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Impulse control disorder manifesting as hidden sexual self-injury
  1. Stefen Brady,
  2. Philip Duffey
  1. Department of Neurology, York Hospital, York, UK
  1. Correspondence to Dr Philip Duffey, Department of Neurology, York Hospital, Wigginton Road, York YO23 1YP, UK; phil.duffey{at}

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A man in his sixties with idiopathic Parkinson's disease was referred after inserting a length of metallic flex attached to a metal curtain hook into his urethra (figure 1). His medications included 700 mg levodopa and 16 mg ropinirole as the extended release preparation. The foreign body was removed under general anaesthetic and lacerations to the urethra and glans penis repaired. Further enquiry identified that he had recently required two separate cystoscopies to remove cotton buds from his …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Nick Fletcher, Liverpool, UK.

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  • Editors' commentary
    Phil Smith Geraint N Fuller

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