Seafarers Rehabilitation and Compensation Act 1992 – Guide to the Assessment of the Degree of Permanent Impairment Edition 3.0
386Where the employee is outside this age group, the following calculation should be made:
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387 For example, a 29 year old man with a combined maximum WPI of 20% of the male reproductive system would be rated as suffering a 30% WPI: 20% WPI + (0.5 x 20% WPI) = 30% WPI.
389 The tables in Section 11.1 (Male reproductive system) are intended for use only to assess impairment resulting from neurological impairment, or local lesions of:
a) penis;
b) scrotum;
c) testes;
d) epididymes;
e) spermatic cords; and
f) prostate and/or seminal vesicles.
390 These tables can be used to assess impairment where obstruction of the vascular supply of the penis and other male organs occurs.
391 These tables are not intended for use where sexual function is impaired for any other reason (for example, pain or depression).
11.1.1 Male reproductive organs – penis
Table 11.1.1: Male reproductive organs – penis
| 0 | Occasional interference with sexual function. |
| 10 | Sexual function possible but always with a degree of difficulty with erection, ejaculation and/or sensation. |
| 15 | Sexual function possible in that there is sufficient erection but sensation and/or ejaculation is absent. |
| 20 | No sexual function is possible. |
11.1.2 Male reproductive organs – scrotum
392 Skin disorders such as dermatitis, or tinea, affecting the scrotal skin are assessed under (see ). is not used to assess these conditions.
| 0 | Symptoms and/or signs of scrotal loss or disease with no evidence of testicular malfunction, malposition or loss of mobility. |
| 5 | Symptoms and/or signs of scrotal loss or disease with no evidence of testicular malfunction but with testicular malposition or loss of mobility. |
| 10 | Total loss of scrotum.<br>or<br>Symptoms and signs of scrotal loss or disease with necessity for testes to be implanted elsewhere to preserve testicular function. |
| 15 | Symptoms and signs of scrotal loss or disease with necessity for testes to be implanted elsewhere to preserve testicular function.<br>and<br>Scrotal pain or discomfort present with physical activity. |
| 20 | Symptoms and signs of scrotal loss or disease unable to be controlled by treatment.<br>and<br>Scrotal pain severely limits physical activity. |
11.1.3 Male reproductive organs – testes, epididymes and spermatic cords
Table 11.1.3: Male reproductive organs – testes, epididymes and spermatic cords
| 0 | Symptoms and signs of testicular, epididymal and/or spermatic cord dysfunction are present and there is anatomical alteration.<br>and<br>Continuous treatment is not required and there are no seminal or hormonal abnormalities. |
| 5 | Loss of one testis. |
| 10 | Symptoms and signs of testicular, epididymal and/or spermatic cord dysfunction are present and there is anatomical alteration.<br>and<br>Continuous or frequent treatment is required, or treatment is not possible.<br>and<br>There are no seminal or hormonal abnormalities. |
| 15 | Symptoms and signs of testicular, epididymal and/or spermatic cord dysfunction are present and there is anatomical alteration.<br>and<br>Continuous or frequent treatment is required, or treatment is not possible.<br>and<br>There is no detectable seminal or hormonal function. |
| 20 | Loss of both testes. |
11.1.4 Male reproductive organs – prostate and seminal vesicles
Table 11.1.4: Male reproductive organs – prostate and seminal vesicles
| 0 | Symptoms and signs of prostate and/or seminal vesicle disease or dysfunction are present.<br>and<br>There is anatomical alteration.<br>and<br>Continuous or very frequent treatment not required. |
| 10 | Frequent and severe symptoms of prostate and/or seminal vesicle disease or dysfunction are present.<br>and<br>there is anatomical alteration.<br>and<br>Continuous or very frequent treatment not required. |
| 15 | Prostatectomy. |
11.2 Female reproductive system
393 WPI ratings from the tables in Section 11.2 (Female reproductive system) may be combined. However, the total WPI rating for all conditions affecting ability to conceive and be delivered of children may not exceed 30%.
11.2.1 Female reproductive organs – vulva and vagina
Table 11.2.1: Female reproductive organs – vulva and vagina
See note to Table 11.2.1 for further information.
| 0 | Symptoms and signs of disease or deformity of the vulva and/or vagina are present.<br>and<br>Continuous treatment is not required.<br>and<br>Sexual intercourse is possible.<br>and<br>The vagina is adequate for childbirth. | Symptoms and signs of disease or deformity of the vulva and/or vagina are present.<br>and<br>Continuous treatment is not required.<br>and<br>Sexual intercourse is possible with or without considerable difficulty. |
| 10–15 | Symptoms and signs of disease or deformity of the vulva and/or vagina are present.<br>and<br>Continuous treatment is required.<br>and<br>Sexual intercourse is possible only with difficulty.<br>and<br>Limited potential for vaginal delivery. | Symptoms and signs of disease or deformity of the vulva and/or vagina are present.<br>and<br>Continuous treatment is required and may not control symptoms.<br>and<br>Sexual intercourse is not possible. |
| 25 | Symptoms and signs of disease or deformity of the vulva and/or vagina are present.<br>and<br>Continuous treatment does not control symptoms.<br>and<br>Sexual intercourse is not possible.<br>and<br>Vaginal delivery is not possible. | |
Note to Table 11.2.1
Assessors should refer to the Principles of Assessment for guidance on awarding an impairment value within a range.
11.2.2 Female reproductive organs – cervix and uterus
Table 11.2.2: Female reproductive organs – cervix and uterus
See notes to Table 11.2.2 for further information.
| 0 | Symptoms or signs of disease or deformity of cervix and/or uterus present.<br>and<br>Continuous treatment not required.<br>or<br>Cervical stenosis not requiring treatment. | Cervical stenosis.<br>or<br>Anatomical loss of cervix and/or uterus. |
| 5 | | Symptoms and signs of disease or deformity of cervix and/or uterus present.<br>and<br>Continuous treatment required. |
| 10 | Symptoms and signs of disease or deformity of cervix and/or uterus present.<br>and<br>Continuous treatment required. | Symptoms and signs of disease or deformity of the cervix and/or uterus present.<br>and<br>Treatment does not give control. |
| 15 | Cervical stenosis requiring periodic treatment. | |
| 25 | Symptoms and signs of disease or deformity of cervix and/or uterus present.<br>and<br>Treatment does not control symptoms.<br>or<br>Complete cervical stenosis. | |
| 30 | Total hysterectomy.<br>and/or<br>Amputation of cervix. | |
Notes to Table 11.2.2
Hormone replacement therapy is not considered continuous treatment for the purposes of Table 11.2.2.
Oral contraception may be considered continuous treatment if pregnancy is contraindicated because of the cervical or uterine lesion.
11.2.3 Female reproductive organs – fallopian tubes and ovaries
Table 11.2.3: Female reproductive organs – fallopian tubes and ovaries
| 0 | Symptoms or signs of disease or deformity of the fallopian tubes or ovaries present.<br>and<br>Continuous treatment not required.<br>and<br>No difficulties with conception or loss of one ovary. | Symptoms or signs of disease or deformity of the fallopian tubes or ovaries present.<br>and<br>Continuous treatment not required.<br>or<br>Unilateral or bilateral loss of one or both fallopian tubes and/or one or both ovaries. |
| 5 | Symptoms or signs of disease or deformity of the fallopian tubes or ovaries present.<br>and<br>Continuous treatment not required.<br>and<br>Conception possible with medical intervention.<br>or<br>Loss of one fallopian tube. | Symptoms or signs of disease or deformity of the fallopian tubes or ovaries present.<br>and<br>Continuous treatment required. |
| 10 | Symptoms or signs of disease or deformity of the fallopian tubes or ovaries present.<br>and<br>Continuous treatment required.<br>and<br>Conception is possible although medical intervention may be required. | Symptoms or signs of disease or deformity of the fallopian tubes or ovaries present.<br>and<br>Continuous treatment does not give control. |
| 20 | Bilateral loss of both fallopian tubes.<br>or<br>Irreparable loss of patency of both fallopian tubes. | |
| 30 | Loss of both ovaries.<br>or<br>Failure to produce ova despite treatment. | |
CHAPTER 12 – THE NEUROLOGICAL SYSTEM
12.0 Introduction
395 In conducting an assessment, the assessor must have regard to the Principles of Assessment and the definitions contained in the Glossary.
Section 386 - Seafarers Rehabilitation and Compensation Act 1992 – Guide to the Assessment of the Degree of Permanent Impairment Edition 3.0 - Where the employee is outside this age group, the following calculation should be made: | Zoe