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The external anal sphincter (or sphincter ani externus ) is a flat plane of skeletal muscle fibers, elliptical in shape and intimately adherent to the skin surrounding the margin of the anus. You can develop abnormal weakness in either the internal or external sphincter for reasons that include age-related wear and tear,. You can learn how to properly contract your anal muscles and improve their strength and coordination. The internal anal sphincter is an involuntary muscle, which means you cannot consciously control it. Similar to your beating heart and your diaphragm, this muscle does its job every second of the day without you having to think about its function. The internal sphincter is programmed to stay shut, which is why most adults do not leak stool while they sleep. These involve contracting and releasing the anal sphincter muscle. There are several different positions to do these exercises, such as sitting, standing and lying down. A healthcare professional, such as a continence physiotherapist or specialist continence nurse, will guide you through these routines and help you to keep track of your progress. Anal stenosis anal stenosis is not a common condition, but it can be related to inflammatory bowel disease (ibd), and in crohns disease more so than in ulcerative colitis. In anal stenosis, the anal sphincter becomes narrowed, to the point where it is difficult to have a bowel movement. Anal sphincters are composed of many different muscles which allow stool to pass through contractions and relaxation. If these muscles get damaged or are unable to contract completely, it can lead to anal seepage. Sphincter muscles can get damaged during childbirth, prostate or rectal surgery, trauma to the anal region, or a condition such as.