right to submit private medical opinions and independent medical examinations as evidence, including nexus letters from private urologists.
  • You have the right to request a new or additional C&P exam if the original exam was inadequate, incomplete, or failed to address all claimed conditions. This may be requested during the appeal process.
  • You have the right to a chaperone during any physical examination. You may bring a VSO representative, spouse, or support person to the waiting area, though exam room presence may be limited to medical personnel unless you specifically request a chaperone.
  • You are entitled to Special Monthly Compensation (SMC-K) under 38 U.S.C. 1114(k) and 38 CFR 3.350(a) for anatomical loss of a creative organ (penis or testes). This is a separate benefit paid in addition to your combined schedular rating and does not require a separate claim beyond the service connection for the underlying condition.
  • You have the right to a thorough, contemporaneous examination. The examiner must review all submitted evidence including private medical records, service treatment records, and any personal statements before or during the exam.
  • You have the right to appeal a rating decision you believe is incorrect, including through a Supplemental Claim, Higher-Level Review, or Board of Veterans' Appeals appeal within one year of the rating decision.

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This C&P exam preparation guide is for educational purposes only and does not constitute legal, medical, or claims advice. Always consult with a qualified Veterans Service Organization (VSO) representative or VA-accredited attorney for guidance specific to your claim. Never exaggerate, minimize, or fabricate symptoms during a C&P examination.