Introduction and hypothesis: Descending Perineum Syndrome (DPS) is a coloproctologic disease and the best treatment for it is yet to be defined. Case presentation We report the case of a 4-year-old child presented to the emergency department for a serpiginous and redness lesion extended from the basis of the penis until the perineum. Board Certified Physician. If there is no mass or swelling in the testicle not to worry. The causes of perineal pain are pretty varied, but they fall into a few different categories. 1. Furuncle of perineum. 3 ). the caudal end of the left and right urethral folds fuse to form the urethral raphe. It is noteworthy that a rudimentary gubernaculum also forms in females. HIPAA Secure. Median raphe cysts present anywhere between the external urethral meatus and the anus. 6 7 14 Given that the perineal. Abstract. Pimple on perineum? (Just text, no photos) Hey so slightly awkward question but, I (24 y/o male) have what appears to be a zit on the perineum area, roughly halfway between the anus and the scrotum (sorry for the TMI). The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. In males, the bulbourethral ducts, urethra, deep dorsal neurovasculature of the penis and the nerves and vessels of the scrotum all pass over the perineal membrane. My symptoms started on may 6th, I have frequent urination, pain swollen feeling between my scrotum and rectum, sore lower back, pain in the t. The diagnosis is mostly. General causes. Use a cold compress or ice pack to relieve pain and. The perineum is the area between the scrotum and the anus in a man. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. But in 70% of calls to a specialist, the main formulation of the diagnosis with such symptoms is "idiopathic itch of the anus". Functional Morphology. A 48-year-old healthy male who is an avid cyclist presented with a progressive inferior perineal and scrotal swelling for five years. An anal abscess can also cause pain in the perineum. I don’t know of any procedures to remove it short of testicular nullification. a very prominent midline perineal raphe extending from the site of the anal orifice to the scrotum [10]. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. They heal quickly. S. Median raphe cysts are a rare, congenital entity. Michelle Jones singer answered. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. There are two. The most common treatment for perineal pain is rest; rest helps the body repair the damage. The perineum is the area between the anus and the vagina/penis. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. Postpartum Perineal Care Facts. What is. The stitches will dissolve in 1 to 2 weeks, so they will not need to be removed. In contrast, in the human perineum between the scrotum and anus, the urorectal septum is most likely to provide the perineal raphe as in mice. Background A defect in embryological development or closure of median raphe may lead to formation of cyst(s) anywhere in the midline from glans to anus. Perineal fistula – the anal opening is in the wrong place (Picture 3). Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). The perineal raphe is visible. It is found in both males and females, arises from the fusion of the urogenital folds, and is visible running medial through anteroposterior, to the anus where it resolves in a small knot of skin of varying size. 8. Note bulging perineum, and meconium in perineal raphe and scrotal raphe. The scrotum is divided on its surface into two lateral portions by a ridge or raphé, which is continued forward to the under surface of the penis, and backward, along the middle line of the perineum to the anus. skeletal muscle. 5 mm 2 to 28. Perineum swelling is associated with a variety of conditions, including: Cysts and abscesses: Cysts (which are fluid-filled sacs) develop due to infection or irritation in the perineum. Introduction. Raphe means the line of union of the two halves of various symmetrical body parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. If the area looks red and swollen or there is a painful cyst on the perineum, this may be a sign of infection. The unhealed perineal wounds can lead to significant morbidity. The diagnosis is clinical with histological confirmation. [2–5] About 25-45% of these patients can develop serious complications. For classic saddle sores or ischial tuberosity pain, pad your skin with padded tape or moleskin. Please tell me what is perineal raphe? 1 doctor answer • 1 doctor weighed in. Depending on growth of the bulbospongiosus muscle and corpus spongiosus penis, the midline intermuscular septum obtained a connection to the subcutaneous wavy. 225 may differ. A differential diagnosis must be. After you’ve given birth, it’s common for the perineum to be sore. my bottom left testicle feels swollen & my perineal area all the way down to my anus. Another clue to a possible penile torsion is the rotated appearance of the median raphe. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. An infected median raphe cyst was suspected, and the patient. Thank. They can be found from the distal penis and scrotum to the perineum in a midline position. This is common in bike riders, people with chronic constipation, men who work in construction, and patients with a history of pelvic or perineal surgery. This condition is noticeably very different from swollen perineum, and you will know right away if you are experiencing. "The line that runs down the underside of the penis and down the middle of the scrotum, the peno-scrotal raphe (where the urogenital folds fused early in the womb), will darken. vulva, labia and clitoris in women. Testis. Anogenital skin is highly sensitive to soaps, perfumes, clothing, and superficial trauma and it is more prone to itchy dermatoses as a result of warmth, friction, lack of. We present a case and review the literature in respect to a 35-year-old man with a non-visible, painless midline swelling in the anterior perineum initially thought to. Same-day virtual video appointments and in-person appointments are available. In males, it is located between the anus and bulb of the penis. At night the irch is unbearable at times. At this point, perineal raphe is formed. The perineum is the region between the thighs that includes the space between the genitals and anus. The site of the median septum is apparent on the surface of the scrotum along a median longitudinal ridge called the scrotal raphe. Having pre-existing HSV1 typically reduces symptoms of HSV2. Median raphe cysts are a rare, congenital entity. A 10-month-old girl was referred to Pediatric Gynecology after her parents noticed an increasing genital bulge. Perineal raphe bump is a lump formation on the line of tissues i. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Take a warm bath. ”A case of median raphe cyst in the perineum presenting as a perianal polyp in a 65-year-old, English white male with exceptionally rare ciliated epithelium is reported. The perineal raphe is visible and pronounced to varying degrees. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. [2–4] Perineal wounds usually occur following trauma, ablation of malignancy of the genitalia, low pelvic tumors, or following thermal or electrical injuries. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. 215 - other international versions of ICD-10 L02. You may notice pieces of the stitches on your sanitary pad or on the toilet. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. Median raphe cysts present anywhere between the external urethral meatus and the anus. After you’ve given birth, it’s common for the perineum to be sore. If you think your swollen perineum is unusually itchy and swollen, go see your OB MD who did the OB care and d. It is a sac of skin and muscle that hangs in front of the pelvis, between the legs. A perineal groove is defined by three common features on physical examination: (a) moist appearing, erythematous midline sulcus, which generally extends from the posterior vaginal fourchette (or the scrotal raphe) to the anterior anal margin, (b) “hypertrophic minoral tails” that join posteriorly at or near the anus, and (c) normal. At night the irch is unbearable at times. Changes in urinary frequency (how often you pee). The area may look red and feel painful and be swollen. Bulbospongiosus is a sexually dimorphic muscle, meaning that it is different among sexes. However, I would never put my money on anything when. My perineum raphe is inflamed and swollen. Been using a cream to stop the itchyng and it helps and the line has disapeared a little but it itches again after a while!. Muneer, “An unusual swelling in the male. Read More. 5 month (range, 0. The most observant and observant now know what it is. We report the case of a 4-year-old child presented to the emergency department for a serpiginous and redness lesion extended from the basis of the penis until the perineum. So, the seam is really the remnants of what were originally your labio-scrotal folds, bits that were meant to become a labia. That's my perineal raphe and although the line is darker as it should be after a year of estrogen use, the skin has become loose and flappy. These cysts are referred to as median raphe cysts, an uncommonly encountered clinical condition. The perineal lesion (Figure 1) was recognized by CAP as the congenital malformation failure of midline fusion. If you have concerns, seek examination by Physician or Dentist. Same-day virtual video appointments and in-person appointments are available. This perianal soft tissue swelling may be mistaken for a skin tag, or acrochordon. A perineal fistula is a type of anorectal malformation (ARM) that involves a misplaced anal passage that is often narrowed. Cut. Kegel. Raphe of scrotum. Anal Itching (Pruritus Ani) Anal itching (pruritus ani) is a skin condition that affects your perianal area, which may become worse at night or after a bowel movement. The abscess may form after surgery or after delivery of a baby. Meaning of gouch. scrotum and penis in men. A perineum cut is back again! Vulvitis is common and can result from an allergic reaction, an infection or an injury. The latter inserts into the scrotal swelling. You can vary the pressure as per your liking. Pain when you pee or have intercourse. Raised bumps on perineal raphe. Help make yourself more comfortable by: Applying cold compresses or postpartum cooling pads, witch hazel pads, or Dermoplast spray to help lessen pain and swelling. Apply ice to perineum for first 12 hours. An abscess is a painful, swollen area with pus inside. penis and scrotum. Six cases are reported: five with canals or cysts of the genito-perineal raphe, one with a periurethral cyst. Physical examination revealed 2 nodular lesions at both sides of the perineal raphe, immediately behind the scrotum, both covered by redundant, but otherwise normal-looking skin, with no external signs of inflammation or infection. I was actually thinking about some kind of technique that is also used to make scars less visible. 1. Swollen veins are not common in this area and I have not seen this ever in many years of practice although anything is possible. Sore or itchy perineum. Specializes in Obstetrics and Gynecology. The complete type has the sulcus extended from the posterior fourchette to the. It's situated between interior thighs and anal region. 81 - other international versions of ICD-10 N81. This is the American ICD-10-CM version of L02. It is found in the superficial perineal space (pouch), together with the ischiocavernosus and superficial transverse perineal muscles. Perineal groove is a rare congenital midline malformation of the perineal raphe. Median raphe cysts are a rare, congenital entity. The penis should be returned to the sheath and kept in place by means of a sling support or purse string suture in the prepuce. The more you scratch, the bigger the chances you will tear your perineal wall. The clinical picture did not fit that of an abscess. Answered in 1 minute by: 1/28/2021. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. I've had my family doctor give me an RX cream but it is not working? What is. 225 became effective on October 1, 2023. ra·phae also rha·phae 1. These canals and cysts are explained as arising from epithelial rests incident to imperfect ventral fusion in the formation of the external genitalia, or from masses of epithelial cells which have migrated from the primitive epithelium. Help make yourself more comfortable by: Applying cold compresses or postpartum cooling pads, witch hazel pads, or Dermoplast spray to help lessen pain and swelling. This is the visible line or ridge on the underside of the penis that runs from the scrotum to the tip of the penis. Warm compresses and. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. Anogenital pruritus is defined as intense itching, acute or chronic, affecting the anal, perianal, perineal and genital skin, which is a dominant problem in the course of various cutaneous and systemic conditions. Perineoplasty is a surgical procedure to repair the perineum and external organs of your vagina (vulva). A lump on your perineum, redness and swelling. So, two days ago I noticed a little lump near my anus while showering. 1). Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. Anatomy A seamlike line or ridge between two similar parts of a. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. ”. 2. Wear loose cotton underwear and keep the area clean and dry. My perineal raphe occasionally becomes very swollen and sore to the touch, is this the sign of a problem? i cannot find or determine a cause Dr. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. They are the result of a burst blood vessel in that area. 1. The cyst may occur anywhere along the midline from glans to anus. Following clinical. Bruise. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. board-certified doctor by text or video anytime, anywhere. It was a long and narrow tumefaction developed strictly on the midline on the median. Allergic contact dermatitis. Cross section of male abdomen with pelvic diaphragm, Prostate, bladder, rectum, pubic bone, urethra, anus, and coccyx. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. The perineal raphe is a visible line or ridge of tissue on the body that extends from the anus through the perineum to scrotum (male) or labia majora (female). On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. . When I took a closer look with a small mirror I realized that I had a cut/tear on my perineum and it's just slowly healing. In our study we treated a case with a large congenital scrotal sinus by total surgical excision. A. All the patients presented with an unusual lesion at the anus or perineum, but no symptoms related to this anomaly. The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. Sometimes men write to ISNA, saying that they have a line down the underside of their penis, all the way to the anus, and they wonder if this is evidence of some sort of intersex condition. Penile Torsion and Wandering Raphe • Counterclockwise • Abnormal arrangement of penile shaft skin in development • Surgical repair if >40 degrees. It's doesn't hurt. Perineal raphe: everything on this line that divides the scrotum in two. Answered Jan 10, 2023. You may be suffering from tinea cruris which is fungal infection of the inner thighs and buttocks area. Urinalysis should always be performed, but scrotal imaging is necessary only when the diagnosis remains unclear. There are two (males) or three (females) openings that. Raphe means the line of union of the two halves of various symmetrical body parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum. Women are particularly vulnerable to perineum pain because of childbirth and urinary tract infections. Cut. Both cysts and abscesses can cause. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. perineal raphe: [TA] the central anteroposterior line of the perineum, more marked in the male, being continuous with the raphe of the scrotum. Although uncommon, infection may be a complication. Damage, or injury, to either the testes or the epididymis can cause swelling and pain in the scrotum. Functional Morphology. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. tight feeling in anus happens also. The canals are l. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. Parnham, A. Anatomy A seamlike line or ridge between two similar parts of a. John Chiu agrees. Avoid a lot of skin care products, antiseptics are ok. CAP recommended no further sexual assault or medical work-up and no treatment. Congenital sinus located in the scrotal raphe is an extremely rare anomaly. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. Abstract. At night the irch… Nov 13, 2009 · My perineum raphe is inflamed and swollen. Most. Median raphe cyst is a very rare, benign congenital lesion occurring mainly on the ventral aspect of the penis, but can develop anywhere in the midline between the external urethral meatus. It does not hurt or itch, but it shouldn't be red. Created for people with ongoing healthcare needs but benefits everyone. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. Differential diagnosis for a cystic lesion in the perineum includes a tail gut cyst (a developmental lesion lined with gastrointestinal epithelium which would be retro-rectal , perineal median raphe cysts or urethral and seminal vesicle cysts which would be connected to the urological system. The scrotum is part of the male anatomy. In males, it is located between the anus and bulb of the penis. o The anus and the scrotum in males but continues on to the scrotum as ___. A 35-year-old man presented with a 12-month history of a non-visible, albeit palpable midline painless swelling from the bottom of his scrotum and extending down into the perineum ( figure 1 ). Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. Dr. The cavity should be left open and packed. Jean E. . An unusual swelling in the male perineum Arie Stewart Parnham,1 Alex Freeman,2 Alex Kirkham,2 Asif Muneer3 1Department of Urology, The. It is located in the midline and anterior to the anus in an area called the perineal median raphe. It is completely common and normal physiological tissue line. central tendinous point and the midline raphe on the bulb of the penis. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. 1 Normal Scrotal Raphe. D. It arises from the central tendinous point of the perineum and from the median perineal raphe in front. Hot-water soaks increase blood circulation to the inflamed area, allowing more of the body’s healing factors access to the area. 215 may differ. Anogenital skin is highly sensitive to soaps, perfumes, clothing, and superficial trauma and it is more prone to itchy dermatoses as a result of warmth, friction, lack of. It is a normal variant of anogenital anatomy, most often found in young girls. Y. B, Neonate girl with recto fourchette fistula. I have a facial discoloration rash which a doctor has diagnosed as a fungal infection due to an allergic reaction to a cream prescribed by a. Foster Carr answered. Ingredients of body washes. Right now my perineum is swollen, around my anus towards my vagina and I have a have a tiny tear half way between my vagina and anus. It consists of the genital fold. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. The Perineal raphe on my penis from the head to the bottom is red and very itchy non-stop, it started from Sunday in the afternoon. The perineal raphe is a visible line or ridge of tissue on the body that extends from the anus through the perineum to scrotum (male) or labia majora (female). The scrotum of the horse is a prepubic diverticulum of skin that contains the testes, their associated ducts, and the distal portion of the spermatic cords. Dr. Skeletal Radiol. 4 to 6 weeks: The post partum period is 4 to 6 weeks. Perineum pain in women can also feel sore and itchy. The clinical picture did not fit that of an abscess. For the past week I had the same problem - an itching/soreness/burning of the perineum and anus area. To report 2 cases of median raphe cysts, 1 in the penis and the other in the perineum. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. 2 Other symptoms include localized pain, chronic seepage, and excessive moisture. Minor cuts or scrapes heal quickly. 會陰. A wide array of diseases affect the female perineum in adults. This line starts just anterior to the. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. The raphe has three anatomical sections: the penile raphe, scrotal raphe, and perineal raphe. Unfortunately, these very short nose lengths had the downside of reducing the riders’ stability, especially. The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. As per your description, it indicates Anogenital pruritus that is defined as intense itching, acute or chronic, affecting the anal, perianal, perineal, and genital skin. Raphe ( / ˈreɪfi / RAY-fee; from Ancient Greek: ῥαφή, romanized : rhaphḗ, lit. Blunt trauma causes split in skin and muscles that may get infected. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. Product. This condition is one of the uncommon anomalies of urogenital/anogenital region that is unknown to many clinicians. perineal membrane and corpus cavernosum of the clitoris. 3 ). The perineal raphe is a visible line or ridge of tissue on the human body that extends from the anus through the the area between the anus and the scrotum or vulva . Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. 1Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. , 38 (September. N81. The median age at the first visit to our clinic was 1. The genital area in girls is protected. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. The pathological diagnosis was infantile perianal pyramidal protrusion. Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. ”. 17. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. Show More. He had been actively cycling for 20 years, riding an average. Painful urination (pain when you pee). board-certified. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. Median raphe cysts can develop at any site along the midline of the ventral side of the male genital area, from the meatus to the scrotum and perineum (Figure 1). We present a case and review the literature in respect to a 35-year-old man with a non-visible, painless midline swelling in the anterior perineum initially thought to be a liposarcoma. 3. We present a case and review the literature in respect to a 35-year-old man with a non. Gently pat the. Both cysts and abscesses can cause. Rinsing the area with warm water after you use the bathroom. 16. Abstract: Median raphe cysts occur as a developmental anomaly along the midline male perineum, A perineal median raphe cyst arising in a 3‐year‐old boy was successfully. Median raphe cyst is usually benign and asymptomatic male genitalia lesions. A short contracted raphe was detected in 6 cases (10%) with an overall incidence of 0. Its exact location is the midline of the perineum at the junction of the anus and urogenital triangle in both females and males. Read More. In women, the perineum is the space between the vaginal opening and anus. e. Two cases of median raphe cyst are described; the first was treated by surgery and the second required no. 25 cm. It is a normal variant of anogenital anatomy, most often found in young girls. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o. Subsequent histopathological examination confirmed a median raphe cyst. That line is called the “penile raphe. Therefore gents, you have a bit of a labia on your scrotum. Doctoral Degree. 6% penile anomalies − Often associated with hypospadias − Can be initially noted inScrotal examination should note asymmetry, swelling, erythema or discoloration, and positioning of the testes (horizontal vs vertical, high vs low). To our knowledge, there has been limited reports of this form of congenital abnormality in. 1. In males, the muscle consists of two parts that are fused at the median fibrous raphe of penis. A perineal median raphe cyst arising in a 3‐year‐old boy was successfully treated with primary excision and the possible origins and histologic features are briefly reviewed. Median raphe cysts are uncommon benign cysts thought to occur due to improper fusion of the genital tubercle and can occur anywhere along the median raphe, from the glans to the anus, most commonly occurring along the ventral penile shaft. It forms a line that midway between the legs. Signs and Symptoms Dr Basu. perineal a. [2–5] About 25-45% of these patients can develop serious complications. Red testicles can have associated symptoms of pain, itchiness, swelling, or dryness of the skin. Inspection of the genital region should follow a focused general. It is an extension of the perineal raphe, a line of tissue that extends. The genital area in girls is protected. The keywords used were levator ani muscle, rhabdosphincter, urethra, perineal membrane, smooth muscles, elastic fibers, continence, and pelvic floor anatomy. Rinsing the area with warm water after you use the bathroom. Median raphe cysts are a rare, congenital entity. It is a normal variant of anogenital anatomy, most often found in young girls. Causes of painless scrotal swelling in children and adolescents; Clinical manifestations and complications of inflammatory bowel disease in children and adolescents; Condylomata acuminata (anogenital warts) in children; Congenital anomalies of the hymen and vagina; Constipation in infants and children: EvaluationPerineal trauma, also known as vaginal tears, is a very typical and expected side effect of vaginal delivery. Antipyretics-. This report describes an anterior perianal lesion in a 62 yr old male and draws attention to this rarely described location and the unusually late presentation. That said, disregard the raphe. Congenital perineal groove is characterized by an exposed erythematous nonepithelized mucous membranes that resembles exposed wet erythematous sulcus, inflammation, or rupture of the midperineum area. These canals and cysts are explained as arising from epithelial rests incident to imperfect ventral fusion in the formation of the external genitalia, or from masses of epithelial cells which have migrated from the primitive epithelium. Creamy pus could be expressed from a broad funnel-shaped opening into a blind pouch in the area of the swelling, smears of which revealed gram-negative intracellular diplococci, morphologically typical of Neisseria gonorrheae. 3–11. Definition: Raphe means a line of fusion of the two halves of various symmetrical body parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum; and it is divided anatomically to: penile raphe, scrotal and perineal raphae. Introduction. Synonym(s): raphe perinei [TA]I see a raphe on my perineum,but not on scrotal skin. bulbospongiosus, in male. Read below for more information on causes and treatment options. Penile/scrotal raphe is red. Created for people with ongoing healthcare needs but benefits everyone. The area may look red and feel painful and be swollen. Not very big and feels more like a very swollen vein than anything else. This structure continues through the midline of the scrotum (scrotal raphe) and upwards through the posterior midline aspect of the penis (penile raphe). They are considered congenital alterations in embryologic development. Perineocele. Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum. The anoscrotal distance is more or less fixed, with a minimal variation (Chap. Minor injuries can cause lots of bleeding because of the rich blood supply. FormalPara Definition . The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. central tendinous point and the midline raphe on the bulb of the penis. The penile raphe is part of a broader line in the male reproductive organs, that runs from the anus through the perineum ( perineal raphe) and continues to the scrotum and penis, collectively referred to as median raphe. In males, the perineum is the space between the scrotum and anus. They are the result of a burst blood vessel in that area. Pressure at one extremity. Raphe means the line of union of the two halves of various symmetrical body parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum.