A fistula is defined as an abnormal tube-like pathway from a normal cavity or tube to a free surface or another cavity.

Blunt bladder trauma, abscesses, incomplete closure of a suprapubic catheter site, and congenital incomplete closure of the bladder wall are causes related to the condition.

Manifestations of the condition include: abdominal tenderness, urine leakage, blood in the urine, inability to void or incontinence, pain, and inflammation at the site.

Cystography (insertion of radiographic dye into the bladder) is used to confirm presence of the fistula.

Fistulectomy is most effective.

Fistulas require treatment, as they do not heal spontaneously.

•  The new criteria for the Genitourinary Disease and Conditions body system became effective November 14, 2021.  Review both current and historic criteria prior to any reduction for disabilities established before that date.  38 CFR 3.951(a)

• May be entitled to special monthly compensation where the Veteran has a single service-connected disability rated as 100% with additional service-connected disability or disabilities independently ratable at 60% or more, which are separate and distinct from the 100% service-connected disability and involves different anatomical segments or bodily systems. See  38 CFR 3.350(i)(1) – Total plus 60% and – Special Monthly Compensation (SMC).

• When evaluating any claim involving loss or loss of use of one or more creative organs, refer to 38 CFR 3.350 of this chapter to determine whether the Veteran may be entitled to special monthly compensation. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation.