Syringomyelia refers to the excessive accumulation of fluid in the scrotal sheath cavity, which results in the formation of cystic mass. 30 years old with syringomyelia is often manifested as a mass in the scrotum or groin, and when the cysts increase in size, it may affect normal urination, walking, labor, sex life, etc. The treatment of syringomyelia is based on conservative and surgical treatments. 1. Conservative treatment: for patients with slow course of the disease, little fluid accumulation, small tension, no growth for a long time and no obvious symptoms, conservative treatment can be carried out, i.e., follow up to observe the evolution of syringomyelia, no special treatment is needed. 2. Surgical treatment: for patients with large amount of effusion and large volume with obvious symptoms, testicular sheath excision + reversal surgery is feasible; spermatic cord cysts need to remove all the sheath sacs; traffic sheath effusion should be cut off from the channel, and ligation of sheath at the inner ring in a high position. It is recommended that patients with syringomyelia should seek medical treatment in time, and the treatment should be considered comprehensively according to the patient’s wishes as well as the patient’s condition after examination by the doctor.