Evidence Checklist: Chronic Cystitis

Nexus opinion linking chronic cystitis to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your chronic cystitis is connected to your military service, including exposure to unsanitary field conditions during deployment.

Urine culture results showing recurrent infectionsCritical

Laboratory results documenting a pattern of recurrent urinary tract infections with positive urine cultures over time.

Treatment records (antibiotics, suppressive therapy)

Records showing antibiotic treatment history, including any long-term suppressive therapy and treatment response.

Voiding diary documenting urinary frequency and urgencyCritical

A personal log tracking daytime voiding intervals, nighttime awakening frequency, and episodes of urgency, which directly maps to VA rating criteria.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Kidney and Urinary Tract ConditionsCritical

Standardized form capturing voiding dysfunction, urinary frequency, and infection history.

Documentation of unsanitary field conditions during deployment

Service records, buddy statements, or deployment documentation describing limited hygiene facilities and unsanitary conditions that contributed to recurrent UTIs.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.