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March 29, 1919, Vol 72, No. 13 >
ARTICLE | March 29, 1919

AN OPERATION FOR VARICOCELE

WILLIAM A. ANGWIN, Ph.B., M.S., M.D.
JAMA. 1919;72(13):913-914. doi:10.1001/jama.1919.02610130007002.
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Varicocele is a frequent cause of disability in the naval service, not really so much because of its local disabling factors but more especially because of the complaints of a reflex nervous or psychic nature attributable to it. Occasionally a large varicocele is used as a means of avoiding unpleasant duty. On examination of applicants for enlistment, a large varicocele is considered officially to be sufficient cause for physical rejection. Size alone in varicocele is not necessarily an indication for operation. Some men with extremely large varicocele never have any symptoms referable to it. Others with varicocele of medium or small size have psychic disturbances or local pain far beyond the objective signs. Local pain, bearing down sensations, extremely low hanging testicles, psychic disturbances, anxiety or worry over a possible defective genital condition are sufficient warrant for operative procedure.

OPERATION 

Step 1.  —After the usual preliminaries and under either local

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