Unless it causes pain or discomfort, an epididymal cyst does not require treatment. You may require surgery. During this operation, your surgeon will remove the cyst and sew your scrotum shut with sutures that will normally disappear in 10 days. Your doctor may want to check up on you after the operation to be sure there are no problems. Testicular cysts can be painful or cause discomfort. They most often occur in men during their 20s and 30s. Testicular cancer is when cancer cells develop in the cells of one of the two balls located at the bottom of the testicle. Testicular cancer is rare before age 35 and uncommon after age 55. However, it is important to get checked by a doctor if you have concerns about any male organs inside and around your body cavity. Testicular cancer can spread through the blood stream or lymph system to other parts of the body including the lungs, brain, bones, abdomen, and groin. Treatment for testicular cysts depends on several factors such as size, number, and symptoms associated with the cyst. If your cyst is small and feels like a ball of fluid, does not cause pain or discomfort, and is not changing in size or shape, then watching it over time may be all that's needed.