Doctors in Mexico augmented a 45-year-old man's left testicle with an implant used to plump up the chin or cheekbones, according to Live Science. The surgery was reported in this month's issue of the Journal of Sexual Medicine.
The unnamed man was born with a normal sized left testicle, and tiny right one. That testicle, which had never worked, was removed and replaced it with the ‘largest implant on the market,’ the man’s surgeon and urologist, Fernando Ugarte, said.
But this still meant his testicles appeared uneven and he was wracked with insecurities about his new appearance. He is said to have been diagnosed with body dysmorphic disorder, a mental health problem related to body image, in which an individual has a preoccupation with one or more perceived or slight defects in his or her appearance.
In a separate surgery, doctors augmented the left testicle with a silicone chin implant to make both balls evenly sized. This is reportedly the first time such a procedure has been tried.
To correct the asymmetry, last year Dr Ugarte and his colleagues at the National Autonomous University of Mexico made a small incision in the man's groin and placed a silicone chin implant between the left testicle and several layers of tissue. The piece of silicone, about about 6mm thick, is routinely used to plump up the chin or the cheekbones.
"The surgery is safe and doesn't reduce fertility or sexual function because it doesn't touch the testicle at all", Dr Ugarte said.
He added that the man’s sex life was back to normal a month after the operation, and his testicles worked as normal.
Reporting in the Journal of Sexual Medicine, Dr Ugarte said that two other men have since had the surgery.
The remarkable operation reflects the growing number of men who have issues with their genitalia, say the Mexican surgeons who carried out the operation.
Urologist and lead author Fernando Ugarte said the man suffered from body dysmorphic disorder, a preoccupation with a specific physical defect often seen in people with anorexia or bulimia.
"We are starting to have the same kind of problems that the ladies have with body image," Ugarte said. "There are many people who are probably not feeling satisfied with their testicular size, and now they have a new option."