Fair point — that could really mess with ones head!
As is mentioned in that article the first person to have such a transplant had it reversed due to "severe psychological problem experienced by him and his wife"
ATEOTD I can imagine there being some issues for married couples or even those in a relationship. I can't see escorts having an issue — after all they couldn't really care less what's attached to us once it's clean and hygienic LOL They will tell us it looks great and it is so big no matter what it looks like