What are contraindications for varicocele repair?

Updated: Jan 02, 2019
  • Author: Wesley M White, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Opinions vary regarding the value of repairing subclinical varicoceles in infertile men, but most experts do not recommend it. A 2014 committee opinion of the American Society for Reproductive Medicine and the Society for Male Reproduction and Urology advises that varicocele treatment is not indicated in patients with subclinical varicocele or in those with either normal semen quality or isolated teratozoospermia. [10] :

In addition, discovery of a varicocele at the time of vasectomy or vasectomy reversal is a relative contraindication to immediate repair. A 6-month delayed repair is recommended to allow the development of collateral vessels in order to decrease the chance of vascular compromise to the testicle.


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