Objective: To determine the ratio of epididymal position variations and whether this had any effect onseminal parameters.Material and methods: Scrotal examination results and epididymal positions were retrospectively assessedin subjects presenting to our clinic for infertility, varicocele, and sexual developmental delay. Scrotal examinationconsisted of epididymal position, testicular volumes, and vas deferens and varicocele presence.The subjects were categorized according to sperm counts per mL. Data were assessed whether there was asignificant difference in terms of epididymal positions among the groups.Results: A total of 5812 epididymides were examined. There was no significant difference with respect to oneor two epididymides being in an anterior position between the groups allocated with respect to a sperm countabove 15 million per mL, between 5 and 15 million per mL, and below 5 million per mL (p=0.542). Spermcounts and motility did not differ according to the position of the epididymis in analyzes performed separatelywithin each group.Conclusion: Positional variations of epididymis can be seen at a considerable rate. Nevertheless, there was noclear relationship between these variations and infertility. In terms of avoiding possible misdiagnoses and treatmentcomplications possible epididymal position variations should be kept in mind during clinical practice.