SoP LibraryBenign prostatic hyperplasia

Statement of Principles

Benign prostatic hyperplasia — DVA SoP factors

Every factor in the Repatriation Medical Authority Statements of Principles for Benign prostatic hyperplasia. DVA can only accept a claim for Benign prostatic hyperplasia if at least one of these factors is met and connected to your service. Reasonable Hypothesis (RH) applies to operational service; Balance of Probabilities (BoP) applies to peacetime service.

Source: Repatriation Medical Authority Statements of Principles as held by the Veterans Health Centre. SoPs are amended and replaced regularly; always confirm the current instrument at rma.gov.au before relying on it.

Benign prostatic hyperplasia

RH No. 13 of 2025 · BoP No. 14 of 20254 factors

Meaning of benign prostatic hyperplasia: For the purposes of this Statement of Principles, benign prostatic hyperplasia: (a) means a benign hyperplasia of the prostate glandular and stromal tissue which can cause obstruction of urine outflow; and (b) excludes: (i) malignant neoplasm of the prostate; (ii) overactive bladder; and (iii) prostatitis.

Reasonable Hypothesis (RH) — Statement of Principles No. 13 of 2025

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting benign prostatic hyperplasia or death from benign prostatic hyperplasia with the circumstances of a person's relevant service:

  1. (1)
    inability to undertake any physical activity greater than 3 METs for at least the 5 years before clinical onset;

    Note: MET (metabolic equivalent) is a unit of measure of the level of physical capability of the cardiorespiratory system. For example, 1 MET = cardiorespiratory effort associated with a person sitting, 3-4 METs = cardiorespiratory effort associated with a person walking at average walking pace (5 km/h) or light gardening.

  2. (2)
    having chronic inflammatory prostatitis within the 8 years before clinical onset;
  3. (3)
    inability to obtain appropriate clinical management for benign prostatic hyperplasia before clinical worsening;

Aggravation-only factors: the factors in subsection 9(3) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

Balance of Probabilities (BoP) — Statement of Principles No. 14 of 2025

1 factors

The following factor must exist before it can be said that, on the balance of probabilities, benign prostatic hyperplasia or death from benign prostatic hyperplasia is connected with the circumstances of a person's relevant service:

  1. (1)
    inability to obtain appropriate clinical management for benign prostatic hyperplasia before clinical worsening;

Aggravation-only factors: the factors in subsection 9(1) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

A VHC Diagnostic Assessment addresses each of these factors one by one against your service record and clinical history. See how a VHC DVA claim works, see all fees ($600 + GST per stage) or book an appointment.

About Dr Thomas Perkins

One doctor. Every report.

Founding doctor of the Veterans Health Centre in Ipswich, Queensland, and one of Australia's most experienced practitioners in veterans' medicolegal medicine.

Dr Perkins has spent more than thirteen years working exclusively with current and former ADF members — treating their conditions, writing their reports and navigating the DVA system alongside them. With over 100,000 claims submitted and 2,000 Permanent Impairment Assessments completed, he has seen precisely what separates an accepted claim from a rejected one at every level, from initial liability to the Veterans' Review Board.

Every chart review, diagnostic assessment, impairment rating and appeal that leaves this clinic is personally overseen by Dr Perkins. No template, no locum, no hand-off.

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