Simultaneous ligation of the internal & external spermatic veins offers a chance at a better decongestion of affected testes in patients suffering from primary varicocele. Laparoscopic extraperitoneal approach to achieve the above mentioned goal is feasable, safe & effective approach. Implementation of Tc99m- testicular uptake as a reproducible & useful quantitative investigation of vascularity of the testes in patients suffering from primary varicocele may be recommended.