Dyssynergic Defaecation
Conditions
Keywords
Dyssynergic Defecation, Cognitive Behavioral Therapy, Pelvic Floor Rehabilitation
Brief summary
The aim of this study is to evaluate the effectiveness of cognitive-behavioral therapy when used in conjunction with lifestyle modifications and pelvic floor rehabilitation.
Interventions
Relaxation and kegel exercises and biofeedback therapy
Relaxation and kegel exercises, biofeedback therapy and cognitive behavioral therapy
Sponsors
Study design
Eligibility
Inclusion criteria
1. A history of constipation lasting longer than one year 2. Chronic constipation as defined by the Rome IV criteria 3. Being between the ages of 18 and 55 4. Findings consistent with dyssynergic defecation on anorectal manometry and balloon defecography 5. Exclusion of organic and metabolic causes of chronic constipation
Exclusion criteria
1. Active bowel disease 2. Presence of an active anal fissure 3. History of major abdominal surgery 4. Presence of a neurological disorder 5. Presence of a serious psychiatric disorder 6. Use of medications that cause constipation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wexner Constipation Score | first day of treatment and 5th week of treatment |
| Constipation Severity Scale | first day of treatment and 5th week of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Bristol Stool Chart | first day of treatment and 5th week of treatment |
| Beck Depression Scale | first day of treatment and 5th week of treatment |
Countries
Turkey (Türkiye)