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No statistically significant difference was found between Group 1 and 2 in terms of the number of internal spermatic veins ligated during varicocelectomy. No statistically significant correlation was found between semen parameters and the number of veins ligated during varicocelectomy in Group 1 and 2 and between semen parameters and CDUS findings group 2 and 3. In patients with primary grade 3 varicocele, diagnosed by physical examination there is no need for additional imaging in primary cases. In patients with primary grade 3 varicocele, diagnose