[Anorectal foreign bodies--only a surgical question?]
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Updated: May 21, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
Ulrich Palm1, Alice Schwarznau, Martin Lieb
1Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Ludwig-Maximilians-Universität München. ulrich.palm@med.unimuenchen.de
Abstract:
Treatment of anorectal foreign bodies is a frequent surgical and proctologic question. However, psychiatric implications of paraphilias are rarely discussed. Since the liberalisation of sexual behaviour in the 1970s, the reported number of severe complications due to paraphilias is increasing, and sexuality is performed until higher age. We describe the case of an 88 year old man who had undergone laparotomy for removal of foreign bodies. The initial diagnosis of a dementia with inappropriate sexual behaviour could not be confirmed as the paraphilia existed since his youth. Etiologic, diagnostic and therapeutic implications of the case are discussed.
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