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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 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.
The inferior rectal nerves (inferior anal nerves, inferior hemorrhoidal nerve) usually branch from the pudendal nerve but occasionally arises directly from the sacral plexus; they cross the ischiorectal fossa along with the inferior rectal artery and veins, toward the anal canal and the lower end of the rectum, and is distributed to the sphincter ani externus (external anal sphincter, EAS) and ...
They meet with the corresponding fibers of the opposite side around the lower part of the rectum, and form for it a strong sling. Relaxation increases the angle between rectum and anus, allowing defecation in conjunction with relaxation of the internal and external anal sphincters. Levator ani relaxation and rectal emptying is facilitated by ...
The anal verge refers to the distal end of the anal canal, a transitional zone between the epithelium of the anal canal and the perianal skin. It should not be confused with the pectinate line between the upper and lower zones within the anal canal. The anal gland secretes lymphal discharge and built-up fecal matter from the colon lining.
The conjoint longitudinal muscle is a muscle layer in the wall of the anal canal between the internal anal sphincter (deep to CLM) and external anal sphincter (superficial to CLM). It is continuous proximally with the longitudinal (outer) smooth muscle layer of the rectum. It receives autonomic innervation in common with the internal anal ...
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 ...
In females, there is no union, nor a tendinous perineal raphe; the parts are disjoint primarily and arise from the same central tendinous point of the perineum, which is the tendon that is formed at the point where the bulbospongiosus muscle, superficial transverse perineal muscle, and external anal sphincter muscle converge to form this major ...