Inguinal versus subinguinal varicocele vein ligation using magnifying loupe under local anesthesia: Which technique is preferable in clinical practice?

In our hands, the inguinal approach to the spermatic cord showed a trend toward an easier preservation of the artery and a reduced incidence of persistent pathologic vein reflux. The subinguinal approach had a lower degree of intraoperative pain. On the whole, an inguinal repair might be preferable when magnifying loupe are used for varicocelectomy.