Defecation Motor Program

The defecation motor program is the coordinated neural and muscular sequence that moves fecal material from the rectum through the anal canal for elimination, making it essential for bowel continence and regularity. Rectal distension activates sensory pathways and spinal parasympathetic circuits, which promote rectal contraction, relaxation of the internal anal sphincter, and, when appropriate, voluntary relaxation of the external anal sphincter and pelvic floor. Understanding this program helps clinicians evaluate constipation, fecal incontinence, obstructed defecation, and neurogenic bowel disorders. It also informs anorectal manometry, pelvic-floor rehabilitation, and research into gastrointestinal motility and autonomic control.

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