Male pubic cysts need further examination to clarify their size, location, etiology, etc. to further decide how to treat them. Firstly, if it is a skin cyst in the perineal area with a small volume, topical application of Bactrim ointment can be applied topically or oral administration of one antibiotic cefixime capsule twice a day for one week to observe whether the local cyst subsides. Second, if it is a cyst in the scrotum, the smaller volume is recommended for regular observation, and the larger volume causes local pain, local surgery can be considered for removal, usually for syringomyelia. If the cyst is localized in the perineal area, it is necessary to perform an anal finger examination to clarify whether there is an anal fistula, and after the diagnosis of anal fistula, it is necessary to go to the anorectal department for surgical treatment of anal leakage. It is also necessary to further clarify whether the patient has diabetes, if so, there may be a perianal abscess, and further MRI of the perianal area is needed to determine the direction and number of abscesses, and then abscess removal surgery is performed under semi-anesthesia.