Varicose veins are called the enlargement of the veins of the testicular plexus which creates blood stagnation in the testicle and prevents its drainage into the systemic circulation.

As a result, there is an increased temperature in the testicle, increased hydrostatic pressure, a decrease in oxygenation, an increase in the concentration of toxic materials, and a decrease in androgen synthesis by the Leydig cells.

Varicose veins usually appear on the left and rarely on both sides. The reasons it occurs more often on the left is that the left vein empties at a right angle to the left spermatic vein while the right one at around 30 degrees. In addition, the left spermatic vein is longer and more often without valves.

The diagnosis is made clinically by palpation and the Valsalva test, with a scrotal triplex and with a spermogram.

Laparoscopic varicocele repair is a modern method of dealing with varicocele that causes infertility problems by affecting the quality of the sperm, minimizes the number of spermatozoa and by creating abnormal sperms with little mobility leads to weak sperm that cannot procreate.

The operation is performed laparoscopically in 20 min with three small incisions under a laryngeal mask, the patient is discharged after a few hours, it is painless with quick mobilization and recovery so that the patient can return to everyday life more quickly.

An advantage of the method is that recurrences are insignificant, compared to vaccination and microsurgery because the stems of the spermatic veins are identified under the lateral abdominal peritoneum and ligated with vessel clip