Dr Sania Saher, Dr.Maha Ijaz, Dr Fiza Fatima
Aim: The aim of the study was to review the clinical features of varicocele and its complications. Place and Duration: In the Urology Unit II of Jinnah Hospital Lahore for two years duration from January 2018 to January 2020. Methods: 427 patients with varicocele ranging in age from 14 to more than 35 years underwent surgical operation during a 2 years duration. 190 (44.5%) were referred for infertility and 365 had left-sided varicoceles (85.5%). Results and Conclusion: No relationship was found between infertility and the grade of varicocele. Clinical features of prostatitis were often present. Semen analyses were performed in 37% of patients and showed abnormalities in motility, morphology, and density. Hormone analyses (in 26 cases) showed elevated FSH, normal LH, and decreased testosterone levels. Complications of high ligation occurred as recurrence of varicocele in 10%, and edema of the scrotum in 12 %. In the 32 patients presenting with infertility who were followed-up, there was an improvement in sperm density in 81 %, and a fertility rate of 37.8 %.