A rare cause of infertility: intratesticular varicocele associated with ipsilateral extratesticular varicocele

Andrologia. 2016 Mar;48(2):235-7. doi: 10.1111/and.12431. Epub 2015 Jun 8.


Intratesticular varicocele is an uncommon condition with variable sonographic appearence and identified as dilated intratesticular veins lying from the mediastinum through testicular parenchyma. We present a case of a 20-year-old male, married and unable to conceive for 2 years. Routine scrotal sonography disclosed extratesticular varicocele which was associated with ipsilateral intratesticular varicocele. Colour Doppler ultrasonography should be the first choice modality of imaging to confirm the diagnosis. Detection of intratesticular varicocele is essential because it is one of the most common recoverable reasons of male infertility.

Keywords: Colour Doppler ultrasonography; extratesticular varicocele; infertility; intratesticular varicocele; varicocele.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Infertility, Male / etiology*
  • Male
  • Spermatic Cord / diagnostic imaging*
  • Testicular Diseases / complications
  • Testicular Diseases / diagnostic imaging*
  • Testis / diagnostic imaging*
  • Ultrasonography, Doppler, Color
  • Varicocele / complications
  • Varicocele / diagnostic imaging*
  • Young Adult