<prompt> Not true about varicocele is -Common on the right sideCan present as a late sign of renal cell carcinomaHas bag of worm like feelingCan lead to infeility  <response>: Ans. is a ie Common on the Rt. side Varicocele It is seen 95 of times on left side.Several anatomic features contribute to the predominance of left-sided varicoceles. The left internal spermatic vein is longer than the right; in addition, it usually joins the left renal vein at right angles. The right internal spermatic vein has a more oblique inseion into the inferior vena cava. This paicular anatomy in the standing man may cause higher venous pressures to be transmitted to the left scrotal veins and result in retrograde reflux of blood into the pampiniform plexus.Clinical pictureAge - young adultTall thin men are frequently affectedBag of worms like feel on palpationThe veins empty in supine position so examination is always done in standing positionInfeility : The varicocele is the most common cause of male infeility world wide. In approximately 70 of patients with secondary infeility, a varicocele is an underlying cause. The World Health Organization concluded that varicoceles are clearly associated with impairment of testicular function and infeility. 