Ictal sexual manifestations, like somatosensory genital phenomena, sexual emotions or sexual automatisms during a partial complex seizure, are very rare. So far the literature has above all described cases in adulthood. We report on a 6-year-old boy with partial complex epileptic seizures which led to confusion, oral and genital automatisms and the urge to urinate. During one epileptic seizure with these urogenital manifestations the EEG showed an epileptic rhythmic discharge over the left temporal region.