The Relationship Between Chronic Constipation and Pelvic Floor Dysfunction

Constipation is a digestive system problem commonly associated only with dietary habits and bowel movements. However, there is a large group of patients who continue to experience difficulty defecating despite consuming fiber-rich foods, drinking plenty of water, and using laxatives. The underlying cause of this condition is the uncoordinated function of the pelvic floor muscles. In modern urology and andrology practices, the relationship between chronic constipation and pelvic floor dysfunction is evaluated with a comprehensive approach to offer permanent solutions.

The Role of Pelvic Floor Muscles in Defecation

For a healthy defecation process, the abdominal muscles contract to increase intra-intestinal pressure, while the pelvic floor muscles (especially the puborectalis muscle) located at the base of the pelvis and the anal sphincter must relax. If these muscles contract involuntarily instead of relaxing, the exit path of the stool becomes mechanically obstructed. This condition is referred to as Pelvic Floor Dysfunction (obstructed defecation).

The Dangers of Chronic Straining

In patients forced to strain continuously because the muscles fail to relax, secondary conditions such as hemorrhoids, anal fissures, and rectocele (rectal wall prolapse) develop over time. Additionally, excessive tension in the pelvic floor muscles paves the way for urinary incontinence and sexual dysfunction.