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, 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, 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 within the kidney or out of the kidney into the ureter. Depending upon the size and chemical makeup of the stone, any movement can result in very 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), a process that provides examiners the ability to issue an airman medical certificate to an applicant who has a medical condition that is disqualifying under 14 CFR Part 67.

The authorization letter received from FAA, granted in accordance with part 67 ( 14 CFR Part 67.401), is accompanied by attachments that specify what information the treating physician(s) must provide for the renewal issuance.

Examiners may issue renewal of an airman medical certificate if the applicant provides the following:

  • An authorization granted by the FAA
  • A current status report performed within 90 days that must include all the required follow-up items and studies as listed in the authorization letter and that confirms absence of disease progression.

The examiner should defer to the AMCD or Region if:

  • If the treating physician comments that a retained stone has a likelihood of becoming symptomatic;
  • If a retained stone(s) has moved when compared to previous evaluations; or
  • If a retained stone(s) has become larger when compared to previous evaluations.

How/Where to Submit to the FAA

Helps you find the contact information for submitting your medical records.

Updated October 27, 2009