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Introduction Subpubic cartilaginous cysts (SCCs) are rare. Aim This is the first reported case of a male patient presenting with neurological and sexual symptoms due to an SCC. Method We describe the clinical history of a patient who reported neuralgic pain, numbness in the groin and base of his penis, and loss of sexual function. Results A magnetic resonance imaging revealed the presence of an SCC with associated mass effect. A conservative approach was adopted and within 12 months, the cyst had decreased in size and his symptoms had improved. Conclusions Men who present with erectile dysfunction and neurological symptoms merit a thorough assessment including appropriate investigation to exclude organic pathology.

Due to its rarity, awareness of this condition is important in its prevention and successful management.

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