For many years, the focus of attention of domestic and foreign urologists andrologists is the problem of patients with varicocele. The results of the research suggest that varicocele is widespread in the male population, and does not have a tendency to decrease, being one of the main causes of subfertili-ty or infertility that in the scale of the Russian Federation are of particular importance in terms of the prevailing negative demographic trends. When writing the article, 60 literary sources were processed, of which 11 are domestic, 49 are foreign. Analysis of literary sources shows that all questions of the etiology, pathogenesis and treatment of varicocele remain the subject of debate. Treatment of varico-cele, its recurrence is aimed primarily at preventing disorders or restoring existing reproductive disor-ders, restoration of fertility, minimizing the likelihood of relapse and complications.