[The Munchausen syndrome: a diagnosis not to be forgotten in urology].
BACKGROUND
Among the manifestations of Münchausen's syndrome, "neurological" forms may exist.


METHODS
We present the case of a patient presenting with urinary retention following treatment for urinary incontinence. The patient had injected himself with infected urine collected from his catheter, in order to create septicemia.


CONCLUSIONS
Nephritic colitis, false gall stones, addition of fecal matter or of food and saliva in the urine or the bladder, neurogenic bladder and urinary infections have all been reported as possible manifestations of Münchausen's syndrome. Diagnosis of this syndrome is often delayed and laborious, after repeated hospitalisations, examinations and often aggressive treatment. Its therapeutic management is difficult. Patients, despite proof, deny their deceit and refuse psychiatric care.
Hermieu
J F
JF
Service d'Urologie, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, F75014 Paris, France.
Lefrançois
A M
AM
Gaudillat
C
C
Ben Ali
A
A
Goldstein
F
F
Roche
A
A
Sigismond
M
M
Kalck-Stern
M
M
Galezowski
N
N
Garrouste-Orgeas
M
M
Duclos
J M
JM
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009110:Munchausen Syndrome / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D014570:Urologic Diseases / Q000175:diagnosis*