In the current study, the adult infertile patients with clinical varicoceles will be included. the patients will undergo subinguinal varicocelectomy. The patients with spermatic cord lipoma detected at the time of surgery will be enrolled and divided into 2 groups( excision group, group A and preservation group (B). semen parameters will be compared in both group at 3 and 6 months after surgery
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semen parameters improvement
Timeframe: 3 and 6 months after surgery
symptoms improvement (pain and swelling)
Timeframe: 3 and 6 months after surgery