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Abstract

Volume 18, Issue 2 (March 2016) 18, 312–312; DOI:10.4103/1008-682X.164196

Asymptomatic male with grade 3 left varicocele and two children desiring vasectomy with low testosterone

Renato Fraietta, Daniel Suslik Zylbersztejn, Agnaldo Pereira Cedenho

Daniel Suslik Zylbersztejn,
Department of Surgery, Division of Urology, Human Reproduction Section, São Paulo Federal University, São Paulo Hospital, Rua Napoleão de Barros, 715 - 2° Andar, CEP: 04024 002, São Paulo
Brazil

Correspondence: Dr. DS Zylbersztejn (dsz.danielsz@gmail.com)

13-Oct-2015

Abstract

When studying varicocele and infertility, substantial knowledge have been acquired in many important areas, including prevalence, etiology, and pathophysiology to the point that varicocele is considered as the main cause of primary and secondary infertility in adult men. On the other hand, offering surgical treatment of varicoceles to improve androgen levels (without a focus on improving fertile potential) is quite controversial. In this invited commentary, we will discuss the medical workup of an asymptomatic man desiring vasectomy who was presented with a left grade 3 varicocele and low testosterone levels.

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