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Treatment outcomes of chemical castration on Korean sex offenders

Authors
 Kyo Chul Koo  ;  Geum Sook Shim  ;  Hyoun Hee Park  ;  Koon Ho Rha  ;  Young Deuk Choi  ;  Byung Ha Chung  ;  Sung Joon Hong  ;  Jae Woo Lee 
Citation
 JOURNAL OF FORENSIC AND LEGAL MEDICINE, Vol.20(6) : 563-566, 2013 
Journal Title
 JOURNAL OF FORENSIC AND LEGAL MEDICINE 
ISSN
 1752-928X 
Issue Date
2013
MeSH
Adolescent ; Adult ; Androgen Antagonists/administration & dosage* ; Androgen Antagonists/adverse effects ; Cross-Sectional Studies ; Delayed-Action Preparations ; Humans ; Injections, Subcutaneous ; Leuprolide/administration & dosage* ; Leuprolide/adverse effects ; Male ; Middle Aged ; Paraphilic Disorders/drug therapy* ; Paraphilic Disorders/psychology ; Prospective Studies ; Republic of Korea ; Surveys and Questionnaires ; Testosterone/blood ; Young Adult
Keywords
Castration ; Paraphilia ; Testosterone
Abstract
After the recent enactment of the chemical castration legislation for sex offenders in Korea, we sought to report primary treatment outcomes for 38 patients at the National Forensic Hospital since 2011. After chemical castration, these patients experienced reductions in frequency and intensity of sexual drive, frequency of masturbation and sexual fantasies. The incidence of adverse effects was similar to that of previous reports. Serial hormonal evaluations showed an association between testosterone level and degree of paraphilic and non-paraphilic sexual thoughts. A notable finding was an unexpected upsurge of testosterone levels with intense sexual drive and fantasy observed during the first 2 months after cessation of treatment. This suggested the need for a temporary anti-androgen therapy or close surveillance during this period. When proper precautions are taken, chemical castration may be an effective treatment strategy for paraphilic and non-paraphilic sex offenders
Full Text
http://www.sciencedirect.com/science/article/pii/S1752928X13001650
DOI
10.1016/j.jflm.2013.06.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Koo, Kyo Chul(구교철) ORCID logo https://orcid.org/0000-0001-7303-6256
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Chung, Byung Ha(정병하) ORCID logo https://orcid.org/0000-0001-9817-3660
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
Hong, Sung Joon(홍성준) ORCID logo https://orcid.org/0000-0001-9869-065X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88202
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