There are many ways to do varicocele surgical procedure. All include blocking the blood move within the pampiniform plexus veins. Microscopic varicocelectomy: This includes a urologist ligating (clamping or tying) all smaller veins by way of a 1cm incision earlier mentioned the scrotum, which will take 2-3 hours to finish. https://sgvasculargrp.com/medical-condition/scrotal-pain-varicocele/