Central tendon of perineum

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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.