Left spermatic vein reflux after varicocele repair predicts pregnancies and live births in subfertile couples.

Purpose: Varicocele repair (VR) is proposed to improve fertility in subfertile couples with a poor semen quality. We explored whether the disappearance of a left continuous spermatic venous reflux (SVR) at scrotal colour-Doppler ultrasound (CDUS), an objective evidence for a VR, is predictive for improved fertility outcome in subfertile couples.

Methods: VR was performed by left internal spermatic vein sclero-embolisation in 88 males seeking a consultation for subfertility.