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microsurgical varicocelctomy

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Chapter 15 - Should Varicocele Be Operated on Before IVF?
- By Shannon H. K. Kim, Victoria Nisenblat
Edited by R. John Aitken, University of Newcastle, New South Wales, David Mortimer, Gabor Kovacs
Book:

Male and Sperm Factors that Maximize IVF Success

Published online:

24 May 2020

Print publication:

30 April 2020, pp 176-188
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Summary

Varicocele is the most common surgically correctable factor identified in infertile men. The negative impact of varicocele on testicular function, semen parameters and fertility potential have been well recognized for decades. Despite this, the role of varicocele repair in managing infertility remains controversial, especially since the advent of assisted reproductive technologies (ART). This chapter details the current status of varicocele in male infertility. We describe the anatomy, pathophysiology and diagnostics of varicocele and discuss the methods of repair. We then take a critical look at the efficacy and clinical utility of varicocele repair in infertile couples, with an emphasis on clinical benefits for couples undergoing ART.