Testicular cancer is a type of cancer that occurs when normal cells in the testicles begin to grow abnormally. It primarily affects younger men and, while the exact cause remains unclear, toxic exposures such as PFAS (per- and polyfluoroalkyl substances) and burn pits during military service are known risk factors.
The most common form of testicular cancer is germ cell tumors, though carcinoma in situ and stromal tumors can also occur. These conditions vary in terms of treatment and prognosis.
Symptoms
According to the Mayo Clinic, common signs of testicular cancer include:
- A lump or swelling in either testicle
- A feeling of heaviness in the scrotum
- Dull ache in the lower belly or groin
- Sudden swelling in the scrotum
- Pain or discomfort in a testicle or the scrotum
- Enlargement or tenderness of the breast tissue
- Back pain
Note: Testicular cancer usually affects one testicle.
Testicular Cancer VA Disability Ratings
The VA rates testicular cancer under Diagnostic Code 7528 for malignant neoplasms of the genitourinary system. This category covers cancers of the reproductive system, including testicular cancer. The VA provides a 100% rating for testicular cancer while the condition is active and being treated. However, this rating changes after treatment.
- During Active Treatment: Testicular cancer is rated at 100%.
- Six Months After Treatment: The VA requires a reevaluation to assess whether the cancer is in remission and to determine if there are residuals (such as erectile dysfunction or infertility).
If the cancer has returned or spread, the rating remains at 100% until a reevaluation shows remission.
C&P Exam for Testicular Cancer
After treatment ends, the VA schedules a Compensation & Pension (C&P) exam about six months post-treatment to determine the residual effects of the cancer. Residuals are complications or ongoing issues related to the cancer or its treatment, such as:
- Urinary complications
- Kidney problems
- Erectile dysfunction
- Infertility
“After treatment for testicular cancer, the C&P exam is critical for assessing any lasting effects that can impact daily life and determining your long-term disability rating,” says Dr. Robert Green, a VA claims expert.
Testicular Cancer Residual Conditions and Ratings
Residual conditions from testicular cancer can significantly affect your daily life. The VA assigns ratings for these residuals under § 4.115b Ratings of the Genitourinary System, based on severity.
Common Residuals and Their Ratings
| Residual Condition | VA Rating Range | Criteria |
|---|---|---|
| Voiding Dysfunction | 20%–60% | Frequency of absorbent material changes |
| Urinary Frequency | 10%–40% | Frequency of urination during the day/night |
| Renal Dysfunction (Kidney) | 0%–100% | Based on glomerular filtration rate (GFR) levels |
| Erectile Dysfunction (ED) | 0% (SMC eligible) | Loss of use of a creative organ |
Note: If you experience erectile dysfunction or infertility due to testicular cancer, you may qualify for Special Monthly Compensation (SMC) for the “loss of use of a creative organ.”
How to Prove Service Connection for Testicular Cancer?
If you’re a veteran diagnosed with testicular cancer, you’ll need to prove that your condition is linked to your military service. Here’s how to establish primary service connection:
- Current Medical Diagnosis: You must have a confirmed diagnosis of testicular cancer from a healthcare provider.
- In-Service Event: You need evidence of exposure to toxic substances like burn pits or PFAS during service.
- Medical Nexus: A nexus letter from a qualified medical professional linking the cancer to your military service.
Testicular Cancer as a Presumptive Condition
Under the PACT Act, veterans who served in certain areas with known toxic exposures (e.g., burn pits, PFAS chemicals) are presumed to have been exposed to these toxins. If your testicular cancer developed as a result of this exposure, you may not need to provide direct evidence linking your cancer to service.
Eligible Locations Under the PACT Act:
- On or after Sept. 11, 2001: Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan, Yemen, and the airspace above these locations.
- On or after Aug. 2, 1990: Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia, UAE, and the airspace above these locations.
“For veterans who meet the exposure criteria under the PACT Act, proving service connection becomes more straightforward, as the VA presumes the link between service and cancer,” explains Veteran Benefits Lawyer, James Keller.
Steps to Filing a VA Claim for Testicular Cancer
Follow these steps to file your VA claim:
- Gather Documentation: Collect medical records showing your diagnosis, service records, and any evidence of exposure to toxic chemicals. If applicable, include a nexus letter linking your cancer to service.
- Complete VA Form 21-526EZ: This is the form you’ll use to apply for disability compensation. Be sure to detail your exposure, symptoms, and how they impact your daily life.
- Submit Your Claim: Submit your completed form along with all supporting documents online, by mail, or in person at your local VA office.
- VA Review: After submission, the VA will review your claim and notify you of the decision and rating, as well as your benefits.
“Completing the VA Form 21-526EZ with all the relevant evidence is a crucial part of the claims process. Ensuring you have a strong nexus letter can significantly improve your chances of approval,” says Paul Williams, VA disability claims specialist.
Additional VA Support for Veterans with Testicular Cancer
In addition to disability benefits, the VA provides healthcare services such as cancer screenings, mental health support, and treatment for residuals like erectile dysfunction. Veterans are encouraged to seek assistance from a Veterans Service Organization (VSO) like the Disabled American Veterans (DAV) for help with claims and navigating available services.
Conclusion
Securing a VA disability rating for testicular cancer can provide essential financial and medical support. By understanding the rating system, gathering the necessary evidence, and utilizing the PACT Act for presumptive conditions, veterans can confidently file for benefits they have earned.
If you are a veteran diagnosed with testicular cancer, take action today to begin the claims process and access the benefits available to you.
FAQs
Is testicular cancer a VA disability?
Yes, testicular cancer is considered a VA disability and is rated under Diagnostic Code 7528.
Can I receive benefits if my testicular cancer is in remission?
Yes, the VA will reevaluate your condition after treatment, and you may be assigned a rating based on residuals, such as urinary problems or erectile dysfunction.
What is the PACT Act, and how does it apply to testicular cancer?
The PACT Act presumes that veterans who served in certain locations were exposed to harmful toxins, including burn pits. If you served in these locations and developed testicular cancer, you may be able to claim benefits without proving a direct link to service.
How do I prove service connection for testicular cancer?
To prove service connection, you need a current diagnosis, evidence of an in-service event or exposure, and a medical nexus linking the cancer to your service.
How do I file for VA disability benefits for testicular cancer?
To file for benefits, complete VA Form 21-526EZ, gather all supporting documentation, and submit it online, by mail, or in person at your local VA office.
