Figure 2: 43-year-old male with recurrent varicocele following remote varicocelectomy who presented for embolization with access via the right common femoral vein. ( a ) Selective catheterization of the left renal vein showed reflux into the left SV. Selective venogram of the left SV in its mid aspect; ( b ) and later at the level of inguinal ligament. ( c ) Confirmed the reflux into multiple branches of SV distally and into the PP. ( d ) Coil embolization of distal branches of the SV and ( e ) proximal embolization of the SV was performed using the sandwich technique. ( f ) Postcoiling venogram demonstrated no residual reflux distally into the left gonadal vein.