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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

patient's spouse was healthy in reproduction

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

All above

yes

1.2.exclusion criteria

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

refusing to enter randomization

other reasons of infertility than varicoceles

1.3.age of patients

age of' patients

34 y

1.4.age of partner

age of partner

34 y

1.5.grade

grade III

grade II

yes

1.6.sperm counts

sperm counts

10.77 ×10e6/ml

1.7.sperm motility

sperm motility

25.99 %

1.8.grade a+b sperm

grade a+b sperm

27.14 %

1.9.Sperm morphology

sperm morphology(normal)

28.91 %

2.Intraoperative indexs
2.1.operative time

operation time

40 min

2.2.Hospital stay

hospital stay

4 d

2.3.Number of veins ligated

number of veins ligated

11

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

28.57 x10e6/ml

5.2.sperm motility

sperm motility

36.57 %

5.3.grade a+b sperm

garde a+b sperm

52.38 %

5.4.Sperm morphology

sperm morphology(normal)

25.33 %

6.6 month after operation
6.1.sperm counts

sperm counts

32.08 x10e6/ml

6.2.sperm motility

sperm motility

43.89 %

6.3.grade a+b sperm

garde a+b sperm

56.98 %

6.4.Sperm morphology

sperm morphology(normal)

36.05 %

7.12 month after operation
7.1.sperm counts

sperm counts

31.25 x10e6/ml

7.2.sperm motility

sperm motility

39.78 %

7.3.grade a+b sperm

garde a+b sperm

58.56 %

7.4.Sperm morphology

sperm morphology(normal)

38.54 %