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Varicocele

Varicocele is a dilation of the veins in the cord spermatic.

It is present in about 15% of men.

Varicocele is mostly on the left and sometimes bilateral.

It is mainly due to a failure of the valves of the vein sperm with reflux of venous blood.

Varicocele can cause scrotal pain, decreased blood fertility or even testicular atrophy.

Several mechanisms have been mentioned, including the increase in scrotal temperature and poor testicular oxygenation.

In the event of disabling pain or impact on the spermogram (decrease in sperm count, decrease of their mobility and increase in atypical forms) the treatment of varicocele is required.

It consists in interrupting the spermatic venous reflux. The intervention can be by open surgery or by surgery laparoscopic or even percutaneously.