Pelvic floor cysts in men are a rare disorder that can affect their health. There is a connection between their origin and the aberrant creation of paramesonephric and mesonephric ducts that occur during embryogenesis. The authors of the study presented 2 case studies of individuals with cysts of the ejaculatory system who had either open or minimally invasive surgical techniques to remove the cysts. All of the patients brought to the clinic presented with a wide range of symptoms. In the end, a radiological examination was required to arrive at a conclusion regarding the diagnosis. After open surgery, the patient developed a fistula of the prostatic urethra and a purulent collection in the pelvis, necessitating surgical drainage and a protracted course of bladder catheterization. While that was the case with the open surgery patient, there were no problems with the laparoscopically-achieved outcome. There were no reports of problems with ejaculating or sexual activity. Patients with pelvic floor congenital cysts must undergo extensive counseling prior to surgery in order to ensure that they fully understand the procedure and its potential risks and advantages. Patients who are experiencing symptoms should seek treatment, and endoscopic procedures have a high chance of recurrence. When feasible, a laparoscopic method is preferred.