Subclinical Varicocele: Evaluation and management in infertility. A review of the literature.

Georgios Tsamboukas, Athanasios Papatsoris


The subclinical varicocele is defined as an abnormal dilatation
of the pampiniform plexus, absent of physical examination and
detected only by ultrasound or other imaging modalities. In
clinical practice, huge discrepancies exist regarding the optimal
management of the condition, mainly due to the fact that a
cumulative benefit of interventional treatment has not been
provided yet. However, a significant amount of patients seems
to be affected and a possible intervention might act beneficially
upon infertility. In this review, an effort is made in order the
possible role of the condition in infertility to be enlightened,
whereas the possible management is also discussed.



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