title: [Urolithiasis in the Long-Term GnRH Agonist Treatment of Patients with Paraphilia: 3 Case Studies].
abstract: The outpatient forensic aftercare department of the Charité Berlin treated 32 paraphilic sex offenders with GnRH analogues within the past 5 years. Out of those patients, three men suffered from urolithiasis and were in need of treatment. All 3 patients had previously developed osteopenia/osteoporosis while on antiandrogen treatment.This article describes these 3 cases and suggests an intense consideration of the possible occurrence of urolithiasis in sex offenders on antiandrogen treatment.
authors.affiliation: Forensisch-Therapeutische Ambulanz, Institut für Forensische Psychiatrie, Charité-Universitätsmedizin Berlin.
authors.forename: G
authors.initials: G
authors.lastname: Mayrhofer
authors.affiliation: Urolologische Praxis, Berlin-Zehlendorf.
authors.forename: D
authors.initials: D
authors.lastname: Wegner
authors.affiliation: Forensisch-Therapeutische Ambulanz, Institut für Forensische Psychiatrie, Charité-Universitätsmedizin Berlin.
authors.forename: T
authors.initials: T
authors.lastname: Voß
mesh_terms: D000328:Adult; D002129:Calcium Oxalate / Q000652:urine; D017373:Cyproterone Acetate / Q000009:adverse effects* / Q000627:therapeutic use; D003692:Delayed-Action Preparations; D005500:Follow-Up Studies; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists*; D006801:Humans; D007669:Kidney Calculi / Q000139:chemically induced / Q000652:urine; D016729:Leuprolide / Q000009:adverse effects* / Q000627:therapeutic use; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D010262:Paraphilic Disorders / Q000188:drug therapy* / Q000652:urine; D012008:Recurrence; D017329:Triptorelin Pamoate / Q000009:adverse effects* / Q000627:therapeutic use; D014514:Ureteral Calculi / Q000139:chemically induced / Q000652:urine; D052878:Urolithiasis / Q000139:chemically induced* / Q000628:therapy / Q000652:urine
chemical_list: D003692:Delayed-Action Preparations; D017329:Triptorelin Pamoate; C016189:whewellite; D002129:Calcium Oxalate; D007987:Gonadotropin-Releasing Hormone; D017373:Cyproterone Acetate; D016729:Leuprolide