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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

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

1.2.exclusion criteria

subclinical varicocele, recurrent varicoceles

female partner older than 35 years

refusing to enter randomization

other reasons of infertility than varicoceles

normal semen analyses

none of the above

yes

with significant surgical diseases, congenital diseases or endocrine diseases

female factor infertility

abnormal level of serum hormones

1.3.age of patients

age of' patients

32 y

1.4.age of partner

age of partner

34 y

1.5.grade

grade II

yes

grade III

1.6.sperm counts

sperm counts

24.2 ×10e6/ml

1.7.sperm motility

sperm motility

15.43 %

1.8.grade a+b sperm

grade a+b sperm

17.48 %

1.9.Sperm morphology

sperm morphology(normal)

27.42 %

2.Intraoperative indexs
2.1.operative time

operation time

55 min

2.2.Hospital stay

hospital stay

5 d

2.3.Number of veins ligated

number of veins ligated

10

2.4.Number of arteries preserved

number of arteries perserved

3

2.5.Number of lymphatics spared

number of lymphatics apared

4

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

26.48 x10e6/ml

5.2.sperm motility

sperm motility

30.37 %

5.3.grade a+b sperm

garde a+b sperm

55.99 %

5.4.Sperm morphology

sperm morphology(normal)

26.13 %

6.6 month after operation
6.1.sperm counts

sperm counts

32.93 x10e6/ml

6.2.sperm motility

sperm motility

52.01 %

6.3.grade a+b sperm

garde a+b sperm

68.63 %

6.4.Sperm morphology

sperm morphology(normal)

31.88 %

7.12 month after operation
7.1.sperm counts

sperm counts

28.87 x10e6/ml

7.2.sperm motility

sperm motility

42.27 %

7.3.grade a+b sperm

garde a+b sperm

61.88 %

7.4.Sperm morphology

sperm morphology(normal)

30.39 %