I desire first briefly to present observations of several cases hitherto reported, with special reference to the present condition. The first of these cases was exhibited at the Urological Society of Chicago in October, 1917, and the second at the November, 1917, meeting.
CASES ALREADY REPORTED
—At the age of 17 an injury to the right testis was sustained. This was followed probably by a hematocele and traumatic orchitis. When the swelling subsided the gland had "entirely disappeared." The left testis atrophied to a moderate degree subsequent to the injury. Virility was unimpaired, but the patient developed distinctly feminine secondary sex characteristics.At the age of 29 an infection of unknown character attacked the remaining testis, with resultant pain in the left iliolumbar region, left spermatic cord and testis. The clinical history of the case at that time is not available. According to the patient's story, the testicle