Ultrastructural investigation of pathological spermatozoa of patients havin
g varicocele (grades I and III) in its natural environment (without fixatio
n, dehydration, embedding, sectioning, etc.) was carried out by using Atomi
c Force Microscope (AFM) in tapping mode, This is a unique technique to exa
mine the topographical structure with precision and to obtain 3-D images, I
t revealed structural alterations caused by the presence of varicocele. Not
only neckpieces and flagella were defective. but also the head, particular
ly, dimensions and heights are altered.