We report 4 cases of benign testicular cysts arising from the tunica albuginea. A review of the literature yielded only 15 similar cases. The cysts appear in the anterior and lateral aspects of the testis, show ample connection to the albuginea and are lined by a cuboidal epithelium. Clinically, these cysts may be manifested as a tumour or painful swelling or are discovered incidentally. The possibility of a conservative surgical approach is discussed.