Erectile dysfunction decisions — 2014

The Veteran's PTSD is rated at 70 percent, and he is granted a TDIU. ED is not service-connected as it is due to a nonservice-connected condition.

The Veteran's TDIU claim is being remanded for additional development, including a medical opinion from a vocational rehabilitation specialist to assess his employability due to service-connected disabilities. The case will be readjudicated after the additional development.

The Board has determined that the Veteran's erectile dysfunction and lumbar muscle strain are related to his military service, with the latter being secondary to other service-connected disabilities. The claims for service connection have been granted.

The Board has determined that the Veteran's hypertension and erectile dysfunction are not service-connected, as they were not caused or aggravated by his service-connected diabetes mellitus type II.

The Board has remanded the case for additional development of the record, including obtaining medical records related to the Veteran's cataracts and providing opinions on whether his erectile dysfunction, hypertension or cataracts were caused or aggravated by his service-connected diabetes mellitus.

The Board has determined that the Veteran does not have service connection for diabetes or nerve degeneration affecting the upper extremities, as these conditions are not shown to be related to his military service. The left shoulder arthritis claim is also denied.

The Veteran is entitled to an increased level of SMC based on the need for regular aid and attendance due to his service-connected disabilities, including renal insufficiency with nephrotic syndrome, left eye blindness, right below the knee amputation, anatomical loss of left foot status post above-the-knee amputation and loss of use of right hand, peripheral neuropathy of the right lower extremity, left upper extremity polyneuropathy (non-dominant), hypertension, erectile dysfunction, and diabetic retinopathy.

The Board has determined that the Veteran's claimed disabilities did not begin in service or until many years after service, and are not linked to any established in-service injury, disease, or event. Therefore, the claims for service connection have been denied.

The Veteran's Peyronie's disease with erectile dysfunction is found to have begun in service and is granted. The respiratory disorder claim is denied as there is no current disability shown by the record. A noncompensable rating for the skin disorder is granted.

The Veteran's acquired psychiatric disorder and erectile dysfunction are related to his service-connected hypertension, warranting service connection for both conditions.

The Board has determined that the Veteran's erectile dysfunction is secondary to his service-connected PTSD, and therefore grants service connection for this condition.

The Veteran's appeal is being remanded due to the need for additional development, including obtaining updated medical records and arranging for a comprehensive examination to assess his ability to work given his service-connected disabilities.

The Veteran's diabetes mellitus, type-II, with erectile dysfunction and right eye cataract, status post removal, warrants a rating of 20 percent. The noncompensable complications (right eye cataract) are considered part of the diabetic process under Code 7913.

The Board has determined that the Veteran's currently diagnosed hypertension and erectile dysfunction are not related to his active service, including exposure to herbicides. The claim for service connection is denied.

The Veteran's claim for special monthly compensation (SMC) benefits based on the need for housebound status prior to September 7, 2011, and/or regular aid and attendance is being remanded due to the need for additional medical opinions.

The Veteran's appeal is being remanded due to the need for proper VCAA notice and additional medical opinions regarding his service-connected disabilities and their impact on his erectile dysfunction.

The Board is remanding the Veteran's case to determine if his prostate cancer and erectile dysfunction are related to his service, including any exposure to toxic chemicals during his time as an aviation mechanic.

The Board has determined that the appellant does not have current right and left peripheral vascular disease related to his active duty for training in the National Guard. The claims of service connection for residuals of a right rotator cuff injury, hypertension, erectile dysfunction (ED), coronary artery disease (CAD) with left ventricular dysfunction are REMANDED.

The Veteran's medical expenses at Shenandoah Medical Center from October 8 to October 9, 2010 are eligible for payment or reimbursement as the care was provided in an emergent situation and VA facilities were not feasibly available.

The Veteran's diabetes mellitus, type II is at least as likely as not due to herbicide exposure during service. Service connection for this condition is granted.