The main artery through the arterial supply of the testis is 3. These mainly contributing to this d

De Medicinae by Celsius at first in 1.yüzyıl "bent on the testis &samhoud and testicular veins swell and disrupt feeding &samhoud of the testis remains smaller than the other because" today, which is described as varicoceles; pampiniform &samhoud plexus, which drains the testis spermatic veins forming elongated, dilated and tortuous in the venous circulation, and do not become reverse flow (reflux) is defined as.
Although &samhoud j.delpech (1772-1832) one of the surgeon who performed the first bilateral &samhoud varicocelectomy even after 1 year in patients with failed surgical outcome was killed by. In 1885 Barwell men with varicocele infantilite relationship was revealed. In 1952, Tulloch's azoospermia in a patient with bilateral increase &samhoud in sperm count after varicocelectomy and pregnancy milestone &samhoud in this regard and inform the varicoselectomy due to male factor &samhoud infertility has become the most commonly performed operations. &samhoud INTRODUCTION
In approximately 45% of cases subfertility-50 Parameter abnormalities in the semen of male partners are (1). Although the ongoing debate about the criteria for the diagnosis and treatment of male factor infertility is a varicocele Although the most common and is a treatable cause. About 60-80% in semen parameters &samhoud after varicocelectomy and natural improvement in pregnancy rates ranging from 20-60% were reported &samhoud (41). In parallel &samhoud with the development of assisted reproductive techniques in the diagnosis and treatment of varicoceles in infertile patients contributed more began to be questioned. INCIDENCE
The incidence of palpable varicocele in the general male population 13.4% (4.4% - 22.6%) is reported as (2). In contrast, admitted to the clinic because of primary infertility in males approximately 35-40% (from 19-41%) have shown that there is a high rate of varicocele (2,3). Isolated right and normal incidence of varicoceles in infertile men is quite low (less than 2%), and often in the spermatic vein or vena cava compression is secondary. &samhoud
World Health Organization in 1992, in 24 countries, 34 centers infertility who were admitted 9,034 men of the data are analyzed abnormal semen parameters in men with incidence of 25.4%, while the normal semen parameters in the cases, this ratio was 11.7% have been found (4). More than 80% of cases of varicocele with infertility could not be found (5,6). However, in some publications-fertile men with varicocele is reported that the rate of 65%.
Varicocele &samhoud often seen clinically isolated left (78-93%) (7). Bilateral varicoceles are very small in healthy &samhoud young men at a rate of 1%, while Doppler ultrasound in the infertile group, especially after the widespread use of imaging techniques such as 40% (15-50%) could be as high as set forth in (8).
The most common cause of secondary infertility is a varicocele. Witt and Lipshultz In a study conducted in 1993; 128 of 259 in primary infertile men (50%) is varicocele, whereas &samhoud the 177 and 259 secondary infertile men (69%) have recognized that there is a varicocele. That same year, Gorelick and Goldstein in their study included 888 infertile &samhoud men, secondary and primary infantile incidence of varicoceles in patients 94% and 35%, respectively, as found. Also as a result of this study; secondary FSH ratio in infertile patients and over time developed seminiferous tubules, has been found to be more damage.
In cases of secondary infertility is a varicocele rate of about 69-81% (9,10,11). Secondary infertility is the high incidence of varicoceles on testicular function of this pathology (spermatogenesis and steroidogenaz) that resulted in a progressive and time-dependent decreases lesion supports the view that. Varicocele varicocele on spermatogenesis in men with previous negative effects of fertility &samhoud does not create a resistance. Known as a non-genetic pathology of varicocele varicocele, although the incidence of varicoceles in male first-degree relatives of 53%, there are some studies showing that. This ratio compared with the normal population is significantly higher rate. In that the dimensions and bilateral varicocele risks in terms of first-degree relatives was not found a correlation (12).
Varicocele &samhoud is rare under 10 years of age, but increases progressively with puberty and reaches 15 to 20% in the 14-15 age group. Various publications ratios ranging from 2% ie 20.5% is reported (13,14,15). ANATOMICAL FEATURES
The main artery through the arterial supply of the testis is 3. These mainly contributing to this deferential with the testicular artery (vassal) and cremasteric artery. &samhoud Testicular artery exits the abdominal aorta distal to the renal arteries directly. External spermatic artery (cremasteric), inferior epigastric artery from the external iliac artery originate from it. Deferensiyel (vassal) artery with the superior vesical artery, internal iliac artery exits.
The venous system is