This can be corrected by surgery. It should therefore be investigated even in an elderly Arab because he may have a newly wedded young wife, from whom he would like to continue producing children, in order to satisfy her. The symptoms of sex weakness are discussed elsewhere. I cannot find any explanation for this observation. Similarly orchitis is rare.
Testicular atrophy is seen off and on.
Although kidney stones are common, constant pain of ureteric calculus referred to testicles is interestingly less common. Thus, when the patient, usually a Yemeni, complains of pain in both the testicles and the loins, often this pain turn out to be part of a psychoneurosis. Yet, we see so many patients having this disease coming to Bombay. The reason is that a lot of elderly population visits this city. Secondly most of them do not trust their own surgeons in their respective countries.