PMB list
Below is a list of the PMB condition treatment pairs for urinary and male genital systems.. Your medical aid has to pay for the treatment, and cannot use funds from your savings, even if the treatment is given out-of-hospital.
To see the rest of the 270 PMB conditions, please see our “List of PMBs” page.
For an explanation of general treatments (example: “Medical Management”) please read our explainer.
Urinary and male genital system
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 354L | Abscess of prostate | Turp; drain abscess |
| 904L | Acute and chronic pyelonephritis; renal and perinephric abscess | Medical and surgical management |
| 903L | Acute glomerulonephritis and nephritic syndrome | Medical management |
| 954L | Cancer of penis and other male genital organ – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 953L | Cancer of prostate gland – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 950L | Cancer of testis – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 952L | Cancer of urinary system including kidney and bladder – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 906L | Congenital anomalies of urinary system – symptomatic and life-threatening | Nephrectomy / repair |
| 901L | End stage renal disease regardless of cause | Dialysis and renal transplant where Department of Health criteria are met only (see criteria published in GPS 004-9001) |
| 900L | Hyperplasia of the prostate, with acute urinary retention or obstructive renal failure | Transurethral resection; medical management |
| 905L | Obstruction of the urogenital tract, regardless of cause | Catheterisation; surgery; endoscopic removal of obstructing agent: lithotripsy |
| 436L | Torsion of testis | Orchidectomy; repair |
| 43L | Trauma to the urinary system including ruptured bladder | Cystorrhaphy; suture; repair |
| 289L | Ureteral fistula (intestinal) | Nephrostomy |
| 359L | Vesicoureteral reflux | Medical management; replantation |
To see the rest of the 270 PMB conditions, please see our “List of PMBs” page.
How does your medial aid plan cover this benefit?
What you see above is the minimum level of cover for each condition. Medical aids can offer more benefits than the limits above.To see how your plan pays out for a condition, find your plan here, and view your plan’s full benefits.
You can also compare any two medical aid plans side by side, to see which one suits your needs best.
Remember, a medical aid can still impose conditions on how PMBs are treated. For example, the scheme can impose network service providers (DSPs), a medicine formulary or even require that you be treated in a state hospital. You can read a full explanation on how medical aids must pay for PMBs here.
