Prog Urol
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A critical literature review allows an analysis on chronic constipation evaluation and on the association with anatomical or functional pelvic perineal disorders, the link with a pudendal neuropathy being frequent. The dyschezia clinical diagnosis must be completed by X-ray and manometric examinations to well determine the respective part of anatomical and/or functional disturbances. ⋯ The diagnosis must be made with a complete electrophysiological assessment and not only with the pudendal nerve latency terminal motor latency measurement. These pelvic-perineal disorders have plurifactorial aetiologies, they are linked together without univoqual chronology, each one may be the cause or the consequence of the other, and self-worsening evolution may occur.
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To define the therapeutic approach to ureteric stones. ⋯ SWL is the reference treatment for stones of the lumbar ureter. Ureteroscopy is justified after failure of ESWL for stones of the pelvic and iliac ureter, as it gives excellent results.