Ed Nexus

[Charleese]

Do you think this is a good nexus letter for ED:

In April 2009 his doctor wrote: "The clinical records from the VA clearly state that Mr. XXXX developed parotitis after visiting his brother in Virginia who had mumps."

"A short time thereafter, the clinical records document left orchitis and the patient developed left testicular atrophy, a well known potential complication of mumps. Mr. XXXX later developed impotence at a relativey young age. It is my medical opinion that the testicular atrophy caused by the mumps contributed to a premature testosterone deficiency and immpotence."

Vet wears a patch (Androderm) for low testosterone and takes Vardenafil.

Is this good enough to get ED service connected.

[carlie]

There is so many things that the BVA told RO in remand to do that they didn't do such as give him an exam for hypertensive heart, exam for lower back, exam for shoulders, etc. They were told to see if he required a brace and doctor in 2011 C&P stated that he requires a brace but VA denied his claim for brace even though they used 2011 C&P exam as evidence.

Can you post a link to his BVA decision / remand ?

[bakerkd]

Has the Vet consulted with a Urologist and had them opine as to whether ED could (as likely as not) be related to Orchitis? Mumps is a viral infection that resolves within a few weeks and there is really no need to service connect it UNLESS there were complications (Orchitis..presumed resolved) that are now a disability. VA is saying that no disability for Mumps and Orchitis exists. He needs to connect the dots.

[Commander Bob]

Do you think this is a good nexus letter for ED:

In April 2009 his doctor wrote: "The clinical records from the VA clearly state that Mr. XXXX developed parotitis after visiting his brother in Virginia who had mumps."

"A short time thereafter, the clinical records document left orchitis and the patient developed left testicular atrophy, a well known potential complication of mumps. Mr. XXXX later developed impotence at a relativey young age. It is my medical opinion that the testicular atrophy caused by the mumps contributed to a premature testosterone deficiency and immpotence."

Vet wears a patch (Androderm) for low testosterone and takes Vardenafil.

Is this good enough to get ED service connected.

jmho... no.

Edited June 14, 2011 by Commander Bob

[Commander Bob]

Do you think this is a good nexus letter for ED:

In April 2009 his doctor wrote: "The clinical records from the VA clearly state that Mr. XXXX developed parotitis after visiting his brother in Virginia who had mumps."

"A short time thereafter, the clinical records document left orchitis and the patient developed left testicular atrophy, a well known potential complication of mumps. Mr. XXXX later developed impotence at a relativey young age. It is my medical opinion that the testicular atrophy caused by the mumps contributed to a premature testosterone deficiency and immpotence."

Vet wears a patch (Androderm) for low testosterone and takes Vardenafil.

Is this good enough to get ED service connected.

Are there any other reasons for the ED that would be due to military service, or VA meds, or VA malpractice?

Edited June 14, 2011 by Commander Bob

[bakerkd]

Are there any other reasons for the ED that would be due to military service, or VA meds, or VA malpractice?

Hormone disorders account for fewer than 5% of cases of impotence. Testosterone deficiency, which occurs rarely, can result in a loss of libido (sexual desire) and loss of erection.

VET Has ED due to testosterone deficiency

There are a number of reasons for low testosterone production. They include side effects of drug, testicular dysfunction, and elevations in the adrenal hormone cortisol. Testicular dysfunction results from damaged testicles.

Article Source: http://EzineArticles.com/353750

VET has Low testosterone as a result of Testes damage

Some boys who get orchitis caused by mumps will have shrinking of the testicles (testicular atrophy).

Orchitis may also cause infertility.

Other potential complications include:

• Chronic epididymitis
• Death of testicle tissue (testicular infarction)
• Fistula on the skin of the scrotum (cutaneous scrotal fistula)
• Scrotal abscess

VET has Testes Damage due to Orchitis which is a complication of the Mumps

Now all you have to do is get the doctor to connect the dots with an as likely as not or more likely than not statement

[Commander Bob]

Hormone disorders account for fewer than 5% of cases of impotence. Testosterone deficiency, which occurs rarely, can result in a loss of libido (sexual desire) and loss of erection.

VET Has ED due to testosterone deficiency

There are a number of reasons for low testosterone production. They include side effects of drug, testicular dysfunction, and elevations in the adrenal hormone cortisol. Testicular dysfunction results from damaged testicles.

Article Source: http://EzineArticles.com/353750

VET has Low testosterone as a result of Testes damage

Some boys who get orchitis caused by mumps will have shrinking of the testicles (testicular atrophy).

Orchitis may also cause infertility.

Other potential complications include:

• Chronic epididymitis
• Death of testicle tissue (testicular infarction)
• Fistula on the skin of the scrotum (cutaneous scrotal fistula)
• Scrotal abscess

VET has Testes Damage due to Orchitis which is a complication of the Mumps

Now all you have to do is get the doctor to connect the dots with an as likely as not or more likely than not statement

Thanks for the info, 'bakerkd'. So you are suggesting that 'Charleese' disputes the "The clinical records from the VA clearly stating that Mr. XXXX developed parotitis after visiting his brother in Virginia who had mumps." and connect the dots with additional evidence that proves the condition is service related?

Edited June 14, 2011 by Commander Bob