Knowledge

External anal sphincter

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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
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Historically, the sphincter was described as consisting of three parts (deep, superficial, and subcontinuous). This is not supported by current anatomical knowledge. Some sources still describe it in two layers, deep (or proximal) and superficial (or distal or subcutaneous).
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Sarica Y, Karacan I (July 1987). "Bulbocavernosus reflex to somatic and visceral nerve stimulation in normal subjects and in diabetics with erectile impotence".
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Some of the muscles fibres decussate at the anterior midline and posterior midline, so forming an anterior commissure and posterior commissure.
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Vodušek DB, Deletis V (2002). "Intraoperative Neurophysiological Monitoring of the Sacral Nervous System".
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which is derived from ventral rami of S2-S4). It may also receive additional motor innervation from the
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at the SUNY Downstate Medical Center - "The Male Perineum and the Penis: The External Anal Sphincter"
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Podnar S (February 2012). "Clinical elicitation of the penilo-cavernosus reflex in circumcised men".
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Branch from the fourth sacral and contributions from the inferior hemorrhoidal branch of the
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Jiang XZ, Zhou CK, Guo LH, Chen J, Wang HQ, Zhang DQ, et al. (December 2009). "".
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Knowledge articles incorporating text from the 20th edition of Gray's Anatomy (1918)
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It exhibits a resting state of tonical contraction and also contracts during the
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Deep perineal fascia / superficial investing fascia (Gallaudet's)
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Neurophysiology in Neurosurgery, A Modern Intraoperative Approach
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at The Anatomy Lesson by Wesley Norman (Georgetown University) (
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at The Anatomy Lesson by Wesley Norman (Georgetown University) (
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The sphincter receives innervation from the bilaterally paired
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Sagittal (vertical) section of bladder, penis, and urethra.
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Gray's Anatomy: The Anatomical Basis of Clinical Practice
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Distally, it is adherent to the 14: 1728: 939:Deep fascia of the penis (Buck's) 652: 313:The sphincter consists mostly of 1679: 628: 602:10.1111/j.1464-410X.2011.10364.x 495:10.1016/B978-012209036-3/50011-1 375: 363: 351: 339: 327: 249: 830:Superficial transverse perineal 370:Muscles of the female perineum. 288: 241: 202:surrounding the margin of the 1: 540:10.1016/S0022-5347(17)42987-9 404: 222:separated by the intervening 308: 229: 224:conjoint longitudinal muscle 42:Coronal section through the 7: 1275:Enterochromaffin-like cells 893:Superficial perineal fascia 642:of the 20th edition of 387: 10: 1733: 821:Superficial perineal pouch 346:Anatomy of the human anus. 320: 216: 170:Anatomical terms of muscle 1615: 1554: 1531: 1468: 1450: 1441: 1409: 1393: 1355: 1307: 1298: 1289: 1172: 1134: 1056: 1047: 973: 948: 920: 890: 881: 848: 818: 809: 793: 771: 739: 730: 433:Standring, Susan (1201). 358:Muscles of male perineum. 168: 156: 144: 132: 120: 115: 97: 84: 79: 35: 26: 21: 860:Deep transverse perineal 659:Anatomy photo:42:13-0100 62:. A.C. Anal canal. L.A. 1599:External anal sphincter 1594:Intersphincteric groove 1589:Internal anal sphincter 1106:Pterygomandibular raphe 394:Internal anal sphincter 188:external anal sphincter 22:External anal sphincter 1380:Duodenojejunal flexure 1375:Minor duodenal papilla 1370:Major duodenal papilla 1121:Pharyngobasilar fascia 1116:Buccopharyngeal fascia 1037:gastrointestinal tract 563:Zhonghua Yi Xue Za Zhi 528:The Journal of Urology 297:(each a branch of the 211:bulbospongiosus reflex 196:skeletal muscle fibers 192:sphincter ani externus 127:sphincter ani externus 72:Sphincter ani externus 68:Sphincter ani internus 1337:Enteroendocrine cells 908:in scrotum and penis: 194:) is an oval tube of 951:Urogenital diaphragm 922:Deep perineal fascia 468:Gray, Henry (1918). 303:nerve to levator ani 58:. R. Second part of 1270:Gastric chief cells 865:Urethral sphincters 851:Deep perineal pouch 811:Urogenital triangle 399:Puborectalis muscle 295:inferior anal nerve 315:slow twitch fibers 261:. You can help by 1667: 1666: 1659:Muscularis mucosa 1611: 1610: 1607: 1606: 1521:epiploic appendix 1437: 1436: 1365:Suspensory muscle 1327:Intestinal glands 1285: 1284: 1002: 1001: 998: 997: 937: 909: 877: 876: 873: 872: 789: 788: 590:BJU International 569:(46): 3249–3252. 446:978-0-7020-7707-4 279: 278: 184: 183: 179: 1724: 1684: 1683: 1675: 1541:Transverse folds 1498:Descending colon 1488:Transverse colon 1448: 1447: 1402:No substructures 1385:Brunner's glands 1315:Intestinal villi 1305: 1304: 1296: 1295: 1195:Angular incisure 1111:Pharyngeal raphe 1079:retropharyngeal 1054: 1053: 1039:, excluding the 1029: 1022: 1015: 1006: 1005: 978: 976:Pelvic diaphragm 953: 935: 923: 907: 895: 888: 887: 853: 840:Ischiocavernosus 823: 816: 815: 776:Ischioanal fossa 751: 746: 745: 737: 736: 713: 706: 699: 690: 689: 632: 631: 622: 621: 585: 579: 578: 558: 552: 551: 523: 517: 516: 482: 476: 475: 465: 459: 458: 430: 379: 367: 355: 343: 331: 274: 271: 253: 246: 176:edit on Wikidata 173: 40: 31: 19: 18: 1732: 1731: 1727: 1726: 1725: 1723: 1722: 1721: 1717:Muscular system 1692: 1691: 1690: 1678: 1670: 1668: 1663: 1603: 1550: 1527: 1493:Splenic flexure 1483:Hepatic flexure 1478:Ascending colon 1464: 1443:Large intestine 1433: 1429:Microfold cells 1424:Peyer's patches 1419:Ileocecal valve 1405: 1389: 1351: 1300:Small intestine 1281: 1168: 1130: 1084:parapharyngeal 1074:peripharyngeal 1043: 1035:Anatomy of the 1033: 1003: 994: 990:Superior fascia 985:Inferior fascia 974: 969: 965:Superior fascia 949: 944: 921: 916: 891: 869: 849: 844: 835:Bulbospongiosus 819: 805: 785: 767: 749: 726: 717: 655: 629: 626: 625: 586: 582: 559: 555: 524: 520: 505: 483: 479: 466: 462: 447: 431: 412: 407: 390: 383: 380: 371: 368: 359: 356: 347: 344: 335: 332: 323: 311: 291: 275: 269: 266: 259:needs expansion 244: 232: 219: 180: 75: 56:Seminal vesicle 52:Ductus deferens 48:urinary bladder 46:. B. Cavity of 17: 12: 11: 5: 1730: 1720: 1719: 1714: 1709: 1704: 1689: 1688: 1665: 1664: 1662: 1661: 1656: 1651: 1649:Circular folds 1646: 1641: 1639:Muscular layer 1636: 1631: 1621: 1619: 1613: 1612: 1609: 1608: 1605: 1604: 1602: 1601: 1596: 1591: 1586: 1584:Pectinate line 1581: 1576: 1571: 1566: 1560: 1558: 1552: 1551: 1549: 1548: 1543: 1537: 1535: 1529: 1528: 1526: 1525: 1524: 1523: 1518: 1513: 1505: 1500: 1495: 1490: 1485: 1480: 1474: 1472: 1466: 1465: 1463: 1462: 1456: 1454: 1445: 1439: 1438: 1435: 1434: 1432: 1431: 1426: 1421: 1415: 1413: 1407: 1406: 1404: 1403: 1399: 1397: 1391: 1390: 1388: 1387: 1382: 1377: 1372: 1367: 1361: 1359: 1353: 1352: 1350: 1349: 1344: 1339: 1334: 1329: 1324: 1323: 1322: 1311: 1309: 1302: 1293: 1287: 1286: 1283: 1282: 1280: 1279: 1278: 1277: 1272: 1267: 1265:Parietal cells 1262: 1260:Foveolar cells 1257: 1255:Pyloric glands 1252: 1247: 1245:Cardiac glands 1242: 1240:Gastric glands 1237: 1229: 1224: 1222:Gastric mucosa 1219: 1214: 1209: 1204: 1199: 1198: 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350: 348: 345: 338: 336: 333: 326: 322: 319: 310: 307: 299:pudendal nerve 290: 287: 277: 276: 256: 254: 243: 240: 231: 228: 218: 215: 182: 181: 172: 166: 165: 160: 154: 153: 148: 142: 141: 136: 130: 129: 124: 118: 117: 113: 112: 101: 95: 94: 92:pudendal nerve 88: 82: 81: 77: 76: 41: 33: 32: 24: 23: 15: 9: 6: 4: 3: 2: 1729: 1718: 1715: 1713: 1710: 1708: 1705: 1703: 1700: 1699: 1697: 1687: 1682: 1677: 1676: 1673: 1660: 1657: 1655: 1652: 1650: 1647: 1645: 1642: 1640: 1637: 1635: 1632: 1630: 1626: 1623: 1622: 1620: 1618: 1614: 1600: 1597: 1595: 1592: 1590: 1587: 1585: 1582: 1580: 1577: 1575: 1572: 1570: 1567: 1565: 1562: 1561: 1559: 1557: 1553: 1547: 1544: 1542: 1539: 1538: 1536: 1534: 1530: 1522: 1519: 1517: 1514: 1512: 1509: 1508: 1506: 1504: 1503:Sigmoid colon 1501: 1499: 1496: 1494: 1491: 1489: 1486: 1484: 1481: 1479: 1476: 1475: 1473: 1471: 1467: 1461: 1458: 1457: 1455: 1453: 1449: 1446: 1444: 1440: 1430: 1427: 1425: 1422: 1420: 1417: 1416: 1414: 1412: 1408: 1401: 1400: 1398: 1396: 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925: 919: 912: 911:Dartos fascia 905: 903: 900: 899: 897: 894: 889: 886: 884: 880: 866: 863: 861: 858: 857: 855: 852: 847: 841: 838: 836: 833: 831: 828: 827: 825: 822: 817: 814: 812: 808: 802: 801:Perineal body 799: 798: 796: 792: 782: 779: 777: 774: 773: 770: 764: 761: 759: 756: 755: 753: 750:Sphincter ani 747: 744: 742: 741:Anal triangle 738: 735: 733: 729: 725: 721: 714: 709: 707: 702: 700: 695: 694: 691: 684: 683: 678: 675: 672: 671: 670:analtriangle3 666: 663: 660: 657: 656: 650: 649: 646: 643: 641: 637: 636:public domain 619: 615: 611: 607: 603: 599: 595: 591: 584: 576: 572: 568: 564: 557: 549: 545: 541: 537: 533: 529: 522: 514: 510: 506: 504:9780122090363 500: 496: 492: 488: 481: 473: 472: 464: 456: 452: 448: 442: 438: 437: 429: 427: 425: 423: 421: 419: 417: 415: 410: 400: 397: 395: 392: 391: 378: 373: 366: 361: 354: 349: 342: 337: 330: 325: 324: 318: 316: 306: 304: 300: 296: 286: 284: 283:perineal body 273: 264: 260: 257:This section 255: 252: 248: 247: 239: 236: 227: 225: 214: 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103:Keep the 1707:Perineum 1460:Appendix 1357:Duodenum 763:Internal 758:External 732:Perineum 724:perineum 665:perineum 640:page 425 618:27143105 610:21883821 575:20193361 513:78605592 388:See also 1686:Anatomy 1546:Ampulla 1516:haustra 1395:Jejunum 1217:Pylorus 1185:greater 1174:Stomach 1070:Spaces 1066:Muscles 1058:Pharynx 720:Muscles 548:3599220 321:Gallery 217:Anatomy 109:orifice 99:Actions 80:Details 70:. E.S. 66:. I.S. 54:. S.V. 1672:Portal 1654:Mucosa 1625:Serosa 1533:Rectum 1212:Fundus 1202:Cardia 1190:lesser 1159:glands 1094:danger 883:Fascia 794:Middle 682:rectum 677:pelvis 648:(1918) 616:  608:  573:  546:  511:  501:  453:  443:  111:closed 60:rectum 1470:Colon 1452:Cecum 1411:Ileum 1291:Lower 1152:lower 1147:upper 1049:Upper 1041:mouth 638:from 614:S2CID 509:S2CID 174:[ 163:21930 122:Latin 86:Nerve 50:V.D. 1712:Anus 1617:Wall 1564:Anus 1207:Body 1164:crop 606:PMID 571:PMID 544:PMID 499:ISBN 451:OCLC 441:ISBN 204:anus 200:skin 190:(or 186:The 151:2426 134:TA98 107:and 722:of 598:doi 594:109 536:doi 532:138 491:doi 265:. 158:FMA 146:TA2 1698:: 1627:/ 612:. 604:. 592:. 567:89 542:. 530:. 507:. 497:. 449:. 413:^ 305:. 226:. 213:. 1674:: 1028:e 1021:t 1014:v 941:) 934:( 913:) 906:( 712:e 705:t 698:v 685:) 673:) 620:. 600:: 577:. 550:. 538:: 515:. 493:: 457:. 272:) 268:( 206:. 178:] 74:.

Index



anal canal
urinary bladder
Ductus deferens
Seminal vesicle
rectum
Levator ani
Sphincter ani internus
Sphincter ani externus
Nerve
pudendal nerve
Actions
anal canal
orifice
Latin
TA98
A04.5.04.012
TA2
2426
FMA
21930
Anatomical terms of muscle
edit on Wikidata
skeletal muscle fibers
skin
anus
bulbospongiosus reflex
conjoint longitudinal muscle

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