Y. The scrotum is a sack of skin divided in two parts by the perineal raphe, which looks like a line down the middle of the scrotum. I’ve had my family doctor give me – Answered by. Hemorrhoids and swollen perineal raphe? Hi, all. 5 month (range, 0. A perineal abscess is an infection that causes a painful lump in the perineum. Penile/scrotal raphe is red. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. pl. bulbospongiosus, in male. Sir/ma'am I have a lump (painless) in perineal region, which is not visible from eyes or from surface. 2. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. 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. perineal raphe. That said, disregard the raphe. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. 215 may differ. . Minor cuts or scrapes heal quickly. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. These cysts are referred to as median raphe cysts, an uncommonly encountered clinical condition. the two halves of which meet in a midline raphe deep. Submitted: 2 years ago. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. An anterior perianal lesion is described in a 62 yr old male and attention is drawn to this rarely described location and the unusually late presentation. DISCUSSION. It is one of the common, extremely annoying symptom for which patients attend the Dermatology Outpatient Department (OPD). 1). Because of the rarity, exact incidence cannot be calculated. These bumps can occur anywhere on perineal raphe most commonly around anus. The perineal raphe extends from the anus, through the mid-line of the scrotum (scrotal raphe) and upwards through the posterior mid-line aspect of the penis (penile raphe). We present a case and review the literature in respect to a 35-year-old man with a non-visible, painless midline. Once the correct diagnosis is established, treatment is usually straightforward. As the patient grows older, the cyst may also progress slowly. Perineal Injury. Here we present the unusual case of an epidermal cyst occurring between the anal sphincters, presenting as. Share this conversation. Cremasteric reflex should be tested bilaterally. The term "IPPP" was introduced in the medical literature within the past 10 years. 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. who do i go to&is this easy/safe to treat? Median raphe cysts are a rare, congenital entity. Hemorrhoids, or "piles," are swollen veins in the anus or rectum. Dermatitis is when an irritant causes the skin to become red, swollen, and sore. Not very big and feels more like a very swollen vein than anything else. , the Sphincter ani externus, the Bulbocavernosus, the two Transversi perinæi superficiales, and the. 81 - other international versions of ICD-10 N81. The perineal body (PB), also referred to as the central tendon of the perineum, is a fibro-muscular structure located in the midline of the perineum. An anal fissure is most common when a person has a dry, hard bowel movement. Talk to a doctor now . 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. Meaning of gouch. FormalPara Definition . Bruise. 3 ). It was a long and narrow tumefaction developed strictly on the midline on the median. In a woman, it's. Recent Findings The Davydov peritoneal vaginoplasty has its origins in neovaginal reconstruction for vaginal agenesis. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. read more Dr. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. Consult Now. 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). You may be suffering from tinea cruris which is fungal infection of the inner thighs and buttocks area. Feeling of increase swelling over suprapubic or perineal area, Pain refers to lower abdomen, waist, thighs and back; Symptoms of Perineal Pain and Traumatic Injury of Perineum-Perineal injury is caused by either blunt or penetrating trauma. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. Its exact location is the midline of the perineum at the junction of the anus and urogenital triangle in both females and males. 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. the caudal end of the left and right urethral folds fuse to form the urethral raphe. Richard Greengold: May be candida: This is a yeast that often causes problems in warm wea. The canals are l. 1. ” Another referred to it as the “vagina-nutsack-anus scar,” adding: “Every dude has one. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. (F) Near the rectum (R), the raphe (arrows) is continuous with a developing midline septum of the bilateral. Use a cold compress or ice pack to relieve pain and. —This is a fibrous point in the middle line of the perineum, between the urethra and anus, and about 1. Perineal raphe bump is a lump formation on the line of tissues i. When I shake it , it sound like liquid but it's hard. 1 Only a couple hundred case reports of median raphe cysts have been published in the English. I have them since 1-2 years, everytime after using ointment/cream bumps goes out but came back after some days. The anal opening opens into the perineum, which is the place between the scrotum and anal sphincter. The perineum pain between the genitals and anus can be commonly caused by anal fissures. In women, the perineum is the. A few antibiotics and massages are used to treat perineal pain but are done only once the inflammation subsides. 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. The perineum is the region of the body between the pubic symphysis (pubic arch) and the coccyx (tail bone), including the perineal body and surrounding structures. bulbospongiosus, in male. Median raphe cyst is usually benign and asymptomatic male genitalia lesions. Swollen red foreskin My Foreskin is red, puffy, itchy, slightly crusty, and HURTS Dry. After delivery, the doctor or midwife usually closes the perineal tear with stitches. It is a normal variant of anogenital anatomy, most often found in young girls. Overview A perineal abscess is an infection that causes a painful lump in the perineum. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. 1 They outlined the embryologic fusion as a major pathogenetic mechanism, the benign course of the abnormality, and proposed complete surgical excision to avoid recurrence. There are two (males) or three (females) openings that. It can be treated by taking four to six weeks of anti fungal treatment which includes tablets along with creams. The abscess may form after surgery or after delivery of a baby. The perineum pain between the genitals and anus can be commonly caused by anal fissures. Hold your thumbs in this position for about 1 minute. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. General causes. It does not hurt or itch, but it shouldn't be red. Abscesses are pus-filled “cysts”. If you have concerns, seek examination by Physician or Dentist. Nose length- Saddle nose length also seems to be a factor. If the area looks red and swollen or there is a painful cyst on the perineum, this may be a sign of infection. Antipyretics-. Perineum is in color. This is the American ICD-10-CM version of N48. Antibiotics can help treat certain types of perineal pain. 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. Functional Morphology. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. 5 mm 2 to 28. The clinical picture did not fit that of an abscess. Clarene Cress: Possible molluscum: Pimples that have a hard white core sound like mol. All the patients presented with an unusual lesion at the anus or perineum, but no symptoms related to this anomaly. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. Answered Jan 10, 2023. Itching in the perineum is the main symptom for hemorrhoids, helminthic invasion or perineal fistula. 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. 31,291 satisfied customers. [2–4] Perineal wounds usually occur following trauma, ablation of malignancy of the genitalia, low pelvic tumors, or following thermal or electrical injuries. The tissue has been described as triangular, pyramidal, oval, tongue-shaped or leaf-shaped. also rha·phe n. Note bulging perineum, and meconium in perineal raphe and scrotal raphe. The clinical picture did not fit that of an abscess. 2. Hot-water soaks increase blood circulation to the inflamed area, allowing more of the body’s healing factors access to the area. deep branch of the perineal nerve (from pudendal nerve) perineal a. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. I can hold it well with two fingers when pressed hard . B, Neonate girl with recto fourchette fistula. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o. 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. Suprapubic pain in women. Muneer, “An unusual swelling in the male. Abstract. It does not hurt or itch, but it shouldn't be red. 5 mm 2 in size. Perineal groove is a rare congenital malformation that is characterized by an exposed wet sulcus with nonkeratinized mucous membrane that extends from the posterior vaginal fourchette to the anterior ridge of the anal orifice. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. The 2024 edition of ICD-10-CM N48. My penile/scrotal raphe has been red for about three weeks. net dictionary. This isn't external, but rather internal. Using a throwaway account cause this is personal. S. Avoid a lot of skin care products, antiseptics are ok. Introduction and hypothesis: Descending Perineum Syndrome (DPS) is a coloproctologic disease and the best treatment for it is yet to be defined. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. The median age at the first visit to our clinic was 1. The management of an intrascrotal abscess, regardless of the cause, requires surgical drainage (see image below). Thank. Infection is treated with antibiotics. A blockage or breakdown of the lymphatic system leads to leakage of lymph (fluid) into surrounding tissues. It is found in both males and females, and arises from the fusion of the urogenital folds. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. Caring for the perineum. Skin care: Most superficial skin cuts will heal with time . Introduction. The purpose of the median septum is to compartmentalize each testis in order to prevent friction or trauma. Swollen raphe. Microscopically, there is epidermal acanthosis, marked edema, and mild inflammatory. Dr. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. A diamond shaped area between the legs below the pelvic diaphragm. 3–11. The perineal raphe was thin and wavy at 10 weeks, and it was continuous with and took a direction same as the inferior wall of the closed penile urethra after physiological hypospadias. The lesion extended 4 cm and was unilocular (Fig. in front of the latter. Jean E. got pap, clear. central tendinous point and the midline raphe on the bulb of the penis. 会阴的具體範圍有不同的定義 [2] ，有一種定義將女性的会阴定義為在陰道及肛門之間的部位，男性的会阴則定義為在陰囊及肛門之間的部位. Sit on a rubber ring (for no more than half an hour at a. tight feeling. 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. A 35-year-old man with a non-visible, painless midline swelling in the anterior perineum initially thought to be a liposarcoma is presented and histopathological examination confirmed a median raphe cyst. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. It is noteworthy that a rudimentary gubernaculum also forms in females. They may be located inside the rectum (internal) or outside the body at the anus. You can see yours has some crooked spots too. Created for people with ongoing healthcare needs but benefits everyone. It is completely common and normal physiological tissue line. Pus is a yellow or green liquid made by infected tissue. Difficulty getting an erection. also rha·phe n. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. Perineal pain or perineum pain is often caused by infection of perineal skin, subcutaneous tissue or deeper tissue like anus, vulva and vagina. 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 . An abscess is a painful, swollen area with pus inside. The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. Pelvic floor massage therapy helps manage long-term pain. Alex Kirkham 2, Asif Muneer 3 Correspondence to Arie Stewart Parnham, [email protected] membrane and corpus cavernosum of the clitoris. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. For the sake of this article, we will simply refer to it as the raphe. Some species have marked seasonal variation in. La rainure périnéale congénitale (perineal groove), est une malformation anopérinéale rare, survenant presque toujours chez des filles et correspondant à un rainure érythémateuse suintante, s’étendant de la fourchette vulvaire postérieure au bord antérieur de l’anus [1], [2], [3]. The perineal raphe is generally considered to mark the line of fusion between the so-called urethral folds (Glenister 1954; Hamilton and Mossman 1972), or of a combination of urethral folds and scrotal swellings (Szenes 1925; Wartenberg 1993), or between urethral folds for the penile raphe and between scrotal swellings for the scrotal. Press down towards the anus and the sides of your vaginal wall. A swollen or inflamed prostate can lead to perineum pain in men. If there is no mass or swelling in the testicle not to worry. Thomas suggests holding a simple, external vibrator—such as a bullet vibrator or a wand—against your 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. Both cysts and abscesses can cause. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. 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. This line starts just anterior to the anus and extends. This is the American ICD-10-CM version of L02. Perineal pyramidal protrusion is typically smooth and pink and measures from. Definition of gouch in the Definitions. Median raphe cysts usually don’t cause problems, but some people may develop symptoms later on in life, including: Swelling in the area. The complete type has the sulcus extended from the posterior fourchette to the. During a vulvar biopsy, doctors collect tissue samples from a female’s external genitalia. 4 to 6 weeks: The post partum period is 4 to 6 weeks. I accidentally cut my perineal raphe. Perineal raphe: everything on this line that divides the scrotum in two. 1. Perineum. Fournier gangrene (necrotizing fasciitis) requires prompt resuscitation and surgical. In botany and planktology it is commonly used when describing a seam or ridge on diatoms or seeds . 1-3 The diagnosis can be made in early infancy through the preschool and early school years. On histological. Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. Statistics. Try OTC Clotrimazole cream; if no better, see your doctor. It is observed as a noticeable line. The scrotum is a sack of skin divided in two parts by the perineal raphe, which looks like a line down the middle of the scrotum. Gently, massage the area in up-down or circular motions. Dr. Two cases of median raphe cyst are described; the first was treated by surgery and the second required no. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. Less commonly, an infection or. One person on Reddit succinctly (but not completely accurately) described it as “where our vaginas would be had you been born a girl instead of a guy. 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; and it is divided anatomically to: penile raphe, scrotal and perineal raphe. Pressure on the scrotal cysts caused expression of a milky fluid from the upper portion of the tract. . Read below for more information on causes and. Gastroenterology/General Surgery - 1 - Managing Perianal Itching (Pruritus Ani) What is pruritus ani? Itching around the anal area (called “anal itch” or pruritus ani) is a common condition characterized by irritation of the skin around the anus leading to anThe perineal raphe is generally considered to mark the line of fusion between the so-called urethral folds (Glenister 1954; Hamilton and Mossman 1972), or of a combination of urethral folds and scrotal swellings (Szenes 1925; Wartenberg 1993), or between urethral folds for the penile raphe and between scrotal swellings for the scrotal. 1. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. 89 became effective on October 1, 2023. The red extends slightly into the upper scrotum. RM 2H47JFP – Plate XLII. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Fragrances and preservatives, especially in wet wipes. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. A short contracted raphe was detected in 6 cases (10%) with an overall incidence of 0. Medicaments including neomycin. Congenital perineal hernia is an extremely rare entity with only 10 cases having been reported in literature. 25 cm. Share. Pruritus ani Pruritus ani is a condition that can occur in both genders, but. Difficulty getting an erection. It is unknown to many clinicians, which usually leads to misdiagnosis. In mid 2014 i had HIV, herpes, vdrl & tsh test and all tests. 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. . Call/text today: 1-212-204-6300 or make an appointment online. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. e. 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. The vast majority of the raphes do not bifurcate (123 genera), but the raphes of 7 genera do. Median raphe cysts are a rare, congenital entity. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. 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. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. Its location may be related to anatomic characteristics of the perineum and median raphe. An incision is made through the median raphe of the bulbospongiosus muscle and into the underlying urethra. I was checked for being intersexed before and they found nothing. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. It's around 1cm in diameter, was purple (now more pink), and right next to my anus. The diamond shaped perineum is divided into two triangles, the urogential triangle anteriorly and the anal triangle posteriorly. Median raphe cysts present anywhere between the external urethral meatus and the anus. Male perineum Stock Photos and Images. The lateral part of the genital tubercle. I was actually thinking about some kind of technique that is also used to make scars less visible. Raphe means the line of union of the two halves of various symmetrical parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum. The perineum is the area between the scrotum and the anus in a man. 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. Ask Your Own Medical Question. Irritating, water/air type, itchy, inflammatory bumps/fluffiness. This report describes an anterior perianal lesion in a 62 yr old male and draws attention to this rarely. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. 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. You can vary the pressure as per your liking. The raphe has three anatomical sections: the penile raphe, scrotal raphe, and perineal raphe. The perineal area needs extra care to heal after childbirth, including cool sitz baths to reduce swelling and speed healing. Additionally, the scrotum is normally located anterior to the anus, separated from it by the perineal body, and is connected to the lips of the anus by the perineal raphe. The perineal lesion (Figure 1) was recognized by CAP as the congenital malformation failure of midline fusion. Foster Carr answered. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. Median raphe cyst and canal is a rare anomaly that usually appears as a cystlike or canallike lesion on the ventral aspect of the penis but may occur anywhere from the urethral meatus to the anus. Itchiness can also arise from scarring tissue as the tear tries to heal. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. Ingredients of body washes. This means that the cause of the itch is not found. Hope this helps. [3] [4] The penoscrotal raphe (penile and scrotal raphe) is homologous to the female labia minora. the caudal end of the left and right urethral folds fuse to form the urethral raphe. It consists of two symmetrical parts, united along the median line by a tendinous perineal raphe. Bruises and swelling of the labia are most often from a straddle injury. I've had my family doctor give me an RX cream but it is not working? What is. I was checked for being intersexed before and they found nothing. . 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. We present a case and review the literature in respect to a 35-year-old man with a non. A case where a baby girl was born with failure of fusion of the perineal raphe is presented, and the embryological origin of this congenital abnormality is reviewed. 6. Apply ice to perineum for first 12 hours. Perineal fistula – the anal opening is in the wrong place (Picture 3). Having pre-existing HSV1 typically reduces symptoms of HSV2. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. Following the definitive diagnosis of failure of midline fusion, urology recommended a CT of the abdomen and pelvis to evaluate for additional. The testes, epididymides, and spermatic cords should be palpated for swelling and tenderness. Externally, a swelling called the genital tubercule appears over the cloacal membrane. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. board-certified. 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. Pudendal neuralgia is long-term pelvic pain that originates from damage or irritation of the pudendal nerve – a main nerve in the pelvis. This report describes an anterior perianal lesion in a 62 yr old male and draws attention to this rarely described location and the unusually. Richard Greengold answered. Please tell me what is perineal raphe? 1 doctor answer • 1 doctor weighed in. Anatomy Pelvis and perineum Pelvic girdle and floor Homology of the male and female genitalia. 1Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. The Central Tendinous Point of the Perineum. 1. my cut has healed but the piece of raphe that was hanging curled up and looks like a pimple?. Browse 111 authentic perineum stock photos, high-res images, and pictures, or explore additional perineum sunning or perineum tanning stock images to find the right photo at the right size and resolution for your project. 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. A perianal abscess is an abscess near the opening of your bottom (anus). Introduction. We present a case where a baby girl was born with failure of fusion of the perineal raphe. Start on the lightest setting. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. In males, the perineum is the area which is situated between the scrotum and the anus, the pouch of the skin which holds the testicles. 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. Created for people with ongoing healthcare needs but benefits everyone. 1. Perineal grooves in two newborn babies were. The perineal raphe is where the tissue came together, and this line extends down the the scrotum as well. This is the American ICD-10-CM version of N81. The 2024 edition of ICD-10-CM L02. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. A swollen or inflamed prostate can lead to perineum pain in men. Even when I touched it, it wasn't so much pain as it. left testicle also feels/looks lower than usual. In males, the perineum is the space between the scrotum and anus. They are considered congenital alterations in embryologic development. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. Freeman, A. In males, it is wrapped around the bulb of penis and corpus. It is unknown to many clinicians, which usually leads to misdiagnosis. ra·phae also rha·phae 1. Anatomy A seamlike line or ridge between two similar parts of a. The more you scratch, the bigger the chances you will tear your perineal wall. The latter inserts into the scrotal swelling. Serious injuries are rare. To report 2 cases of median raphe cysts, 1 in the penis and the other in the perineum. Specializes in Obstetrics and Gynecology. central tendinous point and the midline raphe on the bulb of the penis. Subsequent histopathological examination confirmed a median raphe cyst. Product. In addition, skin conditions like eczema and scabies can cause a red scrotum.