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Severing the penis without removing the testicles causes intense sexual frustration, since sexual urges and drive originate from the testicles but with no penis there is no way to satisfy them.[citation needed]It is unclear because of the reluctance of victims of penis removal who have undergone penis reconstruction surgery to go to checkups, but acute pain when sitting on a bicycle saddle or other similar surfaces (and perhaps other activities that put much weight on the crotch area) may persist for a long period of time after the surgery, or even permanently.[31]

A study of penis reattachment in China found that in a group of 50 men, all but one reacquired functionality, even though some involved full reconstructive surgery using tissue and bone. Reportedly some of these men later fathered children.[41]

If reattachment is not an option, doctors can reconstruct a penis from muscle and skin grafted from another part of the body like the forearm. However, a penile implant is needed for an erection to be possible, the reconstructed penis would look strange and would either not be able to ejaculate,[42][43] or ejaculate with less force.[44] The patients are often dissatisfied with the reconstructed penis.[45] Standing during urination is an advantage offered by a reconstructed penis.[46] If penis reconstruction is not done, the patient will have to squat in order to urinate since doctors reroute the entrance of the urethra to below the scrotum.[42]

In April 1980, in Los Angeles, USA, a boy, eight years old, who returned home late from school angered his father because he was late. His penis was then sliced off and flushed by his father down a toilet. After a 90-minute hunt, the penis was located and retrieved from the sewers by police and firemen. 180 metres away from the house, a wire mesh was set up at a location and the penis was forced toward the mesh by water pressure. Dr. Howard Frydman and his team operated on and reattached the penis. The boy's father was imprisoned.[54]

On October 5, 2013, in Changsha, Hunan province, China, a 31 year old Chinese man named Guo Jian (pseudonym) was asleep when his 28 year old wife Li Hong (pseudonym) used scissors to cut off his penis. Li turned herself in to the police after hiding with the penis for 40 hours, by which time it was too late to reattach the penis when she handed it over. Guo was treated at the hospital. Li cut his penis off since they argued over what surname their newborn son should have and since Li had given birth and could not have sex with Guo, she thought he was having extramarital affairs. Li was placed under "residential surveillance" by the police in order for her to care for her newborn baby.[231][232] Li had carried the penis in a bag while she was hiding. The severed penis stored frozen in a freezer at the hospital since it could not be reattached. Doctors were forced to perform debridement surgery after which only 2 inches of the root of his penis were left, with skin missing.[233][234][235][236]

On June 7, 2013, in Shanghai, China, a 35-year-old Chinese man surnamed Han was awakened when his wife Zhang used scissors to sever his entire penis all the way to the base, which left him in excruciating pain. Zhang then flushed the penis down a toilet. She did it because Han threatened to divorce her, and she wanted to stop him from remarrying since she feared a stepmother would mistreat their two sons.[206][207][208][209][210][211][212][213] Zhang used a 20 cm long pair of sharp scissors to sever the penis. She was six years younger than Han. Even after Han had surgery to restore his urethra, he is now forced to squat when urinating.[214][215][216][217] Han forgave her and she was released on bail. Three months later, with Han still wanting a divorce, Zhang used crushed sleeping pills to drug his milk and then cut off the rest of his genitalia with scissors and flushed it down the toilet, leaving Han screaming in pain. Zhang then turned herself in and summoned an ambulance. Han's genitalia were completely cut off.[218][219][220][221][222][223][224][225][226]

On September 22, 2002, Futian, Shenzhen, China, a 30-year-old man named He Xiaohong was asleep when his penis was severed by his wife Jiang Haiyun with a knife. She had drugged his water and fled for over 12 hours before returning the penis, which she had taken. The penis suffered from necrosis and was entirely blackened, so it could not be reattached. She had learned from her cousin, who attempted to cut off her husband's penis with scissors, only for it to be reattached, that it had to be completely separated for a long period of time to prevent reattachment. The operation to reattach it was unsuccessful, so, although he recovered, he was left with only his testicles. He described his life as "living death". The couple was from Shaoyang, Hunan.[121][122][123][124] His injuries were qualified as disabling.[125][126]

In 1994, in Henan, China, an infant Chinese boy bled to death when his six- and seven-year-old sisters used a paring knife to sever his penis, since they took their father Wang Tianbao seriously after he joked about cutting off his son's penis, since his family was fined for having a boy when they already had two daughters due to China's One Child policy. The girls were then killed by Wang before he committed suicide.[77][78]

On August 19, 2001, in Battambang, Cambodia, a 23-year-old Cambodian man, Rin Bros, was dragged from a police station by a gang of women who severed his penis and chopped it to pieces. They then killed him by beating and stabbing him. Bros was accused of three rapes and was being questioned by the police before the women stormed the police station and killed him as soon as they heard he was there. The police took no action and just watched the women during the murder, and none of the women were arrested or punished.[93][94][95][96][97][98][99][100] A Cambodian newspaper described the incident as "Angry women undressed the man and cut his penis off with a knife and chopped it into small pieces like pork."[101]

On April 2003, in Shihlin, Taipei, Taiwan, a Chinese Filipino man named Tsai was sleeping when his 46-year-old wife Virginia severed his penis. She fled to the Philippines after she flushed his penis in the toilet. The lack of an extradition treaty between Taiwan and the Philippines hampered Taiwan's request for the Philippines to hand over Virginia. Tsai was taken to the hospital by their 17-year-old son, where he was treated by doctors and survived. The chief surgeon Hung Cheng-sheng said that "he is traumatized because only 2.5 centimetres of his penis is left and he won't be able to have sex again".[128][129][130]

On October 5, 2006, in Nanjing, China, a Chinese man named Li Gengbao was sleeping when his wife Yao Fengfang severed his penis; he woke up after feeling pain and begged her to take him to the hospital and return his penis, which she was holding. She then flung his penis out of a window, at which point a dog which belonged to a neighbor ate the penis. Li drove himself to the hospital where he was treated, but there was no reattachment since the dog ate the penis. After she saw his taxi at his ex-wife's house Yao accused Li of infidelity. Yao was given a three-year sentence.[159][160] Li's sexual life was permanently destroyed.[161]

On August 2012, in Vietnam, Dong Thap province, Tan Kieu commune, three Vietnamese boys were bitten by a penis eating fish. On August 5 Nguyen Huu Thien, seven years old, had nearly all of his penis bitten off, and on August 9, Nguyen Hoan Hao, four years old, had half of his penis bitten off. Their penises were reattached at a hospital. They both had been swimming in the Kenh Giua River. The hospital did not release information on the third boy who had his penis bitten off.[180][181][182][183][184][185] It was speculated that the fish were either white pomfrets or blowfish.[186][187]

On October 12, 2014, a 40-year-old man had his penis cut off by an angry mob in Sri Ganganagar, India after an attempted rape on a teenager. The man reportedly attempted to have sex with the teenager in the city of Sri Ganganagar, but locals found him down an alley, pinning the terrified girl to a wall. The 40-year-old was then dragged away by the angry mob to a local butcher's shop where they beat him with sticks for an hour and then hacked off his penis with a meat cleaver. A local police spokesman said: "People cannot take the law into your own hands. As deplorable as these crimes are, law and order has to be maintained, and not lynch justice". The man was eventually taken to hospital and the girl was treated for shock and given counselling.[251]

On January 29, 2014, in Minhang District, Shanghai, China, a 30 year old Chinese man surnamed Xia, from Anhui province was unconscious and drunk when his 40 year old girlfriend, surnamed Tu, from Sichuan, severed his penis with a knife, because she thought he was going to end their relationship since he purchased only one train ticket for himself to return home. Xia's parents were against their relationship, and Xia was nine years younger than Tu.[237][238]<[239] While Xia sent Tu to the hospital, she placed his severed penis in a thermos with boiling water. The penis was cooked after being boiled and could not be reattached.[240][241][242][243][244]