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07:22
Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
[Anorectal foreign bodies--only a surgical question?]
Ulrich Palm1, Alice Schwarznau, Martin Lieb
1Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Ludwig-Maximilians-Universität München. ulrich.palm@med.unimuenchen.de
Psychiatrische Praxis
|June 13, 2012
Summary
An 88-year-old man required surgery for anorectal foreign bodies. This case highlights the psychiatric implications of paraphilias, often overlooked in proctologic practice.
Area of Science:
- Proctology
- Psychiatry
- Geriatric Medicine
Background:
- Anorectal foreign body (AFB) removal is a common proctologic procedure.
- The psychiatric underpinnings and paraphilias associated with AFBs are infrequently addressed.
- Increasingly liberalized sexual behaviors and prolonged sexual activity into higher age contribute to rising complications.
Observation:
- An 88-year-old male patient presented for laparotomy to remove foreign bodies.
- Initial assessment suggested dementia with inappropriate sexual behavior.
- The patient's paraphilia was determined to have a long-standing history since youth, predating dementia.
Findings:
- Surgical intervention was necessary for the removal of complex anorectal foreign bodies.
- The patient's condition was primarily linked to a lifelong paraphilia, not solely dementia.
- This case underscores the importance of a thorough psychiatric evaluation in patients with AFBs.
Implications:
- Highlights the need to integrate psychiatric assessment into the management of anorectal foreign bodies.
- Suggests that paraphilias, even in elderly patients, may have deep-rooted origins.
- Emphasizes comprehensive diagnostic and therapeutic strategies for complex cases involving foreign bodies and paraphilias.
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