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Online First

10.4103/aja202444

Varicocele and nonobstructive azoospermia

Kavoussi, Parviz K1; Gupta, Chirag2; Shah, Rupin3,4

1Department of Reproductive Urology, Austin Fertility and Reproductive Medicine/Westlake IVF, Austin, TX 78746, USA

2Department of Urology, Matratva Fertility and Andrology Clinic, Jaipur National University, Jaipur, Rajasthan 302017, India

3Department of Urology/Andrology, Lilavati Hospital and Research Centre, Mumbai, Maharashtra 400050, India

4Department of Urology/Andrology, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra 400004, India

Correspondence: Dr. PK Kavoussi (pkavoussi@hotmail.com)

Originally published: August 06, 2024 Received: December 23, 2023 Accepted: April 18, 2024

Abstract

Approximately 15% of men in the general population have varicoceles, and varicoceles are diagnosed in 40% of men presenting for fertility evaluations. One percent of men in the general population are azoospermic, and 15% of men presenting for fertility evaluations are diagnosed with azoospermia. This article aims to review the impact of varicoceles on testicular function in men with azoospermia, the impact of varicocele repair on the semen parameters of azoospermic men, and the impact of varicocele repair on sperm retrieval and pregnancy outcomes when the male partner remains azoospermic after varicocele repair.

Keywords: azoospermia; infertility; varicocele

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Asian Journal of Andrology CN 31-1795/R ISSN 1008-682X  Copyright © 2023  Shanghai Materia Medica, Chinese Academy of Sciences.  All rights reserved.