This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urology, Subject name: Surgery
Operative managements of varicocele are indicated in all of the following conditions except 
Select and explain. 
A. Ipsilateral testis small size, B. Oligospermia on semen alalysis, C. Grade - 3 varicocele (large size), D. Signs or symptoms absent
D: Signs or symptoms absent
Answer: D: Signs or symptoms absent 
Explanation: Indications for operative management of varicocele are (1) infeility, paicularly with impaired semen parameters(oligospermia) 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 SRB's manual of surgery 5th edition.