Kidney Stones

Urology—Kidney Stones

Kidney StonesThe FAA allows for recertification following diagnosis and successful treatment of renal stones. If you are reporting the history on your medical application for the first time, you will need to provide to the aviation medical examiner two reports from your treating physician (usually a urologist):

  1. A summary of your history of stones, including the date of diagnosis, a metabolic evaluation, method of treatment, current status, and prognosis for recurrence.  Determining factors include site and location of the stones, complications such as compromise in renal function, hematuria (blood in urine), repeated bouts of kidney infection, and need for therapy.  Any underlying disease will be considered.  The likelihood of sudden incapacitating symptoms is a primary concern.
  2. A report of recent (within 90 days) spiral CT, ultrasound, KUB, sonogram, or IVP (intravenous pyelogram).  If the reports confirm the absence of stones, if there have been no previous occurrences of renal stones, and there are no other complications, the medical examiner may issue the certificate.

A retained stone or a history of recurring stones is disqualifying and the AME should defer the application to the FAA for a decision. Recertification with a retained stone may be possible if there is reasonable evidence that the stone is not likely to move. Depending upon the size and chemical makeup of the stone, any movement can result in rapid and potentially incapacitating pain. Your urologist should provide a written opinion as to the likelihood for incapacitation.

AASI for Kidney Stones

After initial certification by FAA staff doctors, subsequent renewals qualify for AME Assisted Special Issuance (AASI). This allows the medical examiner to issue an airman medical certificate after the FAA has conducted an inital review of the medical records.