<prompt> Operative managements of varicocele are indicated in all of the following conditions exceptIpsilateral testis small sizeOligospermia on semen alalysisGrade - 3 varicocele large sizeSigns or symptoms absent  <response>: Indications for operative management of varicocele are 1 infeility, paicularly with impaired semen parametersoligospermia or sperm quality, 2 hypogonadism, 3 scrotal pain, 4 testicular hypotrophy, paicularly in the pediatric population and 5 aesthetic issues with large varicoceles. Reference : page 1077 SRBs manual of surgery 5th edition. 