Right spermatic syringomyelia can be due to congenital or acquired factors.1. Congenital right spermatic syringomyelia is most often seen in children, where the sphincter is not closed after birth and a small amount of exudate from the abdominal cavity enters the spermatic cord and in some patients may even enter the testes, causing testicular syringomyelia. This condition requires surgical treatment to ligate the unclosed sphincter and remove the excess spermatic sheath to prevent its recurrence.2. Acquired spermatic sphincter effusion is often seen due to infection, trauma and other factors that lead to imbalance in secretion and absorption of the sphincter, too much secretion and too little absorption, or a sudden increase in secretion and effusion after infection. This condition can be treated with oral anti-infective treatment medications or intravenous infusion of antibiotics in the early stage. However, if a large amount of syringomyelia still exists after the acute inflammatory period, surgical treatment is required to surgically remove the excess spermatic sphincter and destroy the imbalance of its secretion and absorption, and a state of cure can be achieved.