koro

Koro, the Vanishing Penis: A Case Series
Ellopala Anuradha
Consultant Psychiatrist, Teaching Hospital, Anuradhapura, Srilanka
*Corresponding author: Ellopala Anuradha, Consultant Psychiatrist, Teaching Hospital, Anuradhapura, Srilanka
Received: July 22, 2021; Published: August 21, 2021

Abstract
Author of this study aims to present 03 cases of Koro which is associated with high levels of anxiety and firm believes. It was considered in the past, as a Chinese culture bound syndrome. However, the disorder shows existence in other cultures mainly in Asia and Africa. Some literature reviews the syndrome as a universal syndrome, rather than a condition found only in certain cultures. There’s literature describing rare cases of Koro in females and western culture. It is not uncommon to find comorbid conditions and psychopathology in these set of syndromes. The cases in this article illustrate three different presentations of Koro in Sri Lanka where the affected males believed that their worth was associated with fertility and sexual potency. One patient had comorbid Schizophrenia, and other two were anxious personalities.

Keywords: Koro; Yang; Culture-Bound; Anxiety; Penis; Genitalia; Sexuality; Imu; Latah; Lanti; Dhat; Erection; Fertility; Coitus; Schizophrenia; Personality

References:

1. Simons RC (2001) Introduction to Culture-Bound Syndromes. Psychiatric Time 18: 11.
2. Mattelaer JJ, Jilek W (2007) Koro-the psychological disappearance of the penis. J Sex Med 4: 1509-1515. 
3. Sawant NS, Nath A (2012) Cultural misconceptions and associated depression in Dhat syndrome. SL J Psychiatry 3: 17-20 
4. De Silva P, Dissanayake S.A.W (2007) The loss of semen syndrome in Sri Lanka. A clinical study. Sexual and Marital Therapy 4: 195-204
5. Sumathipala A, Siribaddana S.H, Bhugra D (2004) Culture-bound syndromes: The story of
   dhat syndrome. Br J Psych184: 200-209.
6. Patra S, Sidana A, Gupta N (2014) Delusion of dhat: The quandary of the formcontent dichotomy. Ind Psychiatry J 23: 171-172.
7. Elghazouani F, Barrimi M, Barrimi M (2018) Koro syndrome: When culture interacts
   with psychopathology. Revue medicale de Bruxelles 39: 108-110. 
8. Berrios GE, Morley SJ (1984) Koro-like symptom in a non-Chinese subject. The British
   Journal of Psychiatry 145: 331-334. 
9. Ang PC, Weller MP (1984) Koro and Psychosis. Brit J Psychiatry 145: 335.
10. Kendall EM, Jenkins PI (1987) Koro in an American man. Am J Psychiatry 144: 1621.
11. Fishbain DA, Barsky S, Goldberg M (1989) “Koro” (genital retraction syndrome):
    Psychotherapeutic interventions. Am J Psychother 43: 87-91. 
12. Emsley RA (1985) Koro in non-Chinese subject. Br J Psychiatry 146: 102-103.
13. Kar N (2005) Chronic Koro-like symptoms-two case reports. BMC Psychiatry 5: 34.