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.
A history of constipation lasting longer than one year
Chronic constipation as defined by the Rome IV criteria
Being between the ages of 18 and 55
Findings consistent with dyssynergic defecation on anorectal manometry and balloon defecography
Active bowel disease
Presence of an active anal fissure
History of major abdominal surgery
Presence of a neurological disorder