An anal sphincter is a group of muscles at the end of the rectum that surrounds the anus and controls the release of stool, thereby maintaining continence. There are two sphincter muscles: one is internal and one is external. The external muscle helps maintain continence and keep stool in the rectum. If there is a loss of muscle control in the sphincter, incontinence may occur.
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Anal sphincter injuries are uncommon injuries outside of obstetric practice — but they may cause disastrous complications. We present a case of complete anal sphincter disruption from anal intercourse in a 25 year old woman. Clinical management is presented and technical details of the repair are discussed. She had an uneventful post-operative course and good continence after days of follow up. This is one of a handful of reported cases of anal sphincter disruption secondary to anal intercourse. The established risk factors in this case included receptive anal intercourse coupled with alcohol use. We review the pertinent surgical principles that should be observed when repairing these injuries, including anatomically correct repair and appropriate suture choice.
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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.
Jump to navigation. A sphincter injury refers to a tear or damage to the muscle that surrounds the anal canal. These muscles are used to control bowel movements. Damage to one or both of these muscles can result in the decreased ability to control bowel movements and can contribute to symptoms of accidental bowel leakage. Sphincter injuries can occur as a result of anal or rectal surgery, obstetrical trauma or other trauma to the rectum.