Urinary system
What the FAA's documents say about urinary system, in plain words, with the FAA's own words one press away.
FAA term: Urinary Systems
Show the FAA's words: which classes the FAA's table covers
Item 41. G-U System … Urinary Systems - All Classes
Short version
The Urinary Systems table has four rows, all classes.
| Situation | What the examiner does | Pathway |
|---|---|---|
| Hydronephrosis with impaired renal functionHydronephrosis with impaired renal function | Defers to the FAA | FAA review |
| Nephrectomy (non-neoplastic): the line marked IssueNephrectomy (non-neoplastic): the line marked Issue | Examiner issues | Examiner can issue |
| Nephrectomy (non-neoplastic): otherwiseNephrectomy (non-neoplastic): otherwise | Defers to the FAA | FAA review |
| Hematuria: no underlying condition found after urology evaluationHematuria: no underlying condition found after urology evaluation | Examiner issues | Examiner can issue |
| Proteinuria and glycosuria: the line marked IssueProteinuria and glycosuria: the line marked Issue | Examiner issues | Examiner can issue |
| Proteinuria and glycosuria: otherwiseProteinuria and glycosuria: otherwise | Defers to the FAA | FAA review |
Show the FAA's words: the FAA's table for Urinary system
- Hydronephrosis with impaired renal function · FAA review
Hydronephrosis with impaired renal function. The evaluation data is all pertinent medical information and a status report. The disposition is Requires FAA Decision.
Hydronephrosis with impaired renal function … Submit all pertinent medical information and status report … Requires FAA Decision
- Nephrectomy (non-neoplastic): the line marked Issue · Examiner can issue
A nephrectomy (non-neoplastic), where the remaining kidney function and anatomy is normal, without other system disease, hypertension, uremia, or infection of the remaining kidney. The evaluation data is all pertinent medical information and a status report. The disposition says Issue on this line.
Nephrectomy (non-neoplastic) … Submit all pertinent medical information and status report … If the remaining kidney function and anatomy is normal, without other system disease, hypertension, uremia, or infection of the remaining kidney - Issue Otherwise - Requires FAA Decision
- Nephrectomy (non-neoplastic): otherwise · FAA review
A nephrectomy (non-neoplastic), otherwise than the line marked Issue. The evaluation data is all pertinent medical information and a status report. The disposition says otherwise, Requires FAA Decision.
Nephrectomy (non-neoplastic) … Submit all pertinent medical information and status report … If the remaining kidney function and anatomy is normal, without other system disease, hypertension, uremia, or infection of the remaining kidney - Issue Otherwise - Requires FAA Decision
- Hematuria: no underlying condition found after urology evaluation · Examiner can issue
Hematuria, with no underlying condition found after urology evaluation. The disposition's other line, an underlying cause found, says see that section. The evaluation data is all pertinent medical information and a status report. If no underlying condition is found after urology evaluation, the disposition says Issue and submit the evaluation to the FAA. If an underlying cause is found, it says see that section, and names no section.
Hematuria … Submit all pertinent medical information and status report. … If no underlying condition found after urology evaluation - Issue and submit evaluation to the FAA If underlying cause found, see that section.
- Proteinuria and glycosuria: the line marked Issue · Examiner can issue
Proteinuria and glycosuria, with trace or 1+ protein and glucose intolerance ruled out. The evaluation data is all pertinent medical records and a current status to include the names and dosage of medications and side effects. The disposition says Issue on this line.
Proteinuria and Glycosuria … Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects … Trace or 1+ protein and glucose intolerance ruled out - Issue Otherwise - Requires FAA Decision
- Proteinuria and glycosuria: otherwise · FAA review
Proteinuria and glycosuria, otherwise than the line marked Issue. The evaluation data is all pertinent medical records and a current status to include the names and dosage of medications and side effects. The disposition says otherwise, Requires FAA Decision.
Proteinuria and Glycosuria … Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects … Trace or 1+ protein and glucose intolerance ruled out - Issue Otherwise - Requires FAA Decision
- A note on the table, 1
For hematuria, if an underlying cause is found, the table says see that section. It does not name the section.
Hematuria … If underlying cause found, see that section.
The FAA pathways for urinary system
- How this pathway works: Examiner can issueNo special pathwayNephrectomy (non-neoplastic): the line marked Issue
- FAA reviewYour AME defers. The FAA decides.Hydronephrosis with impaired renal function
Which one describes yours?
The FAA's table sorts it these ways. Choose yours to see its plan.
Your step-by-step plan
Step 1: Medical information and the status report
For hydronephrosis, nephrectomy and hematuria.All pertinent medical information
All pertinent medical information.
Status report
A status report.
Show the FAA's words: Medical information and the status report
Submit all pertinent medical information and status report
FAA source: Urinary System. FAA date 7 January 2021; checked by Crosscheck 14 October 2026.
Step 2: See your AME
The evaluation data is all pertinent medical information and a status report. The disposition is Requires FAA Decision.Exam day- The evaluation data is all pertinent medical information and a status report. The disposition is Requires FAA Decision.
Show the FAA's words: See your AME
Hydronephrosis with impaired renal function
Submit all pertinent medical information and status report
Requires FAA Decision
FAA source: Urinary System. FAA date 7 January 2021; checked by Crosscheck 14 October 2026.
What the examiner checks
It depends on which row of the FAA's table describes the case.
Hydronephrosis with impaired renal functionDefers to the FAAFAA review
The evaluation data is all pertinent medical information and a status report. The disposition is Requires FAA Decision.
If the examiner defersNephrectomy (non-neoplastic): the line marked IssueExaminer issuesExaminer can issue
The evaluation data is all pertinent medical information and a status report. The disposition says Issue on this line.
Nephrectomy (non-neoplastic): otherwiseDefers to the FAAFAA review
The evaluation data is all pertinent medical information and a status report. The disposition says otherwise, Requires FAA Decision.
If the examiner defersHematuria: no underlying condition found after urology evaluationExaminer issuesExaminer can issue
The evaluation data is all pertinent medical information and a status report. If no underlying condition is found after urology evaluation, the disposition says Issue and submit the evaluation to the FAA. If an underlying cause is found, it says see that section, and names no section.
Proteinuria and glycosuria: the line marked IssueExaminer issuesExaminer can issue
The evaluation data is all pertinent medical records and a current status to include the names and dosage of medications and side effects. The disposition says Issue on this line.
Proteinuria and glycosuria: otherwiseDefers to the FAAFAA review
The evaluation data is all pertinent medical records and a current status to include the names and dosage of medications and side effects. The disposition says otherwise, Requires FAA Decision.
If the examiner defers
Show the FAA's words: what the examiner does on each row
- Hydronephrosis with impaired renal function · FAA review
Hydronephrosis with impaired renal function. The evaluation data is all pertinent medical information and a status report. The disposition is Requires FAA Decision.
Hydronephrosis with impaired renal function … Submit all pertinent medical information and status report … Requires FAA Decision
- Nephrectomy (non-neoplastic): the line marked Issue · Examiner can issue
A nephrectomy (non-neoplastic), where the remaining kidney function and anatomy is normal, without other system disease, hypertension, uremia, or infection of the remaining kidney. The evaluation data is all pertinent medical information and a status report. The disposition says Issue on this line.
Nephrectomy (non-neoplastic) … Submit all pertinent medical information and status report … If the remaining kidney function and anatomy is normal, without other system disease, hypertension, uremia, or infection of the remaining kidney - Issue Otherwise - Requires FAA Decision
- Nephrectomy (non-neoplastic): otherwise · FAA review
A nephrectomy (non-neoplastic), otherwise than the line marked Issue. The evaluation data is all pertinent medical information and a status report. The disposition says otherwise, Requires FAA Decision.
Nephrectomy (non-neoplastic) … Submit all pertinent medical information and status report … If the remaining kidney function and anatomy is normal, without other system disease, hypertension, uremia, or infection of the remaining kidney - Issue Otherwise - Requires FAA Decision
- Hematuria: no underlying condition found after urology evaluation · Examiner can issue
Hematuria, with no underlying condition found after urology evaluation. The disposition's other line, an underlying cause found, says see that section. The evaluation data is all pertinent medical information and a status report. If no underlying condition is found after urology evaluation, the disposition says Issue and submit the evaluation to the FAA. If an underlying cause is found, it says see that section, and names no section.
Hematuria … Submit all pertinent medical information and status report. … If no underlying condition found after urology evaluation - Issue and submit evaluation to the FAA If underlying cause found, see that section.
- Proteinuria and glycosuria: the line marked Issue · Examiner can issue
Proteinuria and glycosuria, with trace or 1+ protein and glucose intolerance ruled out. The evaluation data is all pertinent medical records and a current status to include the names and dosage of medications and side effects. The disposition says Issue on this line.
Proteinuria and Glycosuria … Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects … Trace or 1+ protein and glucose intolerance ruled out - Issue Otherwise - Requires FAA Decision
- Proteinuria and glycosuria: otherwise · FAA review
Proteinuria and glycosuria, otherwise than the line marked Issue. The evaluation data is all pertinent medical records and a current status to include the names and dosage of medications and side effects. The disposition says otherwise, Requires FAA Decision.
Proteinuria and Glycosuria … Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects … Trace or 1+ protein and glucose intolerance ruled out - Issue Otherwise - Requires FAA Decision
If the examiner defersFAA review
The table marks hydronephrosis with impaired renal function Requires FAA Decision.
For a nephrectomy (non-neoplastic), otherwise than the line marked Issue, the table says Requires FAA Decision.
For proteinuria and glycosuria, otherwise than the line marked Issue, the table says Requires FAA Decision.
Show the FAA's words: if the examiner defers
When the examiner defers
- Reason 1
The table marks hydronephrosis with impaired renal function Requires FAA Decision.
Hydronephrosis with impaired renal function … Submit all pertinent medical information and status report … Requires FAA Decision
- Reason 2
For a nephrectomy (non-neoplastic), otherwise than the line marked Issue, the table says Requires FAA Decision.
Nephrectomy (non-neoplastic) … If the remaining kidney function and anatomy is normal, without other system disease, hypertension, uremia, or infection of the remaining kidney - Issue Otherwise - Requires FAA Decision
- Reason 3
For proteinuria and glycosuria, otherwise than the line marked Issue, the table says Requires FAA Decision.
Proteinuria and Glycosuria … Trace or 1+ protein and glucose intolerance ruled out - Issue Otherwise - Requires FAA Decision
Good to know
Points from the FAA's own documents that are easy to miss.
What a progress note must include
In most cases it should come from a visit with the treating physician no more than 90 days ago, and cover the history, medications with dosages and side effects, exam findings, test results, diagnosis, assessment and plan, prognosis and follow-up. The FAA's sheet says to make sure the physician adds the prognosis. A portal note or an After Visit Summary that does not meet these criteria is not enough, and neither is a simple "ok to fly" letter. The FAA's documents also call it a status report.
Show the FAA's words: good to know, 1
your patient portal to print out “notes” or an “After Visit Summary (AVS).” … Patient Portal notes or an AVS that do not meet the criteria listed below for a detailed Clinical Progress Note are NOT sufficient for FAA purposes. … To be “current,” in MOST CASES, the detailed Clinical Progress Note should be from an evaluation in which you saw your treating physician no more than 90 days ago. … It Must include the following items: … A summary of the history of the condition, … Current medications, dosages, and side effects (if any); … Clinical exam findings; … Results of any testing performed; … Diagnosis; … Assessment and Plan; … Prognosis (This item may not be on a standard progress note, make sure your physician adds this information.); and … Follow-up … Please note: A letter stating, “Mr. Smith is ok to fly” (or any other simple note), is NOT a current, detailed Clinical Progress Note and is NOT acceptable. … You may also see this called a “current status report” or “status report” in current FAA Guidance. Any reference to a “status report” equals the criteria listed on this sheet.
Hematuria has no "otherwise" line
For hematuria the disposition names no underlying condition found after urology evaluation, which is Issue and submit the evaluation to the FAA, and an underlying cause found, which says see that section. It names no section and has no line beside those two.
Show the FAA's words: good to know, 2
If no underlying condition found after urology evaluation - Issue and submit evaluation to the FAA If underlying cause found, see that section.
The proteinuria row asks for medications
For proteinuria and glycosuria, the current status the row asks for is to include the names and dosage of medications and side effects.
Show the FAA's words: good to know, 3
Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects
FAA sources
Every FAA document this page relies on, with the FAA's own date and the date Crosscheck last read it. The documents to print open at the FAA, so they are always the FAA's current ones.
This reports what the FAA has published. It is not medical advice, and it does not say how the FAA or an examiner will decide a case.