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A varicocele is defined as dilated and tortuous veins within the pampiniform plexus of scrotal veins, and they are the most common cause of male infertility.1 The aim of present study is to compare the male fertility in terms of sperm motility and sperm count after laparoscopic versus open varicocelectomy. To compare male fertility such as sperm motility and sperm count after laparoscopic versus open varicocelectomy. Randomized Controlled Trial was study methodology and Department of General Surgery, Lady Reading Hospital Peshawar was used from duration of 17 Dec, 2020 to 17 June, 2021. After taking approval of synopsis, a total number of 198 patients (99 in each group) were admitted in the department of general surgery for surgical management of varicocele fulfilling the inclusion criteria. Patients were divided into Group I, and Group II using block randomization. In Group I, mean and SDs for age was 35.38+7.174. Mean and SDs for Sperm Count was 42.85+13.286. Mean and SDs for Sperm Motility was 59.88+14.45. In Group II, mean and SDs for age was 37.31+9.580. Mean and SDs for sperm count was 24.23+10.67. Mean and SDs for sperm motility was 31.18+10.630. Laparoscopic Varicocelectomy not only being minimality invasive procedure was very well tolerated by the patients but also gave superior results in terms of increasing sperm count and sperm motility as compared to Open Varicocelectomy.

Keywords: Varicocele, Laparoscopic Varicocelectomy, Open Varicocelectomy, Semen Count, Semen Motility.