SPHINCTER ANI

SPHINCTER ANI

Sphincter ani is the muscle located in the perineum around the anus. There are two sphincter muscles, external and internal muscles. It is the muscle surrounding the margin of anus. The internal sphincter covers almost 2.5 to 4 cm of anal canal. The internal as well as external sphincter has 2 components each – superficial and deep.

Origin

Anococcygeal raphe, perineal muscles.

Insertion

Coccyx, anococcygeal ligament, perineal muscles.

Blood supply

Internal pudendal artery.

Nerve supply

S4 pudendal nerve.

Action

The external anal sphincter contracts and keeps the anal opening closed. The internal anal sphincter is always in highly contracted stage and helps the external sphincter to close the anal opening. Both these sphincters helps to expel the feces.

Disease/Injury

Obstructed defecation means difficulty in passing feces or constipation can occur if the muscles do not relax properly.

Muscle Exercise

To strengthen the sphincter ani muscles, you need to lift and squeeze your sphincter as if you are avoiding passing gas. Then tighten your muscles as if you are trying to stop your urine in mid flow. Initially start the two exercises separately, then combine them by doing the first one and holding it and then the second movement. Hold this contraction for some time, then relax it completely and start again.

Interesting facts

You can use your external sphincter ani to delay the bowel movements as per your will.

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