Intratesticular epidermoid cysts are rare solid tumorlike lesions. They constitute 1% of all testicular tumors. Major advances have been achieved during the last decades, shifting the management of epidermoid cysts to a more conservative approach. We present a case of a 20-year-old male who was referred to the urology department with a two-year history of a gradually increasing painless right-sided scrotal lump. We will discuss the diagnostic work up of intratesticular epidermoid cyst, with the operative management and literature review.