Citation

Rosenthal M, Berkman P, Shapira A, Gil I, Abramovitz J. Isr. J. Psychiatry Relat. Sci. 2003; 40(1): 67-72.

Affiliation

Geriatric Medical Center, Shmuel Harofe Hospital, Beer-Yaakov, Tel Aviv University, Israel. mikiyoav@netvision.net.il

Copyright

(Copyright © 2003, Israel Psychiatric Association, Publisher Israel Science Publishers)

DOI

unavailable

PMID

12817671

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.

Language: en