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List of PMB conditions: Urinary and male genital system

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PMB list

Below is a list of the PMB condition treatment pairs for Brain and Nervous System.. 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.

There’s more help here:

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