title: A man with urethral polyembolokoilamania successfully treated with electroconvulsive therapy.
abstract: Polyembolokoilamania is the act of inserting foreign objects into bodily orifices and can be classified as a paraphilia if done for sexual pleasure. Although problematic sexual behaviors are common in dementia, the majority of case reports of urethral polyembolokoilamania in the elderly have occurred in the absence of dementia or cognitive impairment. Little empirical evidence exists for managing problematic sexual behaviors in the elderly and in dementia. Most evidence in the form of case reports demonstrates that behavioral, environmental, and pharmacological interventions can be effective. In this case report, we describe the management of sexually disinhibited behavior in the form of polyembolokoilamania in a 67-year-old man suffering from treatment-resistant depression, obsessive compulsive disorder, and early signs of frontotemporal dementia. The successful treatment included a course of electroconvulsive therapy.
authors.affiliation: Division of Vascular Surgery, London Health Sciences Centre, Victoria Hospital, Western University, London, ON, Canada.
authors.forename: Matthew V
authors.initials: MV
authors.lastname: Ingves
authors.forename: Timothy
authors.initials: T
authors.lastname: Lau
authors.forename: J Paul
authors.initials: JP
authors.lastname: Fedoroff
authors.forename: Sharon
authors.initials: S
authors.lastname: Levine
mesh_terms: D000368:Aged; D004565:Electroconvulsive Therapy; D057180:Frontotemporal Dementia / Q000628:therapy*; D006801:Humans; D008297:Male; D017258:Medroxyprogesterone Acetate / Q000627:therapeutic use; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D014521:Urethra / Q000293:injuries
chemical_list: D017258:Medroxyprogesterone Acetate