Figure 5: The photos of varicocelectomy. A). Both side spermatic cord are positioned by hemostat (white arrows). B). Larger veins (arrow) will be identified and skeletonized, a 3-cm-long section is resected and it is tied proximally with an allowance of at least 0.5 cm. C). After the blood pooled in the pampiniform plexus had been evacuated, a second knot is made at the distal stump (arrowhead). Inserted illustration is made. D). Both spermatic cords are original anatomical position. E). The scrotal reduction is going to make via assessing the adequacy of excision (asterisk) which involves the Dartos fascia. F). The redundant skin is excised. The wound is first fashioned on the Dartos fascia using 6-o nylon. G). The scrotal wound (arrowhead) is well fashioned with 5-o chromic. H). Similarly the pubic (arrow) and circumferential wound (arrowhead) are fashioned.