
A sphincter muscle is a ring-shaped muscle that surrounds and controls the opening and closing of bodily passages, thereby regulating the flow of substances like food, liquid, and waste through these passages. There are over 60 types of sphincters in the human body, with some of the most important ones being the lower oesophageal sphincter, the pyloric sphincter, the ileocecal sphincter, the sphincter of Oddi, and the internal and external urethral sphincters. These sphincters are located in various parts of the body, including the digestive tract, urinary tract, blood vessels, and eyes, and they can be classified as either voluntary or involuntary muscles.
| Characteristics | Values |
|---|---|
| Definition | Ring-shaped muscles that open and close to regulate the flow of substances |
| Location | Digestive tract, urinary tract, blood vessels, and eyes |
| Types | Involuntary, Voluntary, Anatomical, Functional |
| Functions | Regulate the flow of substances like food, liquid, and waste; control pupil dilation in response to light |
| Examples | Pyloric sphincter, Sphincter of Oddi, Ileocecal sphincter, Anal sphincters, Precapillary sphincters, Pupillary sphincters |
| Characteristics of Pyloric Sphincter | Allows partially digested food to pass from the stomach to the small intestine |
| Characteristics of Sphincter of Oddi | Releases bile and pancreatic enzymes when food enters the duodenum |
| Characteristics of Ileocecal Sphincter | Regulates the movement of digested food from the small intestine to the large intestine |
| Characteristics of Anal Sphincters | Consists of internal (involuntary) and external (voluntary) sphincters that regulate defecation |
| Characteristics of Precapillary Sphincters | Regulate blood flow into capillaries |
| Characteristics of Pupillary Sphincters | Involved in pupil dilation in response to light |
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What You'll Learn

Involuntary vs. voluntary sphincters
A sphincter is a circular muscle that maintains constriction of a natural body passage or orifice and relaxes as required by normal physiological functioning. Sphincters are found in many animals, and there are over 60 types in the human body, some microscopically small. They are located in the digestive tract, urinary tract, blood vessels, and eyes, and they are either under voluntary or involuntary control.
Voluntary sphincters are supplied by somatic nerves and consist of skeletal (voluntary) muscles that can be consciously opened and closed. They include sphincters that control defecation or urination, such as the external urethral sphincter, which is located on the pelvic floor and helps to "hold it in" when the bladder is full. It also closes reflexively during ejaculation to prevent the backflow of semen into the bladder. The external anal sphincter is another example of a voluntary sphincter, which is controlled by the voluntary anorectal inhibition reflex.
Involuntary sphincters are stimulated by autonomic nerves and consist of smooth (involuntary) muscles that respond automatically to external stimuli, such as changes in pressure caused by the movement of food through the digestive tract. Examples include the internal urethral sphincter, which is located at the junction of the neck of the bladder and urethra, and the internal anal sphincter, which is situated at the opening of the rectum and regulates defecation. The pyloric sphincter is another involuntary sphincter that allows partially digested food to pass from the stomach into the first part of the small intestine (the duodenum).
Some passages used for defecation and urination have both an involuntary and a voluntary sphincter, such as the anal sphincters, which consist of an internal (involuntary) and external (voluntary) sphincter situated next to each other in the anal canal. The internal sphincter is necessary for both involuntary and voluntary continence, as it mediates the voluntary inhibition reflex.
In addition to the urethral and anal sphincters, there are other sphincters in the body that serve different functions, such as the precapillary sphincters, which regulate blood flow into the capillaries, and the pupillary sphincters, which are involved in pupil dilation in response to light.
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Types of sphincters
A sphincter is a circular muscle that maintains constriction of a natural body passage or orifice and relaxes as required by normal physiological functioning. There are over 60 types of sphincters in the human body, some of which are microscopically small. Sphincters can be classified into functional and anatomical sphincters. Anatomical sphincters have a localized and often circular muscle thickening to facilitate their action as a sphincter. Functional sphincters, on the other hand, do not have this localized muscle thickening and achieve their function through muscle contraction around or within the structure.
Involuntary and Voluntary Sphincters
Sphincters can also be classified into involuntary and voluntary sphincters. Involuntary sphincters consist of smooth muscles that respond automatically to external stimuli, such as changes in pressure caused by the movement of food through the digestive tract. Voluntary sphincters, on the other hand, are supplied by somatic nerves.
There are many types of sphincters in the human body, including:
- Pyloric sphincter: This involuntary sphincter is located at the lower end of the stomach, allowing partially digested food to pass into the duodenum, the first part of the small intestine.
- Sphincter of Oddi (SO): This is an involuntary sphincter located where the pancreatic duct and common bile duct connect to the duodenum. It ensures the release of the right amounts of bile and pancreatic enzymes when food enters the duodenum.
- Ileocecal sphincter: Also known as the ileocecal valve, this involuntary sphincter is located at the junction of the small and large intestines, regulating the movement of digested food from the small to the large intestine.
- Internal and external urethral sphincters: These sphincters are located at the junction of the neck of the bladder and urethra. The internal sphincter is involuntary and works with the detrusor muscle of the bladder. The external sphincter is voluntary and helps to prevent urination when the bladder is full.
- Anal sphincters: These are a pair of sphincters, one internal (involuntary) and the other external (voluntary), situated at the opening of the rectum, regulating defecation.
- Precapillary sphincters: These are the most numerous sphincters in the human body, numbering in the millions. They are involuntary sphincters that regulate the flow of blood into capillaries.
- Pupillary sphincters: Also known as the sphincter pupillae, this pair of involuntary sphincters are involved with pupil dilation in response to light.
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Functions of sphincters
A sphincter is a ring-shaped muscle that opens and closes to regulate the flow of substances, like food, liquid, and waste, through passages in the body. There are over 60 types of sphincters in the human body, some of which are microscopically small. They are found in the digestive tract, urinary tract, blood vessels, and eyes, and are either under voluntary or involuntary control.
Lower oesophageal sphincter (or cardiac sphincter)
The lower oesophageal sphincter, or cardiac sphincter, is located at the top of the stomach. It is closed most of the time, preventing acids and other stomach contents from moving up into the oesophagus. It opens to let swallowed food pass into the stomach.
Pyloric sphincter
The pyloric sphincter is located at the lower end of the stomach. It allows partially digested food to pass from the stomach into the duodenum (the first part of the small intestine). It holds food in the stomach until it is thoroughly mixed with gastric juices.
Sphincter of Oddi (SO)
The Sphincter of Oddi, or Glisson's sphincter, is located where the pancreatic duct and common bile duct connect to the duodenum. It controls the flow of bile, pancreatic juices, and gall bladder secretions into the duodenum. These fluids are essential for the digestion of fats and the neutralization of stomach acid as food moves into the small intestine.
Ileocecal sphincter
The ileocecal sphincter, or ileocecal valve, is located at the junction of the small intestine (ileum) and the large intestine. It regulates the movement of digested food from the small intestine to the large intestine and limits the reflux of colonic contents back into the ileum.
Anal sphincters
The anal sphincters are a pair of sphincters situated at the opening of the rectum that control the exit of faeces from the body. The internal anal sphincter is involuntary, while the external anal sphincter is voluntary.
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Disorders of the sphincters
Sphincters are ring-shaped muscles that open and close to regulate the flow of substances, like food, liquid, and waste, through passages in the body. There are over 60 types of sphincters in the human body, which can be further classified into functional and anatomical sphincters. Anatomical sphincters have a localised and often circular muscle thickening to facilitate their action as a sphincter. Functional sphincters do not have this localised muscle thickening and achieve their sphincteric action through muscle contraction.
Some disorders of the sphincters include:
Sphincter of Oddi dysfunction
The sphincter of Oddi is a muscle that opens and closes to allow bile and pancreatic juice to flow into the small intestine. Sphincter of Oddi dysfunction occurs when the sphincter muscle doesn't open when it should, causing a backup of digestive juices and severe pain in the abdomen. This condition is often related to issues like scarring and inflammation that prevent the free flow of digestive juices. People who have had their gallbladders removed are also more likely to develop this dysfunction.
Anismus (dyssynergic defecation)
Anismus is a functional pooping disorder that occurs when the muscles and nerves in the pelvic floor fail to coordinate correctly to have a bowel movement. It can cause chronic constipation and can be treated with biofeedback therapy, which can train individuals to activate and relax their sphincter muscles at will.
Outlet obstruction type constipation (pelvic floor dyssynergia)
This disorder occurs when the external anal sphincter, which is part of the pelvic floor, does not relax to allow stool to come out during a bowel movement. Instead, the sphincter may be squeezed more tightly shut, resulting in constipation.
Hirschsprung’s disease
Hirschsprung’s disease is a congenital defect where the nerves that the internal anal sphincter depends on are missing at birth. As a result, the internal anal sphincter remains closed, preventing bowel movements.
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Treatment for sphincter issues
The sphincter muscles are circular bands of muscle that surround tubular structures in the body, such as the bladder, stomach, and intestines. They act like valves, relaxing to allow the passage of fluids or waste, and then tightening to prevent backflow or control the release. Due to their crucial role in controlling the body's eliminatory processes, issues with sphincter muscles can have a significant impact on a person's quality of life. Treatment for sphincter muscle issues will depend on the specific type of sphincter and the underlying cause of the problem.
For issues with the urinary sphincter, which controls the release of urine from the bladder, treatments can include:
- Pelvic floor muscle exercises: Also known as Kegel exercises, these involve contracting and relaxing the pelvic floor muscles to improve their strength and tone. This can help with urinary incontinence caused by weak sphincter muscles.
- Biofeedback: This technique uses sensors to provide information about your body's functions, such as muscle activity, helping you learn to control and relax the sphincter muscles.
- Electrical stimulation: Involves the use of mild electrical currents to stimulate and strengthen the sphincter muscles.
- Bulking agents: For stress incontinence, where urine leaks during activities that put pressure on the bladder, injectable bulking agents can be used to thicken the urethral wall and improve sphincter function.
When it comes to the anal sphincter, which controls the release of stool, treatments for sphincter issues may include:
- Dietary changes: Increasing fiber intake and staying hydrated can help soften stool and reduce strain during bowel movements, which is often helpful for those with fecal incontinence.
- Pelvic floor exercises: Just like with urinary incontinence, Kegel exercises can be beneficial for strengthening the anal sphincter and improving bowel control.
- Biofeedback: Biofeedback can also be used to treat anal sphincter issues, helping individuals learn to relax and control the muscles for easier defecation.
- Surgery: In more severe cases, such as anal sphincter tears or severe muscle damage, surgery may be required to repair the sphincter and restore its function.
It is important to consult with a healthcare professional to determine the underlying cause of sphincter issues and develop an appropriate treatment plan. Self-care measures, such as maintaining a healthy weight, avoiding prolonged constipation or diarrhea, and quitting smoking, can also help manage and prevent sphincter muscle problems.
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Frequently asked questions
A sphincter muscle is a ring-shaped muscle that opens and closes to regulate the flow of substances through passages in the body.
There are over 60 types of sphincter muscles in the human body, some of which include the pyloric sphincter, the lower oesophageal sphincter, the ileocecal sphincter, and the external urethral sphincter.
The pyloric sphincter is an involuntary muscle that allows partially digested food to pass from the stomach into the duodenum, which is the first part of the small intestine.
Internal sphincters are involuntary muscles, whereas external sphincters are voluntary muscles. For example, the internal anal sphincter is an involuntary muscle that contracts to close the anal canal and the external anal sphincter is a voluntary muscle that relaxes during defecation.







































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