Varicocele is a common cause of Male Infertility--- A condition where the veins of the spermatic cord in the scrotum become abnormally dilated and tortuous
Varicocele is the commonest 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 examines 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 a 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”
Subclinical Varicocele: Detected only by Colour Doppler