Effect of Varicocele on Testicular Volume

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  • Selim Kervancıoğlu Gaziantep Üniversitesi Tıp Fakültesi Radyoloji AD
  • Akif Sarıca Gaziantep Üniversitesi Tıp Fakültesi Radyoloji AD
  • Ahmet Mete Gaziantep Üniversitesi Tıp Fakültesi Radyoloji AD
  • Ayhan Özkur Gaziantep Üniversitesi Tıp Fakültesi Radyoloji AD
  • Metin Bayram Gaziantep Üniversitesi Tıp Fakültesi Radyoloji AD




varicocele, color Doppler ultrasonography, testis volume


Varicocele is one of the common causes of male infertility and is characterized by an anomalous dilation of the veins of the pampiniform plexus. There are many researches reported about ipsilateral testis volume reduction in varicocele in the literature. There are few researches reported about the effect of varicocele to the contralateral testis and different results have been reported unlike each other, as some reports say that an increase in contralateral testicular volume in varicocele, the others say reduction in contralateral testicular size. In our study we aimed to detect the effects of varicocele on bilateral testicular size. The study included 89 adult patients that had undergone routine scrotal CDUS and diagnosed with only left-sided varicocele. 51 patients which have no varicocele and any other anomaly with testis were chosen for the control group. The patients diagnosed with varicocele gathered into groups as grade 1, grade 2 and grade 3. The difference between bilateral testis volume was calculated by the formula; [(right testis volume-left testis volume) / right testis volume x 100] in all patients. Right and left testis volumes, volume differences between testes among all groups (control, grade 1, grade 2 and grade 3 groups), and right and left testis volumes in each group were compared. No significant difference was established statistically in comparision of testis volumes in each group, and right and left testis volumes and differences between testes volumes within groups. In conclusion, our study established that there is no effect on testis volume in varicocele.


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Kass EJ, Stork BR, Steinert BW. Varicocele in adolescence induces left and right testicular volume loss. BJU Int. 2001;87:499-501.

Greenberg SH, Lipshultz LI, Wein AJ. Experience with 425 subfertile male patients. J Urol. 1978;119:507-510.

Clarke BG. Incidence of varicocele in normal men and among men of different ages. JAMA. 1966;198:1121-1122.

Thomas JC, Elder JS. Testicular growth arrest and adolescent varicocele: does varicocele size make a difference. J Urol. 2002;168:1689-1691.

Akbay E, Cayan S, Doruk E, et al. The prevalence of varicocele and varicocele-related testicular atrophy in Turkish children and adolescents. BJU Int. 2000;86:490-493.

Zini A, Buckspan M, Berardinucci D, et al. Loss of left testicular volume in men with clinical left varicocele: correlation with grade of varicocele. Androl. 1998;41:37-41.

Zini A, Buckspan M, Berardinucci D, et al. The influence of clinical and subclinical varicocele on testicular volume. Fertil Steril. 1997;68:671-674.

Ku JH, Son H, Kwak C, et al. Impact of varicocele on testicular volume in young men: significance of compensatory hypertrophy of contralatral testis. J Urol. 2002;168:1541-1544.

Oyen RH. Scrotal ultrasound. Eur Radiol. 2002;12:19-34.

Sigmund G, Gall H, Bahren W. Stop-type and shunt-type varicoceles: venographic findings. Radiology. 1987;163:105- 110.

World Health Organization. The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. Fertil Steril. 1992;57:1289-1293.

Gat Y, Bachar GN, Zukerman Z, et al. Physical examination may miss the diagnosis of bilateral varicocele: a comparative study of 4 diagnostic modalities. J Urol. 2004;172:1414-1417.

Pierik FH, Dohle GR, van Muiswinkel JM, et al. Is routine scrotal ultrasound advantageous in infertile men? J Urol. 1999;162:1618-1620.

Chiou RK, Anderson JC, Wobig RK, et al. Color Doppler ultrasound criteria to diagnose varicoceles: correlation of a new scoring system with physical examination. Urology. 1997;50:953-956.

Chakraborty J, Hikim AP, Jhunjhunwala JS. Stagnation of blood in the microcirculatory vessels in the testes of men with varicocele. J Androl. 1985;6:117-126.

Comhaire F, Simon M, Kuunen M, Vermeulen L. Testicular arterial perfusion in varicocele: The role of rapid sequence scintigraphy with technetium in varicocele evaluation. J Urol. 1983;130:923-926.

Cohen MS, Plaine L, Brown JS. The role of internal spermatc vein plasma catecholamine determination in subfertile men with varicoceles. Fertil Steril. 1975;26:1243-1249.

Goldstein M, Eid JF. Elevation of intratesticular and scrotal skin surface temperature in men with varicocele. J Urol. 1989;743-745.

Harrison RM, Smith SD, Roberts JA. Testicular temperatures measured by thermistor probe and contact thermography. Fertil Steril. 1990;54:173-174.

Akcar N, Turgut M, Adapinar B, Ozkan IR. Intratesticular arterial resistance and testicular volume in infertile men with subclinical varicocele. J Clin Ultrasound. 2004;32:389-393.

Testicular hypotrophy does not correlate with grade of adolescent varicocele. Alukal JP, Zurakowski D, Atala A, et al. J Urol. 2005;174:2367-2370.




How to Cite

Kervancıoğlu, S., Sarıca, A., Mete, A., Özkur, A., & Bayram, M. (2008). Effect of Varicocele on Testicular Volume. European Journal of Therapeutics, 14(1), 11–14. https://doi.org/10.58600/eurjther.2008-14-1-1349-arch



Clinical Research