--- title: "MED.B.035 Genitourinary System — Part-MED · Avioverse" description: "Urinalysis shall form part of each aero-medical examination." url: "https://avioverse.aero/regulations/easa/aircrew/part-med/subpart-b/med-b-035" --- # MED.B.035 Genitourinary System ANNEX IV (Part-MED) · Regulation (EU) No 1178/2011 · EAR revision 16 Oct 2026 Official sources: [EASA Easy Access Rules (opens in a new tab)](https://www.easa.europa.eu/en/document-library/easy-access-rules/easy-access-rules-aircrew) · [EUR-Lex 2011/1178 (opens in a new tab)](https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32011R1178) IR Implementing rule ## MED.B.035 Genitourinary System (a) Urinalysis shall form part of each [aero-medical examination](https://avioverse.aero/glossary/easa/aero-medical-examination). Applicants shall be assessed as unfit where their urine contains abnormal elements considered to be of pathological significance that could entail a degree of functional incapacity which is likely to jeopardise the safe exercise of the privileges of the license or could render the [applicant](https://avioverse.aero/glossary/easa/applicant) likely to become suddenly unable to exercise those privileges. (b) Applicants with any sequelae of disease or surgical procedures on the genitourinary system or its adnexa likely to cause incapacitation, in particular any obstruction due to stricture or compression, shall be assessed as unfit. (c) Applicants with a diagnosis or [medical history](https://avioverse.aero/glossary/easa/medical-history) of the following may be assessed as fit subject to satisfactory genitourinary evaluation, as applicable: (1) renal disease; (2) one or more urinary calculi, or a medical history of renal colic. (d) Applicants who have undergone a major surgical operation in the genitourinary system or its adnexa involving a total or partial excision or a diversion of their organs shall be assessed as unfit. However, after full recovery, they may be assessed as fit. (e) The applicants for a class 1 medical certificate referred to in points (c) and (d) shall be referred to the medical assessor of the [licensing authority](https://avioverse.aero/glossary/easa/licensing-authority). IR · MED.B.035 — Regulation (EU) No 1178/2011 · Regulation (EU) 2019/27 · Aircrew Easy Access Rules · EAR revision 16 Oct 2026 AMC Acceptable means of compliance ## AMC1 MED.B.035 Genitourinary system (a) Abnormal urinalysis [Investigation](https://avioverse.aero/glossary/easa/investigation) is required if there is any abnormal finding on urinalysis. (b) Renal disease (1) Applicants presenting with any signs of renal disease should be assessed as unfit. A fit assessment may be considered if blood pressure is satisfactory and renal function is acceptable. (2) Applicants requiring dialysis should be assessed as unfit. (c) Urinary calculi (1) Applicants with an asymptomatic calculus or a history of renal colic require investigation. (2) Applicants presenting with one or more urinary calculi should be assessed as unfit and require investigation. (3) Whilst awaiting assessment or treatment, a fit assessment with an OML may be considered. (4) After successful treatment for a calculus a fit assessment without an OML may be considered. (5) Applicants with parenchymal residual calculi may be considered for a fit assessment with an OML. (d) Renal and urological surgery (1) Applicants who have undergone a major surgical operation on the genitourinary system or its adnexa involving a total or partial excision or a diversion of any of its organs, should be assessed as unfit until recovery is complete, the [applicant](https://avioverse.aero/glossary/easa/applicant) is asymptomatic, and the risk of secondary complication is minimal. (2) After other urological surgery, a fit assessment may be considered when the applicant is completely asymptomatic and there is only minimal risk of secondary complication or recurrence. (3) Applicants with compensated nephrectomy without hypertension or uraemia may be considered for a fit assessment. (4) Applicants who have undergone renal transplantation may be considered for a fit assessment with an OML if it is fully compensated and tolerated with only minimal immuno-suppressive therapy after at least 12 months. (5) Applicants who have undergone total cystectomy may be considered for a fit assessment with an OML if there is satisfactory urinary function, no infection and no recurrence of primary pathology. AMC · AMC1 MED.B.035 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 16 Oct 2026 AMC Acceptable means of compliance ## AMC2 MED.B.035 Genitourinary system (a) Renal disease Applicants presenting with renal disease may be assessed as fit if blood pressure is satisfactory and renal function is acceptable. Applicants requiring dialysis should be assessed as unfit. (b) Urinary calculi (1) Applicants presenting with one or more urinary calculi should be assessed as unfit. (2) Applicants with an asymptomatic calculus or a history of renal colic require [investigation](https://avioverse.aero/glossary/easa/investigation). (3) While awaiting assessment or treatment, a fit assessment with an OSL may be considered. (4) After successful treatment the [applicant](https://avioverse.aero/glossary/easa/applicant) may be assessed as fit. (5) Applicants with parenchymal residual calculi may be assessed as fit. (c) Renal and urological surgery (1) Applicants who have undergone a major surgical operation on the genitourinary system or its adnexa involving a total or partial excision or a diversion of any of its organs, should be assessed as unfit until recovery is complete, the applicant is asymptomatic, and the risk of secondary complication is minimal. (2) After other urological surgery, a fit assessment may be considered when the applicant is completely asymptomatic and there is only minimal risk of secondary complication or recurrence. (3) Applicants with compensated nephrectomy without hypertension or uraemia may be assessed as fit. (4) Applicants who have undergone renal transplantation may be considered for a fit assessment if it is fully compensated and with only minimal immuno-suppressive therapy. (5) Applicants who have undergone total cystectomy may be considered for a fit assessment if there is satisfactory urinary function, no infection and no recurrence of primary pathology. AMC · AMC2 MED.B.035 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 16 Oct 2026 [All rules in SUBPART B – REQUIREMENTS FOR PILOT MEDICAL CERTIFICATES](https://avioverse.aero/regulations/easa/aircrew/part-med/subpart-b) Consolidated from the EASA Easy Access Rules (revision 16 Oct 2026, extracted 2 Nov 2026) for convenience. Not the official publication — verify against the Official Journal of the European Union and the EASA publications before operational use.