Erectile dysfunction decisions — 2016

The Veteran's claim for service connection for erectile dysfunction as secondary to PTSD was denied. His claim for a rating in excess of 70 percent for PTSD with obsessive compulsive disorder and alcohol dependence in remission was granted, but the effective date is not specified.

The Veteran's diabetes mellitus type II with erectile dysfunction is rated at 60% from October 1, 2012 to October 1, 2013. The rating was granted based on the severity of his condition during this period.

The Board has determined that there is no evidence of current diagnoses for hypertension and peripheral neuropathy of the upper extremities. The Veteran's claims for service connection for type II diabetes mellitus, erectile dysfunction, and peripheral neuropathy of the lower extremities are denied as there is insufficient competent medical evidence to establish a nexus between these conditions and his military service.

The Veteran's service-connected disabilities, including PTSD, diabetes mellitus, and peripheral neuropathy of the lower extremities, prevent him from securing and maintaining substantially gainful employment. The Board has granted a TDIU based on these conditions.

The Veteran's claim for service connection for erectile dysfunction is being remanded due to the need for additional development, including obtaining a supplemental medical opinion from a VA examiner. The issue of entitlement to special monthly compensation (SMC) for the loss of use of a creative organ will be deferred until further development of the inextricably intertwined issue is completed.

The Veteran's claim for increased ratings for diabetes mellitus and TDIU due to service-connected conditions was denied. The Board found that the evidence did not support a higher rating for diabetes mellitus, as it met the criteria for a 20 percent rating based on insulin and restricted diet.

The Board has determined that the Veteran's current bilateral hearing loss disability is not related to his period of service and therefore denied his claim for service connection. The claims for peripheral neuropathy in both upper extremities and erectile dysfunction are remanded for further development.

The Veteran's claims for an initial compensable rating for erectile dysfunction, severance of service connection, and discontinuance of special monthly compensation are being remanded due to the interconnected nature of these issues. The Veteran will be scheduled for a Travel Board hearing.

The Board has remanded the case for additional development, including obtaining updated VA treatment records and scheduling a VA examination to determine if the Veteran's hypertension and erectile dysfunction are caused or aggravated by his service-connected diabetes mellitus 2.

The Board has determined that additional development is necessary in order to properly adjudicate the Veteran's claim for service connection for erectile dysfunction as secondary to his service-connected coronary artery disease. This includes obtaining an adequate VA examination, sending a proper VCAA notice letter, and obtaining translations of any untranslated Spanish documents.

The Veteran's diabetes mellitus type II with erectile dysfunction requires the use of oral hypoglycemic agents and/or insulin, but does not necessitate regulation of activities. The Veteran meets the schedular criteria for TDIU due to his service-connected PTSD.

The Board has determined that the Veteran's erectile dysfunction, as secondary to his service-connected diabetes mellitus, does not warrant a compensable rating since March 2012. The disability is currently rated at 0 percent combined with the service-connected diabetes mellitus.

The Board has granted service connection for hypertension and ED, as well as a right third toe condition and foot condition. The Veteran's claims for these conditions are based on direct evidence rather than secondary or presumptive exposure.

The Veteran's service-connected disabilities, including PTSD, prostate cancer residuals, right wrist fracture, and erectile dysfunction associated with prostate cancer, are rated at 90 percent combined. The Board finds that these conditions render the Veteran unable to participate in a regular substantially gainful occupation consistent with his education and work experience.

The Board has determined that the Veteran's erectile dysfunction does not meet the criteria for a compensable rating under any applicable diagnostic code, and thus denies an initial compensable disability rating.

The Veteran's appeal is remanded due to the need for additional development regarding his eligibility for an automobile allowance or specially adapted equipment, including a VA examination to determine if he has loss of use of one or both feet or hands.

The Veteran's appeal is being remanded for additional development, including obtaining VA treatment records and scheduling a VA examination to assess the current severity of his service-connected diabetes mellitus and erectile dysfunction.

The Board has determined that the Veteran's claims for service connection for hypertension and erectile dysfunction are not fully developed, and thus requires additional development including a VA examination.

The Veteran's appeal is being remanded for a video hearing at the RO before a Veterans Law Judge.

The Veteran's degenerative changes of the left knee are rated at 10 percent, and his erectile dysfunction is not service-connected. The Board finds that both conditions meet the criteria for a compensable rating.