Varicocelectomy for nonobstructive azoospermia should be considered only in carefully selected patients: opinions based on treatment experience at Dokkyo Medical University

Key Points

• Sperm retrieval rates following varicocelectomy are often suboptimal for patients with nonobstructive azoospermia and varicoceles.
• Patients underwent varicocelectomy alongside microdissection testicular sperm extraction (MD-TESE), yielding disappointing outcomes.
• Caution is advised when considering varicocelectomy for nonobstructive azoospermia, due to varying sperm retrieval successes.
• Results emphasize the need for careful patient selection before proceeding with varicocelectomy procedures.