Four-year-old syringomyelia does not usually affect fertility after surgery, and it has a higher cure rate and better prognosis. Usually most infantile syringomyelia can subside naturally, but for patients with moderate or severe cases, they still need to choose surgical treatments such as syringomyelia high ligation under doctor’s guidance in a timely manner. Though patients may experience testicular edema and a small amount of hematoma in the scrotum after the surgery, they can usually absorb it on their own without affecting their fertility. Meanwhile, the cure rate of various types of syringomyelia is very high, only a very small number of patients may have incarcerated hernia, recurrence and other complications, but usually does not affect fertility. Patients are advised to follow up regularly after the surgery and closely monitor their condition to avoid exacerbation or recurrence of the condition. It is recommended that four-year-old patients pay more attention to their own care after syringomyelia surgery and have a timely review.