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Prevalence and Mechanism for Formation of Varicocele
Defined as the abnormal dilatation of the veins that are responsible for venous return from the testicles, the term varicocele was originally coined by Curling in 1843. Varicocele is the most common treatable pathology of the male infertility.

Studies conducted show that varicocele can occur in 15% of men in general and 40% of men seeking medical help for infertility. According to the Guidelines of the European Association of Urology, varicocele is found in 12% of adult males whereas it is detected in 26% of patients who have impaired sperm values.

It is more common in the left testicle than the right testicle. The frequency of occurrence of varicocele in the left testicle alone is 90% whereas the frequency for the right testicle alone is relatively low, which is around 2%.

There are mainly 3 theories suggested in development of varicocele. These are anatomical differences between the right and left testicular veins, reflux (backflow) of the blood to the vein, and partial obstruction of the testicular veins

Partial obstruction of the testicular vein
Venous drainage of the testicles is obstructed as a result of compression of the left testicular vein that lies between the aorta and the artery that supplies blood the colons.

Impairment mechanisms of varicocele
Numerous studies show that presence of varicocele leads to impaired testicular development. There are various accepted theories to explain testicular impairment in the presence of varicocele.
Impairment caused by elevation of intratesticular temperature: This is the most commonly accepted theory of the varicocele.

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