This study aimed to investigate the penile and preputial problems and its impact on reproductive organ biometry and epididymal sperm quality in dromedary camels. Among total of 6300 male dromedary camels investigated, there were 2.86% phimosis, 3.00% paraphimosis, 4.14 penile trauma, 2.98% preputial prolapse, 1.47% balanoposthitis, and 2.85% penile tumors. Results revealed that there were no significant differences (P > 0.05) in measurements of the testes, epididymal tail, and accessory genital gland in males with penile and preputial problems compared to those with normal penis and prepuce. There were significant decreases in all sperm parameters evaluated (total motility, total sperm cell count ×10⁶/total collected volume, sperm concentration ×10⁶/ml and percentage of sperm vitality and sperm abnormality) in the pathological issues connected to the prepuce and penis compared to males with normal penis and prepuce. The correlation (r) between right testicular length and epidydimal sperm cell count was positive (P< 0.040, r = 0.853). The epidydimal sperm cell count correlated with both the length of right (r= 0.805; P< 0.053) and that of left bulbourethral glands (r= 789; P< 0.058). The vitality (%) correlated with both the right (r= 0.889; P< 0.030) and left (r= 0.919; P< 0.022) testicular length. It could be concluded that semen quality can be affected by the penile and preputial problems in male dromedary camels, while the testicular and epididymal biometry are not affected.