Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Transurethral Balloon Dilation of Prostatic Urethra


Related Terms

  • Transurethral Balloon Dilatation of Prostate
  • TUBD

Specialists

  • Urologist

Comorbid Conditions

  • Bladder disease
  • Other diseases of the urethra
  • Prostate cancer
  • Renal disease

Factors Influencing Duration

Length of disability may be influenced by complications of the procedure, pre-existing medical conditions, the individual's age, and response to treatment.

Medical Codes

ICD-9-CM:
60.95 - Transurethral Balloon Dilation of Prostatic Urethra

Overview

Transurethral balloon dilation of the prostatic urethra is a nonsurgical method of correcting urinary difficulties caused when an enlarged prostate gland (benign prostatic hyperplasia [BPH]) obstructs the tube (urethra) through which urine is expelled from the bladder. Symptoms of BPH include difficulty initiating urination, decreased force of the urinary stream, inability to completely empty the bladder, urinary frequency, urgency, and the need to urinate throughout the night (nocturia).

Source: Medical Disability Advisor



Reason for Procedure

Transurethral balloon dilation (or dilatation; TUBD) of the prostatic urethra can help relieve the symptoms of BPH, which are described above. Advantages of this procedure include low cost, minimal or no hospitalization, and ability to undergo the procedure under local or regional anesthesia. The procedure is quick and does not preclude later surgical intervention. Disadvantages of TUBD include variable effectiveness of the procedure as well as an inability to predict the duration of benefit.

Source: Medical Disability Advisor



How Procedure is Performed

The procedure can be done under general, spinal, or local anesthesia, as well as by intravenous sedation. Using a small, magnified viewing instrument (endoscope) and a fluorescent screen on which the maneuver can be monitored (fluoroscope), a balloon catheter is guided into the prostatic portion of the urethra. The balloon is then inflated for about 5 to 10 minutes. The inflation of the balloon seems to interfere with further subsequent expansion of the prostate tissue.

Source: Medical Disability Advisor



Prognosis

The effectiveness and duration of the benefits of this procedure are variable. The procedure seems to work for only a short time in many individuals. The prognosis appears better in individuals younger than 65 years of age, and in those individuals whose prostate gland weighs less than 50 grams.

Source: Medical Disability Advisor



Complications

Possible complications of this procedure include temporary dribbling (incontinence), hemorrhage, prostatitis, and urinary retention.

Source: Medical Disability Advisor



Ability to Work (Return to Work Considerations)

The individual should refrain from rigorous physical activity during the recovery period.

Source: Medical Disability Advisor



References

General

O'Sullivan, M. J., et al. "Effects of Transurethral Resection of Prostate on the Quality of Life of Patients with Benign Prostatic Hyperplasia." Journal of American College of Surgeons 198 3 (2004): 1-9.

Source: Medical Disability Advisor






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