Introduction: Varicocele is the most common, surgically correctable cause of male infertility. The ideal indication for varicocelectomy is male infertility due to poor semen parameters, but varicocelectomy may also be performed for testicular pain, androgen deficiency, and progressive testicular atrophy and non-obstructive azoospermia. The purpose of the study is check efficacy of different approaches of varicocelectomy on Semen parameters (sperm morphology and sperm counts).