Varicocele is defined as dilated and tortuous veins of the pampiniform plexus of scrotal veins. Varicocele occurs in approximately 15% of the whole male population and 21-39% of infertile men. Varicocele typically develop during puberty large population-based study showed a prevalence of 0.92% in boy s aged between 2 and 10 years and a dramatic rise to 11% in boys aged 11–19 years. Semen is a greyish white bodily fluid that is secreted by the gonads of male. It carries sperm or the spermatozoa and fructose and other enzymes that help the sperm to survive to facilitate successful fertilization.A routine semen analysis is the “gold standard” for the initial investigation of male fertility. The following factors are assessed in the seminal ejaculate: physical characteristics (e.g., color, volume, pH, odor, viscosity, and liquefaction time), sperm concentration, motility, progression, viability, and morphology and leukocyte count. Semen parameters such as sperm concentration, motility, and morphology can act as markers of male fertility and may reflect testicular causes of infertility.The diagnosis of varicocele is mainly clinical. However, a Doppler ultrasound is used to obtain clinical data and to measure testicular size more accurately. Diagnosis of varicocele by ultrasound is superior to clinical diagnosis; however, this method does not detect impairment of testes before testicular softening or atrophy.Shear-wave elastography (SWE) is an imaging modality that estimates tissue stiffness in real time It was previously used for the assessment of many organs

Varicocele, Shear-wave elastography