Background: Varicocele is the most common correctable etiology found in infertile men. The aim of all surgical methods that treating varicocele is to increase the potential for future fertility. Objective: The aim of work was to evaluate the outcome of varicocelectomy through the low inguinal approach as a compare of eversion or non-eversion of the tunica vaginalis. Patients and methods: This prospective study included a total of 40 patients with a diagnosis of primary testicular varicocele and underwent low approach varicocelectomy, attending at Department of General Surgery, El-Hussein University Hospital. The patients were divided into two groups: group I included 20 patients with everted tunica and group II included 20 patients without everted tunica. Results: show that eversion of tunica vaginalis proved statistically to be effective in avoidance of hydrocele formation after varicocelectomy as there is no case developed hydrocele during the follow up period and as effective as microsurgical varicocelectomy. Conclusion: It could be concluded that for reduction of the incidence of hydrocele after varicocelectomy, eversion of tunica vaginalis can be afforded as adjunctive in operation theatre performing sub inguinal varicocelectomy without the aid of an operating microscope.