Purpose: To investigate open subinguinal varicocelectomy for infertile male patients. Materials and Methods: Open varicocelectomies were performed in 175 patients between January 2006 and December 2015 for male infertility. All varicoceles were detected clinically according to the World Health Organization (WHO) classification and confirmed by scrotal color Doppler ultrasonography. Results: Unilateral open varicocelectomy was performed in 175 patients. Mean operative time was 44.2 ± 13.1 min.

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... ither immediate major nor late procedure-related complications were noted. Among the 175 patients, 63 patients had both preoperative and postoperative semen analysis follow-up. The preoperative sperm concentration was 14.9 ± 14.8 (million/ ml) and post operation sperm concentration was 37.0 ± 26.0 (million/ ml). Preoperative sperm motility was 23.4 ± 13.8 (%) and post operation sperm motility was 36.8 ± 14.1 (%) respectively. Two (1.1%) recurrent varicoceles were detected within a mean follow-up of 24 months (range ¼ 2e64). One (0.6%) hydrocele formation was found during the follow-up period. Conclusion: Open subinguinal varicocelectomy could offer comparable semen result in infertile males as microscopic and laparoscopic varicocelectomies.