Entitlement to a rating of 40 percent, but no more, for voiding dysfunction is granted on and after May 6, 2020, subject to the laws and regulations governing the payment of monetary benefits.

Board reasoning

The Board reasons that, after reviewing the evidence from 2020 through the period on appeal, the Veteran’s voiding dysfunction most nearly approximates a 40% rating under Diagnostic Code 7542 based on urinary frequency and leakage, and it does not meet the criteria for a rating higher than 40%, since there is no evidence of requiring an appliance or more than four times daily absorbent material changes. The Board also notes amendments to the rating criteria and applies the more favorable version for the period, but finds no basis to grant more than 40% given the record. Lay statements and private opinions are considered but given limited probative value when they misstate the regulatory standards, while the November 2025 VA examination supports a 40% evaluation for the period on appeal.