Diagnosis and impact on fertility of subclinical varicocele: a series of 6 cases

The varicocele is the most common and identifiable cause of subfertility in men. Its subclinical form is underestimated. Its impact on male fertility is not well known. Doppler sonography is a non invasive and reliable mean of diagnosis. It enabled us to detect subclinical varicocele in six subfertile men. After ligation of the internal spermatic vein, the semen analysis was improved in two cases and pregnancy was achieved in one. Therefore, doppler sonography is the correct procedure in men unexplained subfertility