Varicocele and Azoospermia

  • Parviz Keikhosrow Kavoussi


Varicoceles are present in approximately 15% of men in the general population and 40% of men presenting for fertility evaluations. One percent of men in the general population are azoospermic and 15% of men presenting for fertility evaluations are found to be azoospermic. This chapter aims to discuss the impact of varicoceles on testicular function in men with azoospermia, the impact of varicocele repair on azoospermic men, and the impact of varicocele repair on sperm retrievals and outcomes for the couples when the male partner does not have return of sperm to the ejaculate following varicocele repair. Further discussion includes men who have varicoceles and iatrogenic azoospermia via vasectomies desiring vasectomy reversal, as well as men with varicoceles who are interested in achieving azoospermia via vasectomy.


Varicocele Azoospermia Male Infertility Sperm Retrieval Vasectomy Reversal Vasectomy 

Supplementary material

Video 25.1

Varicocele repair (MP4 198614 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Parviz Keikhosrow Kavoussi
    • 1
  1. 1.Department of Reproductive UrologyAustin Fertility & Reproductive Medicine/Westlake IVFAustinUSA

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