PMID- 30595936
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2090-682X (Print)
IS  - 2090-6838 (Electronic)
IS  - 2090-6838 (Linking)
VI  - 2018
DP  - 2018
TI  - Urethral Polyembolokoilamania: An Unusual Manifestation of Behavioral and 
      Psychological Symptoms of Dementia (BPSD).
PG  - 3018378
LID - 10.1155/2018/3018378 [doi]
LID - 3018378
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 been managed 
      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.
FAU - Shafi, Reem M A
AU  - Shafi RMA
AUID- ORCID: 0000-0002-5484-0115
AD  - Mayo Clinic, Department of Psychiatry and Psychology, Rochester, Minnesota, USA.
FAU - Suarez, Laura
AU  - Suarez L
AD  - Mayo Clinic, Department of Psychiatry and Psychology, Rochester, Minnesota, USA.
FAU - Lapid, Maria I
AU  - Lapid MI
AUID- ORCID: 0000-0002-1163-5584
AD  - Mayo Clinic, Department of Psychiatry and Psychology, Rochester, Minnesota, USA.
LA  - eng
PT  - Case Reports
DEP - 20181122
PL  - United States
TA  - Case Rep Psychiatry
JT  - Case reports in psychiatry
JID - 101583308
PMC - PMC6282118
EDAT- 2019/01/01 06:00
MHDA- 2019/01/01 06:01
PMCR- 2018/11/22
CRDT- 2019/01/01 06:00
PHST- 2018/07/30 00:00 [received]
PHST- 2018/11/12 00:00 [accepted]
PHST- 2019/01/01 06:00 [entrez]
PHST- 2019/01/01 06:00 [pubmed]
PHST- 2019/01/01 06:01 [medline]
PHST- 2018/11/22 00:00 [pmc-release]
AID - 10.1155/2018/3018378 [doi]
PST - epublish
SO  - Case Rep Psychiatry. 2018 Nov 22;2018:3018378. doi: 10.1155/2018/3018378. 
      eCollection 2018.