Hello, thanks for using health care magic. Varicocele is an enlargement of veins in the scrotum. It presents with varying discomfort at the testicles and may increase to become palpable. The two dreaded complications of varicocele are infertility and atro- phy of the testes. Varicocele is known to decrease sperm count and the quality of sperms thus contributing to infertility. However, varicocele repair is indicated when there is progressive atrophy of testes and or abnormal semen analysis results and or pain.The absence of these does not warant treatment as varicocele is a common finding in adolescence. A urologist is a specialist concerning male sex organs, you should discuss in detail with him to give you more detail regarding his choice for surgery. Am sure you will be convince or workout something with him. Hope this helps you Best regards Dr Achuo