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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

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

normal semen analyses

1.3.age of patients

age of' patients

36 y

1.4.age of partner

age of partner

32 y

1.5.grade

grade III

grade II

yes

1.6.sperm counts

sperm counts

22.9 ×10e6/ml

1.7.sperm motility

sperm motility

21.51 %

1.8.grade a+b sperm

grade a+b sperm

30.61 %

1.9.Sperm morphology

sperm morphology(normal)

28.23 %

2.Intraoperative indexs
2.1.operative time

operation time

21 min

2.2.Hospital stay

hospital stay

4 d

2.3.Number of veins ligated

number of veins ligated

4

2.4.Number of arteries preserved

number of arteries perserved

2

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

24.92 x10e6/ml

5.2.sperm motility

sperm motility

32.42 %

5.3.grade a+b sperm

garde a+b sperm

52.75 %

5.4.Sperm morphology

sperm morphology(normal)

23.44 %

6.6 month after operation
6.1.sperm counts

sperm counts

29.31 x10e6/ml

6.2.sperm motility

sperm motility

45.13 %

6.3.grade a+b sperm

garde a+b sperm

80.25 %

6.4.Sperm morphology

sperm morphology(normal)

32.93 %

7.12 month after operation
7.1.sperm counts

sperm counts

36.09 x10e6/ml

7.2.sperm motility

sperm motility

39.6 %

7.3.grade a+b sperm

garde a+b sperm

62.34 %

7.4.Sperm morphology

sperm morphology(normal)

29.79 %