The significance of clinical practice guidelines on adult varicocele detection and management.

Clinical pregnancy was 52% versus 38% in the observation group however did not reach statistical significance ( P = 0.38).

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A recent meta-analysis of four RCTs of varicocelectomy in men with a clinically palpable varicocele, oligozoospermia and otherwise unexplained infertility a favorable trend toward surgical correction was identified. 28 This sheds some light on the controversy and reinforces the current practice by most male reproductive urologists.

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