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1.baseline indexs
1.1.inclusion criteria

impaired semen quality

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

All above

yes

patient's spouse was healthy in reproduction

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

1.2.exclusion criteria

refusing to enter randomization

other reasons of infertility than varicoceles

normal semen analyses

subclinical varicocele, recurrent varicoceles

none of the above

yes

with significant surgical diseases, congenital diseases or endocrine diseases

female factor infertility

abnormal level of serum hormones

female partner older than 35 years

1.3.age of patients

age of' patients

25 y

1.4.age of partner

age of partner

20 y

1.5.grade

grade III

yes

grade II

1.6.sperm counts

sperm counts

16.65 ×10e6/ml

1.7.sperm motility

sperm motility

29.47 %

1.8.grade a+b sperm

grade a+b sperm

22.52 %

1.9.Sperm morphology

sperm morphology(normal)

28.08 %

2.Intraoperative indexs
2.1.operative time

operation time

71 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

3

3.other postoperative indexs
3.1.Postoperative hydrocele

postoperative hydrocele

no

3.2.Recurrent varicocele

recurrent varicocele

no

3.3.pregnancy

pregnancy

yes

3.4.testis atrophy

testis atrophy

no

4.3 month after operation
5.1.sperm counts

sperm counts

22.58 x10e6/ml

5.2.sperm motility

sperm motility

44.65 %

5.3.grade a+b sperm

garde a+b sperm

42.26 %

5.4.Sperm morphology

sperm morphology(normal)

26.16 %

6.6 month after operation
6.1.sperm counts

sperm counts

16.04 x10e6/ml

6.2.sperm motility

sperm motility

30.19 %

6.3.grade a+b sperm

garde a+b sperm

54.23 %

6.4.Sperm morphology

sperm morphology(normal)

38.41 %

7.12 month after operation
7.1.sperm counts

sperm counts

26.21 x10e6/ml

7.2.sperm motility

sperm motility

28.62 %

7.3.grade a+b sperm

garde a+b sperm

48.39 %

7.4.Sperm morphology

sperm morphology(normal)

26.66 %