When a tubular organ or blood vessel becomes excessively narrow such that it can no longer perform as nature intended, it is a condition referred to by physicians as stenosis. Anal stenosis, also known as an anal stricture, is the narrowing of the anal canal, located just before the anal sphincter. The anal sphincter is a complex part of the body that maintains a seal that can be opened to discharge body waste. It is strong enough to restrict the passage of any fecal material but sensitive enough to differentiate between solid, liquid, and gas. There are actually two anal sphincter muscles … internal and external.
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He complained of therapy refractory constipation that had been present for 15 years, with delayed micturition and voiding by stages. The urethral pressure profile showed irregular contractions during micturition. The electromyogram, which was performed with concentric needle electrodes from the external anal sphincter, puborectalis, and external vesical sphincter, revealed synchronous contractions of these muscles. Injections of botulinum toxin into the sphincters showed good effects and no incontinence. This is a preview of subscription content, log in to check access.
Anismus is the failure of normal relaxation of pelvic floor muscles during attempted defecation. It can occur in both children and adults, and in both men and women although it is more common in women. It can be caused by physical defects or it can occur for other reasons or unknown reasons. Anismus that has a behavioral cause could be viewed as having similarities with parcopresis , or psychogenic fecal retention.