Erectile dysfunction Board decisions

The Veteran's service-connected disabilities, including PTSD, right rotator cuff tear, tinnitus, diabetes mellitus type 2 with erectile dysfunction, diabetic peripheral neuropathy of the lower extremities, and bilateral hearing loss, have rendered him unable to secure or follow a substantially gainful occupation since December 4, 2006.

The Veteran's claim for an earlier effective date of TDIU is granted, as the evidence shows he was unable to secure or follow a substantially gainful occupation due to his service-connected disabilities since March 27, 2006.

The Veteran's claims for service connection were denied across multiple issues, including cancer of the left pharyngeal tonsil, ischemic heart disease, bilateral swelling of the feet, headaches, PTSD, fibromyalgia, gastrointestinal disability to include acid reflux, sleeping disorders to include sleep apnea, hypertension, erectile dysfunction, skin disorder (chloracne), bleeding from the nose and mouth, tinnitus, an upper back and/or neck disability, and bilateral hearing loss. The decision does not specify a rating assigned or effective date.

The Veteran's appeal was denied for a higher rating for bilateral foot callus disorder and service connection for erectile dysfunction. The claim of entitlement to special monthly compensation based on loss of use of a creative organ was also denied, as the Veteran does not have loss of use due to service-connected disability. The issue of entitlement to a total disability rating based on individual unemployability is inextricably intertwined with the bilateral foot callus disorder rating and has been remanded.

The Board has remanded the case for further development of records and medical opinions regarding the Veteran's hypertension, erectile dysfunction, and blood disorder.

The Veteran's erectile dysfunction is not productive of a penile deformity, and thus does not warrant an initial compensable evaluation.,Hypothyroidism was diagnosed after service and there is no evidence linking it to service or herbicide exposure. The claim for this condition is denied.,Neuropathy of the bilateral lower extremities did not manifest within one year of separation from service, nor is there any evidence linking it to service or herbicide exposure. The claim for this condition is also denied.

The Veteran has withdrawn his appeals for the issues of service connection for diabetes mellitus, type II and erectile dysfunction secondary to diabetes mellitus, type II. As a result, these claims are dismissed.

The Veteran's coronary artery disease is found to be incurred in active service due to in-service herbicide exposure. The claim for erectile dysfunction remains unresolved as it does not meet the presumptive criteria based on in-service herbicide exposure.

The Veteran's prostate cancer and erectile dysfunction are service-connected, with the latter being secondary to his prostate cancer. The Veteran is also entitled to special monthly compensation for loss of use of a creative organ.

The Veteran's hypertension, erectile dysfunction, GERD, and bilateral gout have been granted service connection. The Veteran is assigned a noncompensable rating for erectile dysfunction due to lack of penile deformity. A separate award of SMC based on loss of use of a creative organ has also been granted. The Veteran's hypertension and GERD are rated as 0 percent, while his bilateral gout remains at the initial 20 percent rating.

The Veteran's PTSD with depressive disorder is currently rated at 50 percent, effective December 2, 2013. The RO granted an initial compensable rating for erectile dysfunction on March 14, 2013.

The Board has granted service connection for residuals of right hand injury, currently diagnosed as old laceration of the flexor digitorum profundus tendon of the right little finger. The Veteran's claims for hypertension and erectile dysfunction are remanded for additional development.

The Board has determined that the October 2014 VA examination is inadequate for adjudicating the claim and requires a remand to address the issues of causation and aggravation.

The Veteran's ED is reasonably shown to be causally linked to the medical treatment of his service-connected PTSD, and therefore service connection for ED as secondary to PTSD is granted.

The Veteran's service-connected disabilities (combined rating of 90%) render him incapable of maintaining regular substantially gainful employment.

The Veteran's claims for service connection for various conditions, including TBI with vertigo, nausea and headaches, COPD, sleep apnea, cervical spine disability, thoracolumbar spine disability, diabetes mellitus, erectile dysfunction (ED), and left hand disability are all denied as there is no competent evidence of current disabilities or a nexus to service.

The Board has ordered further development for the Veteran's claims, including obtaining records from his state Workers' Compensation agency and Social Security Administration (SSA), as well as requesting a medical opinion regarding the relationship between his service-connected PTSD and erectile dysfunction.

The Veteran's claims for service connection are denied as there is no evidence of herbicide exposure or a nexus to his claimed conditions.

The Veteran's TDIU claim is being remanded due to the need for a combined effects medical opinion regarding his service-connected disabilities and their impact on his employability.

The Board granted the Veteran's claims for service connection for PTSD, ED secondary to DM, hypertension secondary to DM, and lumbar and cervical spine disabilities. The Board also granted a TDIU rating.