Abstract
Preserving continence of bowel contents and effective defecation with complete, spontaneous elimination of stool rely on an intact complex neuromuscular anorectal unit composed of the rectum, puborectalis muscle, internal anal sphincter, external anal sphincter, the levator ani, as well as its neurological innervation through lumbosacral plexus nerves, particularly the pudendal nerve. This article reviews each of these components, and their physiological role in providing normal anorectal function, and discusses the evaluation of anorectal neuro-physiological function, and morphology using high-resolution anorectal manometry, translumbosacral anorectal magnetic stimulation (TAMS), defecography, and anal endosonography.
Original language | English (US) |
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Title of host publication | Encyclopedia of Gastroenterology, Second Edition |
Publisher | Elsevier |
Pages | 99-104 |
Number of pages | 6 |
ISBN (Electronic) | 9780128124604 |
DOIs | |
State | Published - Jan 1 2019 |
Keywords
- Anal canal
- Anal endosonography
- Anorectal angle
- Anorectal function
- Anorectal manometry
- Endoanal MRI
- External anal sphincter
- Internal anal sphincter
- Levator ani
- Lumbar plexus
- Pubococcygeus
- Puborectalis muscle
- Pudendal nerve
- Sacral plexus
- Translumbosacral anorectal magnetic stimulation (TAMS)
ASJC Scopus subject areas
- General Medicine