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The function of micturition has erotic, aggressive, and in cases of pathological disturbance self-punitive significance. Urination, being the closest physiological approximation to genital activity, represents for the child expression and satisfaction of sexual excitement. In the neurotic, whose pleasure seeking regresses to an infantile level, urinary symptoms (polyuria, enuresis) often replace sexual activity. For one of the author's patients, who was in the habit of urinating ten to fifteen times a day, urination had the meaning of a permitted form of masturbation. Two other patients recalled that they had urinated as a direct reaction to the primal scene. Aggressive tendencies are recognizable in the enuresis of children and in cases of urinary frequency among adults. Vituperation is expressed in various ways in the sense of casting urine and fæces on the hated person. In numerous cases, the unconscious aggressive satisfaction inherent in urination is increased, requiring self-punitive measures with a secondary erotization of the function. A case report is quoted in which an apparent bladder disturbance (extreme frequency of urination) disappeared completely after an explanation of the psychological factors involved. In one of the author's cases a psychogenic polyuria had existed for so many years that a contraction of the bladder had developed which, in turn, caused the frequency anatomically. Jelliffe reported an instance in which the kidneys were damaged as the consequence of a psychogenic urinary disturbance of long duration. The author discusses the problem of pseudo-renal colic. The clinical symptoms are of nephrolithiasis. Repeated attacks of severe colic fail, by the most careful examination to reveal calculi. Two cases are reported in which the syndrome was definitely a neurotic conversion.