• Layered musculotendinous structure between the Anal Canal and the caudal part of the vertebral column, on which the terminal Rectum sits
  • From above downwards, it consists of:
    • Superior Fascia of the Pelvic Diaphragm
    • Tendinous Plate of Pubococcygeus
    • Muscular Raphe of Iliococcygeus
    • Posterior parts of Puborectalis and the External Anal Sphincter

  • Nerve Supply:
    • Main supply: Sacral Plexus by Branches of S3 and S4
      • Enter the upper (pelvic) surface of the muscle
      • Some fibres travel in or close to Pelvic Splanchnic Nerves
    • Puborectalis, Pubourethralis, Pubovaginalis supplied from below by the Perineal Branch of S4 and Inferior Rectal Branch of Pudendal Nerve, in common with the External Anal Sphincter
    • High proportion of slow twitch fibres (like the External Anal Sphincter and Urethral Sphincter muscles)