The lower half of the anal canal, below the pectinate line, is divided into two zones separated by stratified squamous keratinized, respectively.
32.
This means that the internal anal sphincter contributes more to the resting tone of the anal canal than the external anal sphincter.
33.
In descending perineum syndrome the anal canal is situated several cm below this imaginary line, or it descends 3 4 cm during straining.
34.
Lesions which mechanically interfere with, or prevent the complete closure of the anal canal can cause a liquid stool or mucous rectal discharge.
35.
The rectum is a section of bowel situated just above the anal canal and distal to the sigmoid colon of the large intestine.
36.
This means that even with normal anal canal pressure, focal defects such as the keyhole deformity can be the cause of substantial symptoms.
37.
Anal fistulae originate from the anal glands, which are located between the internal and external anal sphincter and drain into the anal canal.
38.
The assumed mechanism of obstructed defecation is by disruption to the rectum and anal canal's ability to contract and fully evacuate rectal contents.
39.
The relevant anatomy includes : the rectum, the anal canal and the muscles of the pelvic floor, especially puborectalis and the external anal sphincter.
40.
It describes ulceration of the rectal lining caused by repeated frictional damage as the internal intussusception is forced into the anal canal during straining.
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