We present a case of bilateral testicular epidermoid cysts. These lesi
ons were identified in a 22-year-old male who had previously experienc
ed mild testicular trauma. Management consisted of inguinal exploratio
n and wedge resection on one side and transscrotal exploration and exc
ision on the other. This case represents the second reported case of b
ilateral conservative management of testicular epidermoid cysts in an
adult male. The etiology and management alternatives for testicular ep
idermoid cysts are discussed.