AMA Criteria for Permanent Impairment Associated with Testicular Disease

 

NOTE: If the patient experiences psychological impairment as a result of the testicular disease, then that impairment needs to be determined and combined with the testicular impairment to determine the whole person impairment.

 

Potential sites of involvement:

(1) testis

(2) epididymis

(3) spermatic cord

 

Parameters:

(1) signs and symptoms

(2) therapeutic requirements and response

(3) hormonal or seminal abnormalities

(4) parenchymal loss

 

Signs and symptoms of testicular disorder:

(1) pain or discomfort with activity

(2) infertility

(3) loss of secondary sexual characteristics

Signs and Symptoms	Therapy	Hormonal or Seminal Function	Parenchymal Loss	Impairment of the Whole Person
none	none	normal	none	0%
mild	intermittent	normal	loss single testis	0 - 10%
moderate	frequent or continuous	decreased	bilateral injury	11 – 15%
severe	continuous	none	loss of both testes	16 - 20%

 

where:

• If scrotal disease is present, then the degree of impairment needs to be combined with the testicular impairment.