Even if my wife suspects, I'm pretty sure there'd be some consequences, ranging from a new token of fidelity (jewelry) to "hell to pay" (a strike on all other wifely duties, such as cooking, cleaning, etc.). Not to sound chauvinistic, but we all stay in our lanes!
I've put up a good series of smokescreens, not just one, but a robust pattern of countermeasures that allow me to always know where she is when I am being naughty. This includes international travel (I work for a global company, with locations in Latin America, Europe, Asia, and Africa/Middle East). She doesn't even know I have a Cialis script. Of course I don't shit where I eat. No coworkers, acquaintances or friends. Absolutely no one who might know us both. AMPs are ideal because she would NEVER cross paths with these women, doesn't go to Queens, and doesn't know many Asians, except my old college friends.
Without judgement, I can say there is no fucking way I would go over a week without sex, unless the doctor has ordered it. I have a PSA test coming up, and orgasms raise the PSA number. So I will refrain to push the number to baseline. Then after the test, I beeline to the spa to clean out the pipes.