“Hello doctor! The sperm appeared! I’m so happy! Thank you! Thank you so much ……”, the patient’s excited voice of gratitude came from the consultation room again on March 10, 2015. The patient came to our hospital for follow-up today. In October last year, the patient came to our hospital and was diagnosed with “azoospermia” after several semen examinations in foreign hospitals and our hospital. The whole operation was carried out very smoothly, the arteries, veins and lymphatic vessels were carefully separated under the microscope, the arteries and lymphatic vessels were preserved, and all varicose veins were ligated, and the sperm was recommended to be rechecked once a month for 3 months after the operation. With a feeling of loss, the patient took the medicine for another month, so the above scene occurred on March 10 when he was rechecked. Varicocele is a common disease in adolescent males, and its prevalence can be as high as 40% in the male infertility population, mostly affecting sperm vitality and density, which can lead to azoospermia in severe cases. This has given hope to more and more patients. However, not all patients with azoospermia combined with varicocele can see results through surgery. If the varicocele causes significant testicular atrophy and softening, or if the serum FSH level is significantly elevated, the surgical results are often poor.