الفهرس 
DEFINITION, INCIDENCE AND ANATOMY OF VARICOCELEOnly 14 pages are availabe for public view
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Abstract
Varicocele remains a common finding in infertile men and is often the sole identifiable cause of infertility in couples. There is convincing evidence that varicoceles produce a progressive harmful effect upon the testis resulting in the decline of seminal parameters. The main goal of varicocelectomy is to preserve testicular function and initiate pregnancy in infertile couples. However, even when pregnancy is not achieved, improved seminal quality after surgery can obviate or downstage the need for assisted reproductive techniques. Identifying those individuals with varicocele who will present better benefit from varicocele treatment is always a challenge for Urologists. Current data support the assertion that varicocelectomy is successful in reversing the harmful effects of varicocele upon testicular function in selected patients by improving seminal parameters in the majority of controlled studies.
There are several approaches for varicocelectomy, these include, inguinal approach, subinguinal approach, microscopic subinguinal approach, radio graphic embolization and laparoscopic repair.
The micro surgical varicocelectomy is considered the ”gold standard” because it is associated with a higher success rate (disappearance of varicocele) and a lower complication rate (recurrence rate and hydrocele formation), compared with non-microsurgical techniques.