How often do General Practitioners, Family Physicians and General Surgeons advise "Varicocele Coils Embolisation" of internal spermatic and accessory gonad? Such male patients are afraid of ligation of spermatic or cord veins as fear of loss of "male potency, masculine power" or knows about post surgical recurrence rates. Varicoceles mostly on left side is growing cause of "male infertility" in younger population or as a cause of "medical unfitness" during Army, Police, Government job recruitment.

If bilateral or left side Gr.I/II/III Varicocele detected on "Scrotal Doppler" with oligo-spermia and reduced fructose content and less sperm motility count then:

1. What is the size of spermatic cord veins in supine & standing position?

2. On Valsalva maneuver, how much veins in Pampniform plexsus gets dilated and what is the grade of reflux?

3. What is size & volume of both testes? Does it shows testicular atrophy?

4. Any presence of hydro/pyoceles or epididymitis or scrotal calcifications in situ?

As Interventional Radiologist I would like to do "internal spermatic & gonadal veins phlebography" in DSA Cathlab to evaluate:
- Grade of "real physiological reflux" in ISV after injecting contrast medium
- Size of normal & abnormal veins. Presence of collateral channels, accessory gonadal veins, renal veins on both sides
- Determining size, diameter & length of "peripheral detachable coils" for embolisation of abnormal venous drainage pathways and abolition of venous reflux

In conclusion I found that improving normal venous drainage in order to normalize "testicular, scrotal temperature" to increase sperm count, permanent cure of dragging testicular pains & bag of worms in scrotal sac, fear during sexual intercourse must be treated successfully.