Obstructive defecation syndrome (ODS) is a condition in which a person has difficulty completely emptying the rectum during bowel movements. Women with ODS may experience excessive straining, a feeling of incomplete evacuation or blockage, abdominal discomfort, and the need to use manual assistance, laxatives, or enemas to facilitate defecation.
This randomized controlled trial will investigate the effect of adding low-level laser therapy (LLLT) to a conventional treatment program for women with ODS. Participants will be randomly assigned to one of two groups. The control group will receive nutritional modification and biofeedback training, while the study group will receive the same treatment in addition to low-level laser therapy applied to the lumbosacral region.
The study will evaluate whether adding low-level laser therapy can improve anorectal function, reduce the severity of ODS symptoms, and improve health-related quality of life compared with conventional treatment alone.
Woman diagnosed with ODS according to the Renzi ODS score (≥ 9).
They suffer from difficult defecation for at least three months.
Their ages will range from 30-45 years old.
Their body mass index (BMI) will range from 25-30 kg/m2.
Any abnormalities around cancer colon, interstitial cystitis, or endometriosis.
Enlarged rectal diameter and damaged mienteric plexus and abnormal motor function of rectum.
Psychological or mental health problems.
Pregnancy and lactation