TY - JOUR
T1 - Urethral polyembolokoilamania
T2 - An unusual manifestation of behavioral and psychological symptoms of dementia (BPSD)
AU - Shafi, Reem M.A.
AU - Suarez, Laura
AU - Lapid, Maria I.
N1 - Publisher Copyright:
Copyright © 2018 Reem M. A. Shafi et al.
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85064746238&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85064746238&partnerID=8YFLogxK
U2 - 10.1155/2018/3018378
DO - 10.1155/2018/3018378
M3 - Article
AN - SCOPUS:85064746238
SN - 2090-682X
VL - 2018
JO - Case Reports in Psychiatry
JF - Case Reports in Psychiatry
M1 - 3018378
ER -