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A 31-year-old male asked:

mild bilateral varicocele does this need an operation to be done or no and does this affect fertility?

1 doctor answer1 doctor weighed in
Dr. Stephen Chinn
Urology 38 years experience
Yes and no: While 40% of "infertile" men have at least a one-sided varicocele, 10% (1/10) of all men have a unilateral varicocele, and 1% (1/100) have bilateral varicoceles; and yet, we don't see as many with c/o infertility. Prudent to treat if they are causing pain, testicular atrophy, semen abnormalities or severe cosmetic reasons (deformity). There is no medical management: either embolization or ligation.

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Last updated Apr 17, 2014
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