382Signs and symptoms of urethra function impairment include:

382     Signs and symptoms of urethra function impairment include:

a)      dysuria;

b)      diminished urinary stream;

c)       urinary retention;

d)      incontinence;

e)      extraneous or ectopic urinary openings;

f)        periurethral masses;

g)      diminished urethral calibre.

Table 10.3: Lower urinary tract

| 0 | Symptoms and signs of bladder or urethral disorder occurring 1-3 times a year and requiring intermittent treatment – between episodes lower urinary tract function is normal. | | 5 | Symptoms and signs of bladder or urethral disorder occurring 4-6 times a year and requiring intermittent treatment – between episodes lower urinary tract function is normal.<br>or<br>Urethral stricture requiring dilation up to six times a year – between dilations there is normal urethral function. | | 10 | Symptoms and signs of bladder disorder occurring 7-12 times a year and requiring intermittent treatment – between episodes bladder function is normal.<br>or<br>Urethral stricture requiring dilation more than six times a year – between dilations there are significant periods of normal urethral function. | | 15 | Symptoms and signs of bladder disorder occurring more than 12 times a year and requiring intermittent treatment – between episodes bladder function is normal.<br>or<br>Urethral fistula. | | 20 | Symptoms and signs of bladder disorder requiring continuous treatment.<br>or<br>Good bladder reflex activity (that is, storage of urine) but no voluntary control over the reflex activity.<br>or<br>Urethral stricture requiring dilation more than six times a year – between dilations there are no significant periods of normal urethral function. | | 30 | Poor reflex bladder activity (that is, intermittent dribbling incontinence, stress incontinence or urge incontinence) and no voluntary control over the incontinence.<br>or<br>Urethral dysfunction resulting in intermittent urine dribbling and loss of voluntary urinary control. | | 40 | No reflex or voluntary control of bladder (that is, continuous dribbling incontinence).<br>or<br>Urinary diversion with cystectomy. |

CHAPTER 11 – THE REPRODUCTIVE SYSTEM

11.0   Introduction

383     In conducting an assessment, the assessor must have regard to the Principles of Assessment and the definitions contained in the Glossary.

11.1   Male reproductive system

384     WPI ratings from tables in Section 11.1 (Male reproductive system) may be combined, provided the total WPI rating for all conditions affecting ability to father children does not exceed 20%.