| Compulsive/obsessive |
Obsess about minor, age-associated changes in anatomy |
| “Penocentric” |
| Pathologically observant |
| Overly detail oriented |
| Perfectionist |
| Inflexible |
| Unrealistic |
Excessively optimistic |
| Discount possibility of complications |
| May pre-define requests on surgical approach, techniques, or devices |
| Request repeated assurances of successful outcomes |
| May be seeking psychosocial benefits |
| Revision |
Progressive decreases in satisfaction with each revision procedure |
| Surgeon shopping |
Details history of what other surgeons have “done to them” |
| Fails to take responsibility for decisions |
| Seeking a desired set of outcomes |
| Flatters surgeon; quick to criticize post-operatively |
| Often have experience in medical field |
| Entitled |
Disrespectful of office staff |
| Patronizing |
| Demand specialized treatment/attention |
| Frequent calls/visits |
| Unreasonable scheduling requests |
| Disregard protocols and policies |
| Annoyed and hurried |
| Personal hypotheses as to their condition |
| Dominate conversations |
| Poorly compliant |
| Displace culpability |
| Denial |
Exaggerated memories of prior sexual characteristics |
| Psychiatric |
Mood disorders—acceptable surgical candidates with treatment |
| Personality disorders—poor surgical candidates |
| “Penile” dysmorphic disorder |
