Background: Varicocele is an abnormal dilation and tortuosity of the internal spermatic veins within the pampiniform plexus Varicocele is common among adolescents and may contribute significantly to the risk of subfertility in adulthood. They are found in about 15% of adult males and 20–40% of all infertile men. Objective: To find correlation between shear wave elastography result and semen analysis in cases of varicocele. Methods: This prospective study was carried out on 66 patients with primary infertility and clinically detectable varicocele who admitted to the Urology Department Andrology Unit, Zagazig University hospitals during the period from 15/3/2018 to 15/9/2018. Testicular SWE was done for all patients, computer-assisted semen analysis and duppler scrotal ultrasound. Results: Showed that the most varicose character was bilateral grade III of testicular varicocele with primary complain. The highest SWE was 4.27and the lowest SWE was 1.84. SWE was significantly negative correlated with motility and count. On the other hand, there was a non significant negative correlation between SWE stiffness index and progress motility. Conclusion: Our study showed that Testicular SWE is a good test easily applicable and repeatable imaging method, has the potential to be used in the assessment of male infertility with clinically detectable varicocele.