Evidence Checklist: Interstitial Cystitis (Bladder Pain Syndrome)

Urology evaluation documenting IC diagnosis and symptomsCritical

Records from a urologist documenting chronic pelvic pain, urinary frequency/urgency, and diagnosis of interstitial cystitis/bladder pain syndrome.

Nexus opinion linking IC to service or service-connected conditionCritical

Medical opinion connecting interstitial cystitis to military service, including possible toxic exposure or recurrent UTI history during service.

Pain management and treatment records

Records documenting treatments tried (bladder instillations, medications, physical therapy) and their effects on pain and urinary symptoms.

Cystoscopy with hydrodistension findingsCritical

Procedure results documenting Hunner lesions or glomerulations that confirm the IC diagnosis.

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.

Service treatment records (STRs)Critical

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