Liang Dong1,#, Jialu Xin1,#, Jingyi Zhang2, Zheng Liu2, Junjun Li3,*, Xujun Yu1,*
Canadian Journal of Urology, Vol.33, No.1, pp. 63-74, 2026, DOI:10.32604/cju.2025.068263
- 28 February 2026
Abstract Varicocele (VC) is widely recognized as a prevalent and clinically significant cause of male infertility. However, the comprehensive pathogenic mechanisms underlying VC development and progression remain incompletely understood, creating an important knowledge gap in the field of andrology. This review establishes that VC pathogenesis centers on abnormal vascular remodeling and integrates multiple contributing elements, including anatomical abnormalities, biochemical disturbances, genetic factors, low body mass index (BMI), age, and specific sports habits, while secondary varicoceles are primarily induced by compressive pathologies. Through a systematic synthesis of current evidence and recent advances, this review aims to elucidate More >