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Inferior Anal Nerves
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 to the integument (skin) around the anus. Branches of this nerve communicate with the perineal branch of the posterior femoral cutaneous and with the posterior scrotal nerves at the forepart of the perineum. Supplies Cutaneous innervation below the pectinate line and external anal sphincter. See also * Inferior rectal artery Additional images File:Gray405.png, The perineum. The integument and superficial layer of superficial fascia reflected. File:Gray837.png, Sacral plexus of the right side. (Hemorrhoidal branch of pudic labeled at bottom right.) References External links Deta ...
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Pudendal Nerve
The pudendal nerve is the main nerve of the perineum. 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. If damaged, most commonly by childbirth, lesions may cause sensory loss or fecal incontinence. The nerve may be temporarily blocked as part of an anaesthetic procedure. The pudendal canal that carries the pudendal nerve is also known by the eponymous term "Alcock's canal", after Benjamin Alcock, an Irish anatomist who documented the canal in 1836. Structure The pudendal nerve is paired, meaning there are two nerves, one on the left and one on the right side of the body. Each is formed as three roots immediately converge above the upper border of the sacrotuberous ligament and the coccygeus muscle. The three roots become two cords when the middle and lower root join to ...
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Perineal Branch
The perineal branches of the posterior femoral cutaneous nerve are distributed to the skin at the upper and medial side of the thigh. One long perineal branch, inferior pudendal (long scrotal nerve), curves forward below and in front of the ischial tuberosity, pierces the fascia lata, and runs forward beneath the superficial fascia of the perineum to the skin of the scrotum in the male, and of the labium majus in the female. It communicates with the inferior anal nerves and the posterior scrotal nerves. See also * Posterior cutaneous nerve of thigh The posterior cutaneous nerve of the thigh (also called the posterior femoral cutaneous nerve) is a sensory nerve in the thigh. It supplies the skin of the posterior surface of the thigh, leg, buttock, and also the perineum. Structure The pos ... References External links * () {{Authority control Nerves of the lower limb and lower torso Scrotum ...
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Inferior Rectal Artery
The inferior rectal artery (inferior hemorrhoidal artery) is an artery that supplies blood to the lower third of the anal canal below the pectinate line. Structure The inferior rectal artery arises from the internal pudendal artery as it passes above the ischial tuberosity. Piercing the wall of the pudendal canal, it divides into two or three branches which cross the ischioanal fossa, and are distributed to the muscles and integument of the anal region, and send offshoots around the lower edge of the gluteus maximus to the skin of the buttock. They anastomose with the corresponding vessels of the opposite side, with the superior and middle rectal arteries, and with the perineal artery. Function The inferior rectal artery supplies oxygenated blood to the anal sphincter and the lower third of the anal canal below the pectinate line. Additional images File:Gray405.png, The perineum. The integument and superficial layer of superficial fascia reflected. See also * Superior ...
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External Anal Sphincter
The external anal sphincter (or sphincter ani externus ) is a flat plane of skeletal muscle fibers, elliptical in shape and intimately adherent to the skin surrounding the margin of the anus. Anatomy The external anal sphincter measures about 8 to 10 cm in length, from its anterior to its posterior extremity, and is about 2.5 cm opposite the anus, the sphincter muscle retracts on defecating. It consists of two layers: ''superficial'' and ''deep''. * The superficial layer, constitutes the main portion of the muscle, and arises from a narrow tendinous band, the anococcygeal raphe, which stretches from the tip of the coccyx to the posterior margin of the anus; it forms two flattened planes of muscular tissue, which encircle the anus and meet in front to be inserted into the central tendinous point of the perineum, joining with the superficial transverse perineal muscle, the levator ani, and the bulbospongiosus muscle also known as the bulbocavernosus. * The deeper laye ...
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Pectinate Line
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 A proctodeum is the back ectodermal part of an alimentary canal. It is created during embryogenesis by a folding of the outer body wall. It will form the lower part of the anal canal, below the pectinate line The pectinate line (dentate line) i ... junction. It is an important anatomical landmark in humans, and several distinctions can be made based upon the location of a structure relative to this line: Additional images File:Rectoanal jxn.JPG, Microscopic cross section of the anorectal junction. File:Anorectum-en.svg , Anatomy of the anus and rectum File:Gray1078.png, Coronal section of rectum and anal canal. References External links * () {{Authority control Digestive system Anatomic Landmarks ...
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Perineum
The perineum in humans is the space between the anus and scrotum in the male, or between the anus and the 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. There is some variability in how the boundaries are defined. The perineal raphe is visible and pronounced to varying degrees. The perineum is an erogenous zone. The word perineum entered English from late Latin via 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 masculinization causes the development of a large anogenital distance in men, in comparison to the corresponding lac ...
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Posterior Scrotal Nerves
The posterior scrotal branches (in men) or posterior labial branches (in women) are two in number, medial and lateral. They are branches of the perineal nerve, which is itself a branch of the pudendal nerve. The pudendal nerve arises from spinal roots S2 through S4, travels through the pudendal canal on the fascia of the obturator internus muscle, and gives off the perineal nerve in the perineum. The major branch of the perineal nerve is the posterior scrotal/posterior labial. They pierce the fascia of the urogenital diaphragm, and run forward along the lateral part of the urethral triangle in company with the posterior scrotal branches of the perineal artery; they are distributed to the skin of the scrotum or labia and communicate with the perineal branch of the posterior femoral cutaneous nerve. See also * Anterior scrotal nerves * Anterior labial nerves The anterior labial nerves are branches of the ilioinguinal nerve. The nerves innervate the mons pubis and labium majus i ...
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Posterior Femoral Cutaneous
The posterior cutaneous nerve of the thigh (also called the posterior femoral cutaneous nerve) is a sensory nerve in the thigh. It supplies the skin of the posterior surface of the thigh, leg, buttock, and also the perineum. Structure The posterior cutaneous nerve of the thigh is a nerve from the sacral plexus. It arises partly from the dorsal divisions of the S1 and S2, and from the ventral divisions of S2 and S3 sacral spinal nerves. It leaves the pelvis through the greater sciatic foramen below the piriformis muscle. It then descends beneath the gluteus maximus muscle with the inferior gluteal artery, and runs down the back of the thigh beneath the fascia lata. It runs over the long head of the biceps femoris to the back of the knee. It then pierces the deep fascia, and accompanies the small saphenous vein to about the middle of the back of the leg. Its terminal branches communicate with the sural nerve. Branches Its branches are all cutaneous, and are distributed t ...
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Rectum
The rectum is the final straight portion of the large intestine in humans and some other mammals, and the gut in others. The adult human rectum is about long, and begins at the rectosigmoid junction (the end of the sigmoid colon) at the level of the third sacral vertebra or the sacral promontory depending upon what definition is used. Its diameter is similar to that of the sigmoid colon at its commencement, but it is dilated near its termination, forming the rectal ampulla. It terminates at the level of the anorectal ring (the level of the puborectalis sling) or the dentate line, again depending upon which definition is used. In humans, the rectum is followed by the anal canal which is about long, before the gastrointestinal tract terminates at the anal verge. The word rectum comes from the Latin '' rectum intestinum'', meaning ''straight intestine''. Structure The rectum is a part of the lower gastrointestinal tract. The rectum is a continuation of the sigmoid c ...
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Sphincter Ani Externus
The external anal sphincter (or sphincter ani externus ) is a flat plane of skeletal muscle fibers, elliptical in shape and intimately adherent to the skin surrounding the margin of the anus. Anatomy The external anal sphincter measures about 8 to 10 cm in length, from its anterior to its posterior extremity, and is about 2.5 cm opposite the anus, the sphincter muscle retracts on defecating. It consists of two layers: ''superficial'' and ''deep''. * The superficial layer, constitutes the main portion of the muscle, and arises from a narrow tendinous band, the anococcygeal raphe, which stretches from the tip of the coccyx to the posterior margin of the anus; it forms two flattened planes of muscular tissue, which encircle the anus and meet in front to be inserted into the central tendinous point of the perineum, joining with the superficial transverse perineal muscle, the levator ani, and the bulbospongiosus muscle also known as the bulbocavernosus. * The deeper layer ...
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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 zone (zo ...
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Inferior Rectal Veins
The lower part of the external hemorrhoidal plexus is drained by the inferior rectal veins (or inferior hemorrhoidal veins) into the internal pudendal vein The internal pudendal veins (internal pudic veins) are a set of veins in the pelvis. They are the venae comitantes of the internal pudendal artery. Internal pudendal veins are enclosed by pudendal canal, with internal pudendal artery and pudenda .... Pathologies involving the Inferior rectal veins may cause lower GI bleeding. Depending on the degree of inflammation, they are given a grade level ranging from 1 through 4. Additional images File:Gray405.png, The perineum. The integument and superficial layer of superficial fascia reflected. References Veins of the torso {{circulatory-stub ...
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