Abstract
Munchhausen's syndrome (MHS) is classed among the self-manipulated diseases but frequently is not recognized as such. Patients suffering from MHS successfully obtain repeated invasive diagnostic management by the permanent presentation of various symptoms especially in the surgical branches of medicine. In urology the “haemorrhagic type”, the “abdominal type” and the “neurological type” are predominant. In the course of his “history” the MHS patient shows definite organic lesions as a result of numerous artificial and iatrogenic procedures. Consequently diagnosis is more and more difficult. In the majority of cases psychotherapy ends after few psychiatric interviews in the initial stage of therapy. Increasing somatic lesions are predominant.
Similar content being viewed by others
References
Asher, R.: Munchausen's syndrome.Lancet, 10, 339 (1951).
Beck, D.: Das Koryphäen-Killer-Syndrom.Dtsch. Med. Wochenschr., 102, 303 (1977).
Chapman, J. S.: Peregrinating problem patient's Munchausen's syndrome.J. Am. Med. Ass., 165, 927 (1957).
Eckhardt, A.: Das Münchhausen-Syndrom. Urban u. Schwarzenberg, München-Wien-Baltimore 1989.
Ford, C.: The Somatizing Disorders. Elsevier, Amsterdam 1982.
Haenel, T., Rauchfleisch, U., Schuppli, R.: Zur Persönlichkeit von Patienten mit dermatologischen Artefakten.Zschr. Psychosom. Med., 29, 76 (1983).
Haenel, T., Rauchfleisch, U., Schuppli, R.: The psychiatric significance of dermatitis artefacta.Eur. Arch. Psychiat. Neurol. Scien., 234, 38 (1984).
Ifudu, O., Kolasinski, S. L., Friedman, E. A.: Brief report: Kidney related Munchausen's syndrome.N. Engl. J. Med., 327, 388 (1992).
Ireland, P., Sapira, J. D.: Munchausen's syndrome, review and report of an additional case.Am. J. Med., 43, 579 (1978).
Kerr, D. N. S.: Factitious haematuria and urinary tract infections.Arch. Intern. Med., 140, 631 (1980).
Kounis, N. G.: Munchausen syndrome with cardiac symptoms: Cardiopathia phantastica.Br. J. Clin. Pract., 33, 67 (1979).
Miller, A.: Zur Behandlungstechnik bei sog. narzistischen Neurosen.Psyche, 25, 641 (1971).
Mohren, J., Bach, D., Rathert, P.: Das Münchhausen-Syndrom.Urologe [B],33, 365 (1993).
Pankratz, L.: A review of the Munchausen syndrome.Clin. Psychol. Rev., 1, 65 (1981).
Plassmann, R.: Die heimliche Selbstmißhandlung.Z. Psychosom. Med. Psychoanal., 4, 316 (1986).
Sachsse, U.: Selbstbeschädigung als Selbstfürsorge.Forum Psyschoanal., 3, 51 (1987).
Schulte, R. M.: Intrakorporale Fremdkörper und Münchhausen-Syndrom. Zuckschwerdt, München-Bern-Wien 1988.
Sharo, S., Diamond, H.: Factitious uric acid urolithiasis as a feature of the Munchausen syndrome.Mt. Sinai J. Med. N.Y., 41, 696 (1974).
Spiro, H.: Chronic factitious illness: Munchausen's syndrome.Arch. Gen. Psychiat., 18, 569 (1968).
Zahner, J., Schneider, W.: Das Münchhausen-Syndrom.Dtsch. Med. Wochenschr., 119, 192 (1994).
Zimmermann, W.: Bemerkung und kasuistische Beiträge zum Münchhausen-Syndrom.Dt. Ges.-Wesen, 21, 57 (1966).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Heimbach, D., Brühl, P. Munchhausen's syndrome in urology. International Urology and Nephrology 27, 539–545 (1995). https://doi.org/10.1007/BF02564738
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02564738