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Varicocele is categorized by size which helps to guide treatment recommendations: Grade O: Seen on ultrasound, but not physically detectable (also called subclinical varicocele) Grade I: Palpable (felt on exam) when the patient is performing the valsalva maneuver (bearing down) Grade II: Palpable even without valsalva Grade III: Varicocele causing visible deformity of the scrotum Impaired Fertility and Low Sperm Count Varicoceles can cause infertility and is generally found during a routine physical examination

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