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The rectum shortens as feces are pushed into the anal canal and peristaltic waves push the feces out of the rectum. Relaxation of the internal and external anal sphincters allows the feces to exit from the anus, finally, as the levator ani muscles pull the anus up over the exiting feces.
The rectum receives fecal material from the descending colon, transmitted through regular muscle contractions called peristalsis. [11] As the rectal walls expand due to the materials filling it from within, stretch receptors from the nervous system located in the rectal walls stimulate the desire to pass feces, a process called defecation. [11]
This muscle is in a state of tonic contraction, but during defecation, it relaxes to allow the release of feces. Movement of the feces is also controlled by the involuntarily controlled internal anal sphincter, which is an extension of the circular muscle surrounding the anal canal. It relaxes to expel feces from the rectum and anal canal.
The internal anal sphincter, IAS, or sphincter ani internus is a ring of smooth muscle that surrounds about 2.5–4.0 cm of the anal canal. It is about 5 mm thick, and is formed by an aggregation of the smooth (involuntary) circular muscle fibers of the rectum. [citation needed]
The muscularis mucosae (or lamina muscularis mucosae) is a thin layer of muscle of the gastrointestinal tract, located outside the lamina propria, and separating it from the submucosa. It is present in a continuous fashion from the esophagus to the upper rectum (the exact nomenclature of the rectum's muscle layers is still being debated).
The rectococcygeal muscles are composed of smooth muscle and run from the anterior surface of the 2nd and 3rd coccygeal vertebrae down the posterior wall of the rectum as a triangular shaped muscle before branching and inserting among the various muscles and fascial structures associated with the pelvic diaphragm and anal canal and collectively called longitudinal anal muscles.
The external anal sphincter is far more substantial than the internal anal sphincter. The proximal portion of external anal sphincter overlaps the internal anal sphincter (which terminates distally a little distance proximal to the anal orifice) superficially; where the two overlap, they are separated by the intervening conjoint longitudinal muscle.
It is an important anatomical landmark in humans, and forms the boundary between the anal canal and the rectum according to the anatomic definition. [1] Colorectal surgeons instead define the anal canal as the zone from the anal verge to the anorectal ring (palpable structure formed by the external anal sphincter and the puborectalis muscle). [1]