What is defecatory dyssynergia?
Pushing and outlet muscle relaxation are poorly coordinated during evacuation. Blockage may persist despite soft stool. It does not mean all pelvic muscles are weak.
How is it established?
History and examination are combined with appropriate tests such as manometry and balloon expulsion. Training targets coordination rather than generic squeezing.
Sources and preparation
References support general information; preparation examples and questions do not select an individual treatment plan.

Dr. Mohammed Hatem Alsubaih