inferior anal nerves inferior anal nerves the inferior rectal nerves (inferior anal nerves, inferior hemorrhoidal nerve) usually branch from the pudendal nerve but occasionally arises directly from the sacral plexus; they cross the ischiorectal fossa along with the inferior rectal artery and veins, toward the anal canal and the lower end of the rectum, and is distributed to the sphincter ani externus (external anal sphincter, eas) and to the integument (skin) around the anus. inferior anal nervesthe superficial branches of the internal pudendal artery. (inferior anal nerves visible but not labeled.)pudendal nerve, its course through the lesser sciatic foramen, and branches, including inferior anal at bottom right.detailsfrompudendal nerve (usually)sacral plexus (occasionally)innervatessphincter ani externus and sensory around the anusidentifierslatinnervi anales inferiores, nervi rectales inferiores, nervus haemorrhoidalis inferiorta98a14.2.07.038ta26555fma75469anatomical terms of neuroanatomy branches of this nerve communicate with the perineal branch of the posterior femoral cutaneous and with the posterior scrotal nerves at the forepart of the perineum. supplies cutaneous innervation below the pectinate line and external anal sphincter.