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Volume 18, Issue 2 (March 2016) 18, 315–316; DOI:10.4103/1008-682X.172645
Asymptomatic male currently not desiring fertility with bilateral subclinical varicocele found on ultrasound evaluation and borderline semen analysis results
Jorge Hallak
1Androscience, High Complexity Andrology and Research Laboratory in Male
Reproductive Health; 2Section of Andrology, Division of Urology, Department of
Surgery, Hospital das Clinicas, University of São Paulo Medical School, São Paulo,
Brazil; 3Reproductive Toxicology Unit, Department of Pathology, University of São
Paulo Medical School, São Paulo, Brazil; 4Department of Pathology, University of
São Paulo Medical School, São Paulo, Brazil.
Correspondence: Prof. J Hallak (hallakj@androscience.com.br)
| Abstract |
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Varicoceles are a fountain of inspiration for male health providers
since times immemorial, and it has haunted men ever since
with so many different and multifaceted aspects that even today,
basic scientists and andrologists are finding new and exciting
discoveries derived from its pathophysiology, clinical outcomes,
and consequences. Varicocele is a perfect model to link basic science
with technological innovation in diagnostic testing in semen analysis
and surgical techniques improving medical practice and improving
male reproductive and general health. The word “varicocele” is
derived from a combination of two ancient languages, from Latin:
varix (tortuous blood flow) and from Greek: kele (edema). The
current classification system is over 50‑year‑old and although the
definition of varicocele includes the existence of venous reflux,
classification only stands for vein dilation of the Pampiniform
plexus into three major clinical categories.1 Maybe, it is time to
develop a new classification system that includes both vein dilation
and venous reflux.
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