title: Testicular augmentation using chin implants.
abstract: BACKGROUND
  Disturbances in testicular integrity have the potential to cause severe concerns about masculinity, body image, and sexual function. Testicular volume replacement surgery with prosthesis has been known about since 1941, although esthetic procedures for testicular augmentation have not been satisfactory.
  
  
  OBJECTIVE
  To describe an unprecedented testicular augmentation surgical technique that is specially focused on preserving testicular function and providing a favorable esthetic outcome.
  
  
  METHODS
  We present a case of a 45-year-old man with body dysmorphic disorder. Surgical treatment using a new technique by placing a chin implant on the testicle was offered and accepted.
  
  
  RESULTS
  Good symmetry between both testicles was achieved. No complications were reported. One month after the procedure, the patient started a satisfactory sex life. Functional monitoring was normal during the year after the procedure.
  
  
  CONCLUSIONS
  This technique is unprecedented in literature, it represents a safe and effective therapeutic alternative; nevertheless, more experience in performing this procedure is needed.
authors.affiliation: Department of Urology, Hospital Ángeles del Pedregal, México, México Department of Sexology, Universidad Nacional Autónoma de México, México, México.
authors.forename: Fernando
authors.initials: F
authors.lastname: Ugarte y Romano
authors.forename: Adolfo
authors.initials: A
authors.lastname: González Serrano
mesh_terms: D057215:Body Dysmorphic Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D001828:Body Image; D004954:Esthetics; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation*; D020127:Recovery of Function; D012725:Sexual Behavior; D013737:Testis / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000295:instrumentation*
keywords: Body Dysmorphic Disorder; Chin Implants; Testicular Augmentation; Testicular Prosthesis