Evidence Checklist: Overactive Bladder

Urology evaluation documenting OAB symptoms and treatmentCritical

Records from a urologist documenting urgency, frequency, nocturia episodes per night, and urge incontinence frequency.

Nexus opinion connecting OAB to service or service-connected conditionCritical

Medical opinion linking overactive bladder to military service or a service-connected condition such as spinal cord injury, MS, or diabetes.

Bladder diary documenting frequency and urgency episodes

A voiding diary recording urination frequency, urgency episodes, leakage incidents, and fluid intake — objective evidence of severity.

Urodynamic study results

Testing documenting detrusor overactivity and bladder function.

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.