During incision & drainage of ischiorectal abscess, which nerve is/are affected/injured:: (A) Superior rectal nerve, (B) Inferior rectal nerve, (C) Superior gluteal nerve, (D) Inferior gluteal nerve
Answer is B. B i.e. Inferior rectal nerveThrough a posterior horse shoe shaped recess both ischiorectal fossae are connected behind the anal canal; so a unilateral abscess may become bilateral.During dissection of ischio rectal fossa, inferior rectal, pudendal, posterior scrotal or labial nerve & vessels along with perforating branches of S2-S3 and perineal branches of S4 nerve may get damaged.