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This may be due to the shorter course of the right testicular vein and its oblique insertion into the IVC which creates less backpressure. Ad Home-treatment for varicocele. How Long Do I Have To Wait To Have Sex After Varicocele Treatment ICD-10-CM I861 is grouped within Diagnostic Related Group s MS-DRG v380. Small bilateral varicoceles . Most varicoceles are primary and result from incompetent or congenitally-absent valves in the testicular vein internal spermatic vein. If all the other testing and imaging are negative it is unlikely that a serious cause is behind the varicocele. Adverse effect on male fertility occurs when varicocele leads to an increased scrotal and testicular temperature and reduced testicular volume. Normally they have valves that ensure the blood moves in the proper direction. Varicoceles are when the pampiniform plexus veins in the scrotum become enlarged. Bilateral varicoceles are not uncommon 15 but isolated right varicoceles. Sign up fo...