Research Article

Testicular vein ligation and fertility in men with varicoceles.

Br Med J (Clin Res Ed) 1985; 291 doi: https://doi.org/10.1136/bmj.291.6510.1678 (Published 14 December 1985) Cite this as: Br Med J (Clin Res Ed) 1985;291:1678
  1. H W Baker,
  2. H G Burger,
  3. D M de Kretser,
  4. B Hudson,
  5. G C Rennie,
  6. W G Straffon

    Abstract

    Pregnancy rates in 651 subfertile couples in which the man had a varicocele were analysed by life table methods and were not found to be significantly different before and after testicular vein ligation performed in 283 patients. Estimated proportions of couples conceiving were roughly 30% by one year and 45% by two years in both groups. The operation was also not associated with improvement in results of semen analysis. These findings suggest that testicular vein ligation for varicoceles does not improve fertility.