Conjoint Longitudinal Muscle
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Conjoint Longitudinal Muscle
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 sphincter 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 musc .... Anatomy Distally, the muscle detaches and extends in three directions. The projections of the muscle represent pathways for the spread of infections. Development The CLM is especially prominent in the foetus, but is gradually replaced by connective tissue with age. Function Contraction of the CLM shortens and widens the anal canal, and everts the anal orifice. References Exte ...
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Anal Canal
The anal canal is the part that connects the rectum to the anus, located below the level of the pelvic diaphragm. It is located within the anal triangle of the perineum, between the right and left ischioanal fossa. As the final functional segment of the bowel, it functions to regulate release of excrement by two muscular sphincter complexes. The anus is the aperture at the terminal portion of the anal canal. Structure In humans, the anal canal is approximately long, from the anorectal junction to the anus. 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 slit. The canal is differentiated from the rectum by a transition along the internal surface from endodermal to skin-like ectodermal tissue. The anal canal is traditionally divided into two segments, upper and lower, separated by the pectinate line (also known as the dentate line): * upper zo ...
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Internal Anal Sphincter
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 internal anal sphincter aids the sphincter ani externus to occlude the anal aperture and aids in the expulsion of the feces. Its action is entirely involuntary. It is normally in a state of continuous maximal contraction to prevent leakage of faeces or gases. Sympathetic stimulation stimulates and maintains the sphincter's contraction, and parasympathetic stimulation inhibits it. It becomes relaxed in response to distention of the rectal ampulla, requiring voluntary contraction of the puborectalis and external anal sphincter to maintain continence, and also contracts during the bulbospongiosus reflex. Structure The internal anal sphincter is the specialised thickened terminal portion of the inner circular ...
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External Anal Sphincter
The external anal sphincter (or sphincter ani externus) is an oval tube of skeletal muscle fibers. Distally, it is adherent to the skin surrounding the margin of the anus. It exhibits a resting state of tonical contraction and also contracts during the bulbospongiosus reflex. Anatomy 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. Structure Historically, the sphincter was described as consisting of three parts (deep, superficial, and subcutaneous). 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). Some of the muscles fibres decussate at the anterior midline and po ...
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Internal Anal Sphincter
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 internal anal sphincter aids the sphincter ani externus to occlude the anal aperture and aids in the expulsion of the feces. Its action is entirely involuntary. It is normally in a state of continuous maximal contraction to prevent leakage of faeces or gases. Sympathetic stimulation stimulates and maintains the sphincter's contraction, and parasympathetic stimulation inhibits it. It becomes relaxed in response to distention of the rectal ampulla, requiring voluntary contraction of the puborectalis and external anal sphincter to maintain continence, and also contracts during the bulbospongiosus reflex. Structure The internal anal sphincter is the specialised thickened terminal portion of the inner circular ...
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Perineum
The perineum (: perineums or perinea) in placentalia, placental mammals is the space between the anus and the genitals. The human perineum is between the anus and scrotum in the male or between the anus and vulva in the female. The perineum is the region of the body between the pubic symphysis (pubic arch) and the coccyx (tail bone), including the perineal body and surrounding structures. The perineal raphe is visible and pronounced to varying degrees. Etymology The word entered English from late Latin via Greek language, Greek περίναιος ~ περίνεος ''perinaios, perineos'', itself from περίνεος, περίνεοι 'male genitals' and earlier περίς ''perís'' 'penis' through influence from πηρίς ''pērís'' 'scrotum'. The term was originally understood as a purely male body-part with the perineal raphe seen as a continuation of the scrotal septum since Virilization, masculinization causes the development of a large anogenital distance in men, i ...
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