الفهرس 
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Abstract
Varicocele is a collection of dilated veins in the pampiniformplexus that drains the testicles and is located in the upper scrotum just above the affected testis. Varicocele is the most common correctable cause of male infertility .It is certainly not necessary to have a varicocele on both sides to affect both testicles.Varicocele is found in approximately one sixth of the male population and in 40% of infertile men. Surgical treatment of a varicocele aims at interrupting the venous reflux within the spermatic veins and may be performed using open surgery, laparoscopic surgery or the injection of sclerozing materials
Despite extensive information being available on varicoceles and many studies on different surgical solutions, the ideal method of varicocele ligation is still a matter of controversy. The Palomo technique is associated with a relatively high incidence of postoperative discomfort. And for this reason the modified Palomo procedure is often preferred .Ivanissevich described a procedure where the testicular vein is tied at the inguinal ring and the testicular artery is spared .The ideal technique would have low recurrence and complication rates.In recent years laparoscopic varicoceleligation (LV) has been popularized and has gained growing acceptance among urologists .
However, inconsistent results and insufficient comparative data regarding morbidity, cost and failure rates, make it difficult to determine which of these techniques should be the treatment of choice.