الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
We conducted this study on 50 patients with oligospermia (32 patients with sperm concentration >5millionl/ml and 18 patients with sperm concentration <5millionl/ml ) to assess the benefits of varicocelectomy in men with severe oligospermia in terms of the spontaneous pregnancy rate and improvement in semen analysis parameters.
This study recommends varicocelectomy in patients with severe oligospermia as there were significant improvement in semen parameters and pregnancy rate and thus provides a chance for such patients to achieve unassisted pregnancy before trying assisted reproductive techniques.
Especially patients with sperm concentration >5millionl/ml, who have a significant improvement in pregnancy rate and semen parameters (pregnancy rate was 22%, the mean post-operative sperm concentration was improved from 7.36 to 27.5 million/mL, p-value <0.001), while in patients with sperm concentration < 5millionl/ml (pregnancy rate was 8%, the mean post-operative sperm concentration was improved from 2.86 to 13.7 million/mL, p-value <0.001)
Our study recommends bilateral varicocelectomy in patient with bilateral varicocele which has impact on post-operative sperm motility, also recommends ICSI in longer duration of infertility and older age of the wife.
Our study has a drawbacks of a small number of patients selected, there was not a control group and short duration of follow up, we recom-mend study on large number of patients with acontrol group and longer duration of follow up.