In the past, the indications for varicocelectomy are primarily for infertility with abnormal
semen parameters, testicular hypotrophy/atrophy in adolescents, and/or pain. The surgical
treatment of varicocele for hypogonadism is controversial and debated. Recently, multiple
reports in the literature have suggested that varicocele is associated with hypogonadism
and varicocele repair can increase testosterone levels. Men with hypogonadal symptoms
should have at least two serum testosterone levels. Microsurgical varicocelectomy may be …