A Necessity Or Vanity

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A Necessity or Vanity Mr. C. Abunda consulted Dr. W. Lalla, a plastic surgeon, in order to have his penis re-figured even as he requested the latter to do additional procedure in order to have an optimum sexual orgasm during the sexual act. The surgeon agreed on doing the planned surgery as requested. Accordingly, the surgeon claimed success with the surgery as the procedure did not pose any complication and Mr. Abuda was able to go home three days after hospital confinement. Six weeks later, and after having allegedly recuperated, Mr. Abuda noticed that the surgery did not give the promised result. He claimed that his penis has become even more deformed than before. Moreover, he did not feel any additional pleasure during sex. On the contrary, he even claimed that he had experienced substantially reduced sexual pleasure after the surgery. Mr. Abuda went to another expert to consult if the procedure was in accordance with the accepted surgical standards. He learned that it was not. a. What are the ethical issues that can be raised in the case of Mr. Abuda? In this particular case, the Principle of Totality and Informed Consent can be raised. Refiguration was done only to improve sexual pleasure which is not indicated as impaired and not necessary to preserve life which is not in accordance with the Principle of Totality. In relation to the Principle of Informed Consent, the decision was made without the patient’s appropriate understanding of the circumstances and adequate disclosure on the benefits, burdens, risks and reasonable alternatives were not provided. b. Does the operation requested by Mr. Abuda merit necessity or was it just vanity? Necessity is the state of being unavoidable, inevitableness or indispensableness while vanity is the want of substance to satisfy desire. In the case of Mr. C. Abunda, the refiguration of the penis may be

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