Varicocele is a common cause of Male Infertility. It is a condition where the veins of the spermatic cord in the scrotum become abnormally dilated and tortuous.
Varicocele is the most frequent cause of low sperm count with poor motility (oligo-astheno-zoospermia)15% of general Male population
40% of men evaluated for primary infertility and
50% of men evaluated for secondary infertility have Varicocele.
How is it diagnosed?
A) Clinical Examination: The doctor will examine the patient in the standing posture and feels the spermatic cord, the cord like structure from which the Testes hangs. Varicocele feels like a bunch of worms in a bag. On coughing the feel gets transiently exaggerated.
B) Colour Doppler Sonography: It is an objective method of detecting and documenting a Varicocele
Grades of Varicocele:
Grade III or Large: On inspection one can see the “bag of worms”
Grade II or Moderate: On palpation without coughing one can feel the “bag of worms”
Grade I or Small: Only on coughing one can feel the “bag of worms”
Sub-clinical Varicocele: It is detected only by Colour Doppler.