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Contemporary highlights in varicocelle treatment. To achieve 'minimal invasiveness' of treatment and to estimate number of pregnancies in female partners, especially a time period needed for conception. Selected males by urologic criteria for infertile couple, treated with subinguinal ligation of spermatic vein-pampinifomic plexus. We treated 26 subfertile men with varicocelle during the period 2005-2015 with combination of subinguinal ligature of spermatic vein or plexus pampiniformis and medicaments. In a tenyear period , we registered 16 pregnancies (61,5%) in female partners of our patients. We consider subinguinal ligature of spermatic vein as minimally invasive and cost-efective initial treatment of 'infertile couples'

Treatment of infertile and subfertile men with varicocelle by minimally invasive surgery