Urethral masturbation and sexual disinhibition in dementia: a case report.
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.
Rosenthal
Michal
M
Geriatric Medical Center, Shmuel Harofe Hospital, Beer-Yaakov, Tel Aviv University, Israel. mikiyoav@netvision.net.il
Berkman
Pinhas
P
Shapira
Adi
A
Gil
Israel
I
Abramovitz
Jancu
J
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
D014150:Antipsychotic Agents; D006220:Haloperidol