A 58-Year-Old Man Presented to the Emergency Department Due to Severe

A 58-year-old man presented to the emergency department due to severe anal pain. The patient has had constipation for the last 8 months, he has seen blood streaks over the stool. The patient does not report gastrointestinal symptoms like nausea, vomiting, or abdominal pain. He has no weight loss. Physical examination reveals multiple purplish-blue bulges seen in the anal canal below the pectinate line. Excision under local anesthesia is planned. Which of the following nerves should be targeted in the local anesthesia?

A) Ilioinguinal nerve
B) Inferior gluteal nerve
C) inferior hypogastric plexus
D) Pelvic splanchnic nerves
E) Pudendal nerve

Correct Answer:

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