In adults with testicular syringomyelia, if the amount of fluid is relatively small and there are no symptoms, it can be left untreated and kept under observation. If the amount of fluid is large and the scrotum is enlarged with obvious symptoms, it should be treated surgically, usually by reversal of the testicular syringomyelia. The operation starts with excision of the enlarged wall sheath, followed by reversal of the incision and suture. Intraoperative hemostasis and postoperative drainage as well as pressure bandages are necessary to prevent infection and hematoma. Testicular syringomyelia, must go to the regular hospital in time, follow the doctor’s instructions for treatment, and strive for early recovery.