Anal reflex (superficial)

The pudendal nerve is both the afferent and efferent nerve.
The spinal root is S4-5.

  • The patient should lie on their side or with their knees drawn up to their elbows.
  • Gently stroke along the anus with the end of a cotton swab [Figure 86]. 
  • Note the contraction of the external anal sphincter muscle.

Figure 86

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