Central tendon of perineum

A fibrous septum which extends from the posterior labial comissure/scrotal raphe to the anal region

Attached structures

• Lavetor ani
  
  
• External anal sphincter
  
  
• Deep and superficial transverse perinea muscles
  
  
• Bulbospongiosus
  
  
• It is crucial to the integrity of the perineum – both pelvic and urogenital diaphragm
  
  
• Its damage impairs this integrity with the effects similar to those following damage to the pelvic diaphragm
  
  
• It can be badly torn during un-aided parturition
  
  
• Care must be taken not to cut it or else it must be repaired securely.