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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

29 y

1.4.age of partner

age of partner

27 y

1.5.grade

grade II

grade III

yes

1.6.sperm counts

sperm counts

15.95 ×10e6/ml

1.7.sperm motility

sperm motility

21.34 %

1.8.grade a+b sperm

grade a+b sperm

28.09 %

1.9.Sperm morphology

sperm morphology(normal)

29.93 %

2.Intraoperative indexs
2.1.operative time

operation time

44 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

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

30.26 x10e6/ml

5.2.sperm motility

sperm motility

36.15 %

5.3.grade a+b sperm

garde a+b sperm

45.53 %

5.4.Sperm morphology

sperm morphology(normal)

37.41 %

6.6 month after operation
6.1.sperm counts

sperm counts

29.42 x10e6/ml

6.2.sperm motility

sperm motility

27.01 %

6.3.grade a+b sperm

garde a+b sperm

57.99 %

6.4.Sperm morphology

sperm morphology(normal)

30.73 %

7.12 month after operation
7.1.sperm counts

sperm counts

24.62 x10e6/ml

7.2.sperm motility

sperm motility

42.22 %

7.3.grade a+b sperm

garde a+b sperm

66.72 %

7.4.Sperm morphology

sperm morphology(normal)

37.24 %