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Abstract
‘Koro&’ is a syndrome clinically characterized by an acute panic reaction about genital retraction and fear of impending death. It has been regarded as a purely psychogenic illness, initiated by cultural sexual myths and beliefs. Recent global reportings of Koro from diverse ethno-cultural contexts, however, support the role of physical factors in vulnerable individuals. These include penile changes as a result of vasoconstriction from exposure to cold, fright or genito-urinary functions. An updated analysis of world Koro literature confirms this.