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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 that branches to supply the external anal sphincter also branches to the dorsal nerve of the clitoris and the dorsal nerve of the penis. [14] In addition to nerve endings, pleasure from anal intercourse may be aided by the close proximity between the anus and the prostate for males, and vagina, clitoral legs and anal area for ...
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 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 ...
On the other hand, a lower motor neuron lesion can cause areflexia and a flaccid external anal sphincter so most commonly leading to incontinence. Lower motor neuron lesions are damage to nerves that are at the level of or below the conus medullaris and below vertebral level T12.
In humans, the anal canal is approximately 2.5 to 4 cm (0.98 to 1.57 in) long, from the anorectal junction to the anus. [2] [3] [4] It is directed downwards and backwards.. It is surrounded by inner involuntary and outer voluntary sphincters which keep the lumen closed in the form of an anteroposterior sl
In some cases, the fibers of the deeper layer of the external anal sphincter cross over in front of the anus and are continued into this muscle. Occasionally it gives off fibers, which join with the bulbocavernosus of the same side. There are some variations: it may be absent or double, or insert into the bulbocavernosus or the external sphincter.
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 ]