Urethral polyembolokoilamania

An unusual manifestation of behavioral and psychological symptoms of dementia (BPSD)

Reem M.A. Shafi, Laura Suarez, Maria Isabel Lapid

Research output: Contribution to journalArticle

Abstract

Behavioral and psychological symptoms of dementia (BPSD) have varied presentations and frequently occur throughout the trajectory of dementia. Hypersexuality and general disinhibition of societal and cultural norms are commonly documented in all types of dementia. However, sparse literature exists on polyembolokoilamania (insertion of foreign objects in bodily orifices) without a sexual component as a dementia-related symptom. We review an unusual case of a 94-year-old man who presented with urethral polyembolokoilamania without hypersexuality or other behavioral disinhibition. We highlight clinical considerations of managing urethral polyembolokoilamania in an elderly patient without a previous neurocognitive disorder diagnosis. A multidisciplinary team approach with input from Internal Medicine, Urology, Psychiatry, and Neurology lead to a comprehensive assessment of a patient that could have beenmanaged solely as a surgical case. This spearheaded a formal diagnosis of neurocognitive disorder-guiding successful management, follow-up, caregiver education, and reduction of further harm.

Original languageEnglish (US)
Article number3018378
JournalCase Reports in Psychiatry
Volume2018
DOIs
StatePublished - Jan 1 2018

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Behavioral Symptoms
Dementia
Psychology
Harm Reduction
Urology
Neurology
Internal Medicine
Foreign Bodies
Caregivers
Psychiatry
Education
Neurocognitive Disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Urethral polyembolokoilamania : An unusual manifestation of behavioral and psychological symptoms of dementia (BPSD). / Shafi, Reem M.A.; Suarez, Laura; Lapid, Maria Isabel.

In: Case Reports in Psychiatry, Vol. 2018, 3018378, 01.01.2018.

Research output: Contribution to journalArticle

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