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Genital mutilation, which is quite rare, is generally seen in young male patients. The presented patient was a 23 year old male who was brought by his brother to our psychiatry hospital from an urology clinic. He had extracted one of his testicles with a knife without any anesthetic and put three cherry seeds inside the injured part, then sewed up the injury. He chewed the extracted testicle and vomited the material when his brother saw what had happen. His life history revealed that the disorder began insidiously in his late adolescence; he had no treatment up to then, and stayed in prison for three years due to injuring his chief with a knife because of delusions of persecution. Autism, şattening of affect, incoherent speech and bizarre, somatic, nihilistic delusions were found in the psychiatric examination. Flupentixol decanoate 20 mg every 15 days IM, haloperidol 20 mg/day and biperiden 10mg/day were administered first IM then orally. There was no remission even after adding ECT for ten sessions. Then clozapine was begun at 25mg/day and titrated to 500mg/day. He was discharged with symptoms which were much improved by using clozapine 500 mg/day, haloperidol 10 mg/day, biperiden 4mg/day, quetiapine 300 mg/day. In this paper a schizophrenic patient with testicular mutilation was presented and genital amputation was discussed along with reports in the literature.