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A varicocele is a ____________________ of the pampiniform venous plexus and the ____________________ spermatic vein . Varicocele is a well - recognized cause of ____________________ testicular function and occurs in approximately 15 - 20% of all ____________________ and in 40% of infertile males . Understanding the ____________________ of this anatomic abnormality in the infertile ____________________ requires a brief review of the history , ____________________ , and current concepts of functional anatomy , as well as the methods and results of surgical repair , when repair is indicated .