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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

27 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

17.01 ×10e6/ml

1.7.sperm motility

sperm motility

23.3 %

1.8.grade a+b sperm

grade a+b sperm

38.43 %

1.9.Sperm morphology

sperm morphology(normal)

25.94 %

2.Intraoperative indexs
2.1.operative time

operation time

100 min

2.2.Hospital stay

hospital stay

3 d

2.3.Number of veins ligated

number of veins ligated

11

2.4.Number of arteries preserved

number of arteries perserved

1

2.5.Number of lymphatics spared

number of lymphatics apared

1

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

20.99 x10e6/ml

5.2.sperm motility

sperm motility

35.52 %

5.3.grade a+b sperm

garde a+b sperm

54.43 %

5.4.Sperm morphology

sperm morphology(normal)

34.68 %

6.6 month after operation
6.1.sperm counts

sperm counts

24.52 x10e6/ml

6.2.sperm motility

sperm motility

28.24 %

6.3.grade a+b sperm

garde a+b sperm

55.3 %

6.4.Sperm morphology

sperm morphology(normal)

31.69 %

7.12 month after operation
7.1.sperm counts

sperm counts

21.2 x10e6/ml

7.2.sperm motility

sperm motility

37.42 %

7.3.grade a+b sperm

garde a+b sperm

64.35 %

7.4.Sperm morphology

sperm morphology(normal)

38.09 %