Surgical repair (varicocelectomy) is considered in specific situations where the varicocele poses a clear risk to future testicular health and fertility. According to current guidelines, the key indications include:
Medical experts trace the root cause to a malfunction in the vascular "one-way valves" that should keep blood moving toward the heart. When these valves fail, blood pools and causes the veins to dilate. varikotsele u detey 1982 ok ru link
| Grade | Description | | :--- | :--- | | | The veins are not visible or palpable at rest but become palpable during a Valsalva maneuver. | | Grade II | The veins are not visible but are easily palpable without performing the Valsalva maneuver. | | Grade III | The veins are clearly visible through the scrotal skin, giving the characteristic "bag of worms" appearance. | | Grade | Description | | :--- |