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The external anal sphincter (or sphincter ani externus) is an oval tube of skeletal muscle fibers. [1] Distally, it is adherent to the skin surrounding the margin of the anus. [2] It exhibits a resting state of tonical contraction [1] and also contracts during the bulbospongiosus reflex. [3] [4] [5] [6]
The pudendal nerve is the main nerve of the perineum. [1]: 274 It is a mixed (motor and sensory) nerve and also conveys sympathetic autonomic fibers.It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the male or female external urethral sphincter and the external anal sphincter.
The external anal sphincter can be relaxed by the application of glyceryl trinitrate creams, and constipation is managed with laxatives and improving hydration. [9] Some fissures may require botulinum toxin injection; worst cases may require surgical intervention, such as "lateral internal anal sphincterotomy or advancement anoplasty ...
The external anal sphincter muscle is the voluntary muscle that surrounds and adheres to the anus at the lower margin of the anal canal. This muscle is in a state of tonic contraction , but during defecation , it relaxes to allow the release of feces .
The pectinate line (dentate line) is a line which divides the upper two-thirds and lower third of the anal canal. Developmentally, this line represents the hindgut - proctodeum junction. 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 ]
Stylized diagram showing action of the puborectalis sling, and the formation of the anorectal angle. A-puborectalis, B-rectum, C-level of anorectal ring and anorectal angle, D-anal canal, E-anal verge, F-representation of internal and external anal sphincters, G-coccyx & sacrum, H-pubic symphysis, I-Ischium, J-pubic bone.
Enter: anal fingering, which involves using a finger (or two or five) to penetrate, thrust into, or apply pressure to the anus for the sake of pleasure. According to certified sex educator Alicia ...
The anocutaneous line is slightly below the pectinate line and a landmark for the intermuscular border between internal and external anal sphincter muscles. The anocutaneous line represents the transition point from non-keratinized stratified squamous epithelium of the anal canal to keratinized stratified squamous epithelium of the anus and ...