Epidermoid cysts of the testis are rare, benign lesions. Of approximately 200 reported cases only 1 was bilateral. We report a case of bilateral epidermoid cysts treated with preservation of a testis. Diagnostic criteria, ultrasound evaluation and surgical management are discussed. The potential for testicular conservation is emphasized.

Epidermoid cysts of the testis are rare, benign lesions. Of approximately 200 reported cases only 1 was bilateral. We report a case of bilateral epidermoid cysts treated with preservation of a testis. Diagnostic criteria, ultrasound evaluation and surgical management are discussed. The potential for testicular conservation is emphasized.