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Figure 1 Doppler ultrasonography commonly reveals prolonged reflux duration in the standing position, confirming the presence of a stable pathological reflux circuit driven by valvular dysfunction ( 2.3 Impaired venous return Impaired venous return represents the core hemodynamic foundation underlying the pathogenesis and progression of varicocele ( Renal or caval hypertension has been identified as particularly critical in left-sided varicocele

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