A 26-year-old female presented with chronic constipation characterized by difficulty passing stools, including a sensation of blockage, prolonged toilet time, and incomplete evacuation. The patient had previously been diagnosed with early-stage rectal prolapse and advised to undergo surgery. Seeking a second opinion, she presented to our clinic.
Upon clinical examination, anal manometry was performed, revealing dyssynergic defecation as the underlying cause of constipation in addition to the existing rectal prolapse. A course of biofeedback therapy was initiated as a conservative management strategy prior to considering surgical intervention.
After 4-5 biofeedback sessions, the patient reported significant symptomatic improvement, including the ability to expel a balloon. Consequently, surgical intervention for rectal prolapse was successfully postponed. The patient continues to manage her symptoms with ongoing therapy, avoiding immediate surgical intervention.
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