title: [The inferior rectal nerve. Anatomical bases of perineal pain].
abstract: METHODS
  4 corpses (1 fresh, 3 formoled) without preliminary injection; age: 84 to 90.
  
  
  METHODS
  a front access enabled us to show the origin of the inferior rectal nerve from the pudendal plexus, its course across the Alcook canal and the ischiorectal fossa. Then a posterior transgluteal access showed the short intragluteal course across the "biligamentary tunnel" (between sacrospinal and sacrotuberal ligaments) of nerves and vessels related to the anus, in particular the inconstant Morestin's nerve.
  
  
  CONCLUSIONS
  the compression of nerves causing perineal pain can occur at different places. Depending on the localisation of the origin and the course of the inferior rectal nerve (which change) in relation to the place of that compression, and also the existence or not of Morestin's nerve, the changing topography of these pains can be explained.
authors: Laboratoire d'Anatomie, Faculté de Médecine 44035-Nantes-France.
authors: F
authors: F
authors: Leclair
authors: R
authors: R
authors: Robert
authors: A
authors: A
authors: Faure
authors: O
authors: O
authors: Armstrong
authors: J M
authors: JM
authors: Rogez
authors: M C
authors: MC
authors: Lardoux
authors: J
authors: J
authors: Leborgne
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000294:innervation* / Q000503:physiopathology; D002102:Cadaver; D005260:Female; D006801:Humans; D008297:Male; D009130:Muscle, Smooth / Q000294:innervation / Q000503:physiopathology; D010146:Pain / Q000503:physiopathology*; D010502:Perineum; D012007:Rectum / Q000294:innervation* / Q000503:physiopathology