Patients with bilateral epididymal cysts do not need treatment if there are no obvious symptoms. If the cysts are large or infected, the symptoms are more serious, and male patients who have already had children can have surgery to remove them. However, it should be chosen carefully for unmarried, childless men. Surgery, which involves separating the cyst and removing it, is relatively simple and usually does not have many complications. However, the surgery may damage the tissue structure of the epididymal ducts and affect further fertility, as it is not suitable for men who are not married or who have the need to have children.