Varicocele and Puberty—the Critical Factor?

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Abstract
In some boys varicocele develops before puberty, when the testis is immature and vulnerable. Based on testicular size, evidence suggests that the time of development of a varicocele in relation to puberty may be the critical factor in the subsequent development of infectility. The recognition and treatment of an early-developing varicocele may help to reduce the infertility associated with this condition.