Who is a good candidate for this procedure?

Good candidates include men with a clinically palpable varicocele (grade 2 or 3) who experience scrotal pain, testicular atrophy, or abnormal semen parameters contributing to infertility. Contraindications include asymptomatic varicoceles without effect on fertility or testicular growth, active infection, bleeding disorders, or prior inguinal surgery that may distort anatomy. A thorough urologic evaluation with ultrasound and semen analysis is required before candidacy is confirmed.