title: Urethral masturbation and sexual disinhibition in dementia: a case report.
abstract: Urethral masturbation and sexual disinhibition as manifestations of behavioral and psychological symptoms of dementia (BPSD) are described in a 90-year-old patient who repeatedly self-inserted foreign bodies into his urethra. A diagnosis was made of late onset sexual disinhibition and hypersexuality in a patient with Dementia of the Alzheimer Type. Significant reduction of his sexual behavior was achieved with low doses of haloperidol. Similar symptoms are noted in Pick's disease, other fronto-temporal lesions, mania and following a seizure or treatment of Parkinson's disease, and have been described as Kluver-Busy-type. Clinicians should consider this diagnosis when investigating dysuria, cystitis, haematuria and urinary tract infections even in the very old.
authors.affiliation: Geriatric Medical Center, Shmuel Harofe Hospital, Beer-Yaakov, Tel Aviv University, Israel. mikiyoav@netvision.net.il
authors.forename: Michal
authors.initials: M
authors.lastname: Rosenthal
authors.forename: Pinhas
authors.initials: P
authors.lastname: Berkman
authors.forename: Adi
authors.initials: A
authors.lastname: Shapira
authors.forename: Israel
authors.initials: I
authors.lastname: Gil
authors.forename: Jancu
authors.initials: J
authors.lastname: Abramovitz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000523:psychology*; D014150:Antipsychotic Agents / Q000627:therapeutic use; D005547:Foreign Bodies; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D007266:Inhibition, Psychological; D008297:Male; D008418:Masturbation / Q000523:psychology*; D011618:Psychotic Disorders / Q000188:drug therapy / Q000209:etiology; D012725:Sexual Behavior / Q000523:psychology*; D014521:Urethra
chemical_list: D014150:Antipsychotic Agents; D006220:Haloperidol