title: [The Munchausen syndrome: a diagnosis not to be forgotten in urology].
abstract: 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.
authors.affiliation: Service d'Urologie, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, F75014 Paris, France.
authors.forename: J F
authors.initials: JF
authors.lastname: Hermieu
authors.forename: A M
authors.initials: AM
authors.lastname: Lefrançois
authors.forename: C
authors.initials: C
authors.lastname: Gaudillat
authors.forename: A
authors.initials: A
authors.lastname: Ben Ali
authors.forename: F
authors.initials: F
authors.lastname: Goldstein
authors.forename: A
authors.initials: A
authors.lastname: Roche
authors.forename: M
authors.initials: M
authors.lastname: Sigismond
authors.forename: M
authors.initials: M
authors.lastname: Kalck-Stern
authors.forename: N
authors.initials: N
authors.lastname: Galezowski
authors.forename: M
authors.initials: M
authors.lastname: Garrouste-Orgeas
authors.forename: J M
authors.initials: JM
authors.lastname: Duclos
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009110:Munchausen Syndrome / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D014570:Urologic Diseases / Q000175:diagnosis*