Evaluation of Varicocele Frequency in Adolescents in the City of Isfahan

Document Type : Original Article


1 Embryology and Andrology Department, Royan Institute, Isfahan Campus

2 Isfahan Fertility and Infertility Center

3 Urology Department, Isfahan University of Medical Sciences


Although varicocele can be treated, it is considered as one of the most common causes of infertility. This study was performed in order to estimate prevalence of varicocele in adolescents aging 12-14 years in the city of Isfahan.

Materials and methods
During this descriptive analytic research, 800 secondary school students who were 12 to 14 years old were randomly chosen from all the five areas of the city. Physical examination results were considered absolutely private. Examinations could screen grades I, II, III, unilateral and bilateral varicocele. Finally, recorded data was analyzed.

From 800 students examined, 133 individuals had varicocele. 74 students out of 133 individuals with varicocele, had grade I (55.6%) in the left side, 44 students had grade II (33.1%) in the left side, 4 students had grade III (3%) in the left side, and 11 students had bilateral varicocele (8.3%).

Considering the significant frequency of varicocele among adolescents more attention must be paid to early treatment of varicocele in order to restore the testicular function and therefore, future fertility. However late treatment may lead to testicular atrophy and irreversible consequences. Thus examination, diagnosis and treatment of possible varicocele in individuals at this range of age is highly recommended. In addition, the results of this study highlight the importance of parents' education about the consequences of varicocele on the future fertility of their children.