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The anal wink, anal reflex, perineal reflex, or anocutaneous reflex is the reflexive contraction of the external anal sphincter upon stroking of the skin around the anus. Anal wink a visible puckering at the margin of the external anal sphincter, evoked by stroking the perianal skin with a pin absence of an anal wink reflex suggests a defect in either sensory or motor nerves or in the central pathways that mediate this reflex. The anal wink can be elicited by gently touching a cottontipped applicator lateral to the external anal sphincter and observing its contraction. The anal wink reflex, or perineal reflex, is related to anal sphincter injury. According to a study published in the journal obstetrics & gynecology, anal sphincter disruption is common in women with pelvic floor disorders and likely plays a significant role in the development of anal incontinence in this population. First, each side of the buttocks is scratched with the gloved finger to elicit the superficial anal reflex (the anal wink), a function of l 1 and l 2. Next, using a generous amount of water-soluble gel for lubrication, the gloved index finger is inserted gently into the rectum. Ebraheims educational animated video describes the bulbocavernosus reflex for spinal cord injuries, and telling you all you need to know about it an a simple and easy way.

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