eMedicine Specialties > Urology > Common Problems of the Testicle
Varicocele: Multimedia
Updated: Jul 28, 2009
Multimedia
![]() | Media file 1: A large varicocele is seen through the scrotal skin. In a patient with a varicocele, the dilated vessels of the pampiniform plexus are easily appreciated within the scrotum. |
![]() | Media file 2: Incision for an inguinal approach to varicocele repair. |
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| Overview: Varicocele |
| Workup: Varicocele |
| Treatment: Varicocele |
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Multimedia: Varicocele |
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References
Gat Y, Bachar GN, Zukerman Z, Belenky A, Gornish M. Varicocele: a bilateral disease. Fertil Steril. Feb 2004;81(2):424-9. [Medline].
[Best Evidence] Male Infertility Best Practice Policy Committee of the American Urological Assoc. Male Infertility Best Practice Policy Committee of the American Urological Association; Practice Committee of the American Society for Reproductive Medicine. Report on varicocele and infertility. Fertil Steril. Sep 2004;82 Suppl 1:S142-5. [Medline].
Lipshultz LI, Corriere JN Jr. Progressive testicular atrophy in the varicocele patient. J Urol. Feb 1977;117(2):175-6. [Medline].
Diamond DA, Zurakowski D, Atala A, Bauer SB, Borer JG, Cilento BG Jr, et al. Is adolescent varicocele a progressive disease process?. J Urol. Oct 2004;172(4 Pt 2):1746-8; discussion 1748. [Medline].
Kass EJ, Belman AB. Reversal of testicular growth failure by varicocele ligation. J Urol. Mar 1987;137(3):475-6. [Medline].
McClure RD, Khoo D, Jarvi K, Hricak H. Subclinical varicocele: the effectiveness of varicocelectomy. J Urol. Apr 1991;145(4):789-91. [Medline].
Madgar I, Weissenberg R, Lunenfeld B, Karasik A, Goldwasser B. Controlled trial of high spermatic vein ligation for varicocele in infertile men. Fertil Steril. Jan 1995;63(1):120-4. [Medline].
Vazquez-Levin MH, Friedmann P, Goldberg SI, Medley NE, Nagler HM. Response of routine semen analysis and critical assessment of sperm morphology by Kruger classification to therapeutic varicocelectomy. J Urol. Nov 1997;158(5):1804-7. [Medline].
Evers JL, Collins JA. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Lancet. May 31 2003;361(9372):1849-52. [Medline].
Grober ED, Chan PT, Zini A, Goldstein M. Microsurgical treatment of persistent or recurrent varicocele. Fertil Steril. Sep 2004;82(3):718-22. [Medline].
Schlegel PN. Is assisted reproduction the optimal treatment for varicocele-associated male infertility? A cost effective analysis. Urology. 1997;49:83-90. [Medline].
Cauni V, Multescu R, Nita G, Georgescu D, Geavlete P. [The place of Doppler ultrasonography in varicocele diagnosis and treatment]. Chirurgia (Bucur). May-Jun 2007;102(3):315-8. [Medline].
Chan PT, Wright EJ, Goldstein M. Incidence and postoperative outcomes of accidental ligation of the testicular artery during microsurgical varicocelectomy. J Urol. Feb 2005;173(2):482-4. [Medline].
Diamond DA. Adolescent varicocele. Curr Opin Urol. Jul 2007;17(4):263-7. [Medline].
Goldstein M, Gilbert BR, Dicker AP, Dwosh J, Gnecco C. Microsurgical inguinal varicocelectomy with delivery of the testis: an artery and lymphatic sparing technique. J Urol. Dec 1992;148(6):1808-11. [Medline].
Hopps CV, Goldstein M. Varicocele: Unified Theory of Pathophysiology and Treatment. AUA Update Series. 2004;23:90-95.
Hopps CV, Lemer ML, Schlegel PN, Goldstein M. Intraoperative varicocele anatomy: a microscopic study of the inguinal versus subinguinal approach. J Urol. Dec 2003;170(6 Pt 1):2366-70. [Medline].
Kadioglu A, Tefekli A, Cayan S, Kandirali E, Erdemir F, Tellaloglu S. Microsurgical inguinal varicocele repair in azoospermic men. Urology. Feb 2001;57(2):328-33. [Medline].
Kim ED, Leibman BB, Grinblat DM, Lipshultz LI. Varicocele repair improves semen parameters in azoospermic men with spermatogenic failure. J Urol. Sep 1999;162(3 Pt 1):737-40. [Medline].
Lima SS, Castro MP, Costa OF. A new method for the treatment of varicocele. Andrologia. Mar-Apr 1978;10(2):103-6. [Medline].
Marks JL, McMahon R, Lipshultz LI. Predictive parameters of successful varicocele repair. J Urol. Sep 1986;136(3):609-12. [Medline].
Marmar JL, Kim Y. Subinguinal microsurgical varicocelectomy: a technical critique and statistical analysis of semen and pregnancy data. J Urol. Oct 1994;152(4):1127-32. [Medline].
Matthews GJ, Matthews ED, Goldstein M. Induction of spermatogenesis and achievement of pregnancy after microsurgical varicocelectomy in men with azoospermia and severe oligoasthenospermia. Fertil Steril. Jul 1998;70(1):71-5. [Medline].
Pasqualotto FF, Sundaram A, Sharma RK, Borges E Jr, Pasqualotto EB, Agarwal A. Semen quality and oxidative stress scores in fertile and infertile patients with varicocele. Fertil Steril. May 5 2007;[Medline].
Rigano E, Santoro G, Impellizzeri P, Antonuccio P, Fugazzotto D, Bitto L, et al. Varicocele and sport in the adolescent age. Preliminary report on the effects of physical training. J Endocrinol Invest. Feb 2004;27(2):130-2. [Medline].
Rothman CM, Newmark H 3rd, Karson RA. The recurrent varicocele--a poorly recognized problem. Fertil Steril. May 1981;35(5):552-6. [Medline].
Sawczuk IH, Hensle TW, Burbige KA, Nagler HM. Varicoceles: Effect on testicular volume in prepubertal and pubertal males. Urology. 1993;41:466-468. [Medline].
Steckel J, Dicker AP, Goldstein M. Relationship between varicocele size and response to varicocelectomy. J Urol. Apr 1993;149(4):769-71. [Medline].
Walsh PC, White RI Jr. Balloon occlusion of the internal spermatic vein for the treatment of varicoceles. JAMA. Oct 9 1981;246(15):1701-2. [Medline].
Wang C, McDonald V, Leung A, Superlano L, Berman N, Hull L, et al. Effect of increased scrotal temperature on sperm production in normal men. Fertil Steril. Aug 1997;68(2):334-9. [Medline].
Weissbach L, Thelen M, Adolphs HD. Treatment of idiopathic varicoceles by transfemoral testicular vein occlusion. J Urol. Sep 1981;126(3):354-6. [Medline].
Witt MA, Lipshultz LI. Varicocele: a progressive or static lesion?. Urology. Nov 1993;42(5):541-3. [Medline].
Further Reading
Clinical trials
Keywords
varicocele, varicoceles, scrotal varicocele, varicocelectomy, pampinocele, pampiniform venous plexus, spermatic vein, arrest of sperm secretion, male fertility, male infertility, low sperm count, poor sperm function, dilation of the pampiniform venous plexus, testicular vein, antireflux valve, spermatogonia, Valsalva maneuver, sperm production, sperm function, testicular pain, scrotal pain, testicular swelling, scrotal swelling, spermatogenesis, infertility, fertility treatment, male factor infertility, infertility treatment, testicular thermoregulation, stress pattern of semen, poor sperm production, decreased semen quality




Multimedia: Varicocele