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1.baseline indexs
1.1.inclusion criteria

impaired semen quality

with normal level of serum hormones including FSH, LH, Thyroid hormones and PRL

patient's spouse was healthy in reproduction

All above

yes

20-39 years old who had infertility for more than 1 year and had clinical palpable varicoceles

1.2.exclusion criteria

subclinical varicocele, recurrent varicoceles

normal semen analyses

other reasons of infertility than varicoceles

refusing to enter randomization

female partner older than 35 years

abnormal level of serum hormones

female factor infertility

with significant surgical diseases, congenital diseases or endocrine diseases

none of the above

yes

1.3.age of patients

age of' patients

34 y

1.4.age of partner

age of partner

32 y

1.5.grade

grade II

grade III

yes

1.6.sperm counts

sperm counts

17.59 ×10e6/ml

1.7.sperm motility

sperm motility

20.07 %

1.8.grade a+b sperm

grade a+b sperm

8.12 %

1.9.Sperm morphology

sperm morphology(normal)

27.38 %

2.Intraoperative indexs
2.1.operative time

operation time

78 min

2.2.Hospital stay

hospital stay

4 d

2.3.Number of veins ligated

number of veins ligated

9

2.4.Number of arteries preserved

number of arteries perserved

2

2.5.Number of lymphatics spared

number of lymphatics apared

2

3.other postoperative indexs
3.1.Postoperative hydrocele

postoperative hydrocele

no

3.2.Recurrent varicocele

recurrent varicocele

no

3.3.pregnancy

pregnancy

no

3.4.testis atrophy

testis atrophy

no

4.3 month after operation
5.1.sperm counts

sperm counts

23 x10e6/ml

5.2.sperm motility

sperm motility

25.49 %

5.3.grade a+b sperm

garde a+b sperm

44.58 %

5.4.Sperm morphology

sperm morphology(normal)

36.93 %

6.6 month after operation
6.1.sperm counts

sperm counts

21.96 x10e6/ml

6.2.sperm motility

sperm motility

32.32 %

6.3.grade a+b sperm

garde a+b sperm

73.89 %

6.4.Sperm morphology

sperm morphology(normal)

24.69 %

7.12 month after operation
7.1.sperm counts

sperm counts

25.5 x10e6/ml

7.2.sperm motility

sperm motility

35.68 %

7.3.grade a+b sperm

garde a+b sperm

51.34 %

7.4.Sperm morphology

sperm morphology(normal)

31.37 %