FormalPara Definition . This report describes an anterior perianal lesion in a 62 yr old male and draws attention to this rarely. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. 1), although cyst enlargement was present at either extremity. The perineal raphe is visible and pronounced to varying degrees. Abscesses are pus-filled “cysts”. [2–4] Perineal wounds usually occur following trauma, ablation of malignancy of the genitalia, low pelvic tumors, or following thermal or electrical injuries. Avoid a lot of skin care products, antiseptics are ok. Swollen red foreskin My Foreskin is red, puffy, itchy, slightly crusty, and HURTS Dry. Median raphe cysts present anywhere between the external urethral meatus and the anus. Developmental abnormalities of the male genitalia can result in epithelial-lined canals or cysts which occur along the ventral median raphe from the glans penis to the anus. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. Pressure on the scrotal cysts caused expression of a milky fluid from the upper portion of the tract. Share this conversation. Parnham, A. Your midwife may also suggest using a maternity pad that has been kept in the fridge or freezer. It is the result of a fetal developmental phenomenon whereby the scrotum. Perineal raphe: everything on this line that divides the scrotum in two. 2. At this point, perineal raphe is formed. The median age at the first visit to our clinic was 1. What is. 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. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. It would be most prudent for you to. Abstract. 2. Wear loose cotton underwear and keep the area clean and dry. General causes, gynecologic causes, and abdominal causes. Sometimes the tear comes as a result of continuous itchiness and scratching. Pain when you pee or have intercourse. 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. Penile/scrotal raphe is red. We present a case where a baby girl was born with failure of fusion of the perineal raphe. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just fall off. What causes itching (or burning) in the perineum? Here are the common causes of burning or itching in the perineum. 會陰. These cysts are referred to as median raphe cysts, an uncommonly encountered clinical condition. Noun [ edit] perineal raphe (plural perineal raphae) ( anatomy) The visible line that extends from the anus, through the mid-line of the scrotum and upwards through the posterior mid-line aspect of the penis. An anal fissure is most common when a person has a dry, hard bowel movement. 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. Perineal nodular induration (PNI), also known as cyclist´s nodule, ischial hygroma, third testicle or accessory testicle, is an uncommon entity caused by repetitive trauma associated with “saddle sports” , that almost exclusively affects male patients who are either professional or very active amateur cyclists [2,3]. Specializes in Obstetrics and Gynecology. The raphe joins the internal septum with the scrotum. The lateral part of the genital tubercle. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. 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. WeMedian raphe cysts present anywhere between the external urethral meatus and the anus. This is the American ICD-10-CM version of N48. After looking at it and doing some basic research, I'm pretty sure it's an external haemorrhoid. Anus to genital line: The area of the body between the anus and the scrotum or vagina. Show More. Perineal injury in. 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). Foster Carr answered. Perineal grooves in two newborn babies were. Subsequent histopathological examination confirmed a median raphe cyst. Indications. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Product. 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). Keep the area clean and dry. Figure 1 Image of patient's perineum. hav bv tho. Jean E. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. In addition, skin conditions like eczema and scabies can cause a red scrotum. Method 1. Although uncommon, infection may be a complication. 6 7 14 Given that the perineal. Both cysts and abscesses can cause. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. At night the irch is unbearable at times. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. 3 ). These bumps can occur anywhere on perineal raphe most commonly around anus. Abstract. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Anatomy Pelvis and perineum Pelvic girdle and floor Homology of the male and female genitalia. Genital Lymphedema. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. Read below for more information on causes and treatment options. 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. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. All the patients presented with an unusual lesion at the anus or perineum, but no symptoms related to this anomaly. My perineum raphe is inflamed and swollen. Freeman, A. Some yeast infection discharges can be very itchy, causing endless discomfort. This line starts just anterior to the anus and extends through. Long-term complications are not expected in most vaginal tears, except in severe lacerations, which are associated. The urogenital triangle differs between males and females. perineal a. The perineum is the major area. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12. 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. Perineal Injury. 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. Please tell me what is perineal raphe? 1 doctor answer • 1 doctor weighed in. it is normal? 1 doctor answer • 3 doctors weighed in. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. 2. Dermatitis is when an irritant causes the skin to become red, swollen, and sore. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. 1). The perineal raphe is where the tissue came together, and this line extends down the the scrotum as well. Common causes for scrotal redness include allergic reactions to hygienic products, chemicals, or medication. 225 may differ. There’s lots of other ways to phrase this explanation of the perineal raphe. . Rinsing the area with warm water after you use the bathroom. Women. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. Noun [ edit] perineal raphe (plural perineal raphae) ( anatomy) The visible line that extends from the anus, through the mid-line of the scrotum and upwards through the posterior mid-line aspect of the penis. At night the irch… Nov 13, 2009 · My perineum raphe is inflamed and swollen. Cross section of male abdomen with pelvic diaphragm, Prostate, bladder, rectum, pubic bone, urethra, anus, and coccyx. Sore or itchy perineum. 2. In animal anatomy it is used to describe a ridged union [2] of continuous. Painful urination (pain when you pee). 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. As the patient grows older, the cyst may also progress slowly. Anatomy and function of the scrotum. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. Therefore gents, you have a bit of a labia on your scrotum. The tourniquet may need to be re-applied as the swelling is reduced. It would be most prudent for you. Pelvic floor massage therapy helps manage long-term pain. Perineal pain or perineum pain is often caused by infection of perineal skin, subcutaneous tissue or deeper tissue like anus, vulva and vagina. Six cases are reported: five with canals or cysts of the genito-perineal raphe, one with a periurethral cyst. Median raphe cyst is an uncommon anomaly that can develop at any location over the midline of the external genital region from the anus to the scrotum and perineum. The lower part of the pelvis is sealed off by a muscular diaphragm and perineal membrane known as the pelvic floor. Parents reported first noticing what they believed to be a skin tag in the perineal area at birth. Infection is treated with antibiotics. given strong steroid cream, now increased. A lump on your perineum, redness and swelling. ( botany) The part of the stalk of an anatropous ovary that is united in growth to the outside covering and forms a ridge along the body of the ovule . 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. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Summary. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. Answered Jan 10, 2023. 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. 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 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 . 17. For the sake of this article, we will simply refer to it as the raphe. The pathological diagnosis was infantile perianal pyramidal protrusion. Ask Your Own Medical Question. Swelling in perineum. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. as two masses on both sides of the median raphe,. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. 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 . 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. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. 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. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. The latter inserts into the scrotal swelling. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. This was associated with the occurrence of a webbed penis with deficient ventralThe perineal raphe is conti nuous with and takes a direction same as the penile UR. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. compresses the bulb of. I can hold it well with two fingers when pressed hard . Perineum pain in women can also feel sore and itchy. —This is a fibrous point in the middle line of the perineum, between the urethra and anus, and about 1. You may notice pieces of the stitches on your sanitary pad or on the toilet. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. Doctoral Degree. It may also be too small. Show Less. my bottom left testicle feels swollen & my perineal area all the way down to my anus. 9). The perineal lesion (Figure 1) was recognized by CAP as the congenital malformation failure of midline fusion. If the area looks red and swollen or there is a painful cyst on the perineum, this may be a sign of infection. perineal membrane, dorsal surface of the corpus spongiosum, deep penile fascia. read more. 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). Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. the two halves of which meet in a midline raphe deep. Some yeast infection discharges can be very itchy, causing endless discomfort. The cavity should be left open and packed. Perineal groove is a rare congenital malformation characterized by a midline wet erythematous sulcus of the perineal raphe extending from the posterior fourchette to the anterior edge of anus with a normal anatomy of urethra, vagina and anus. Perianal region is an extremely rare location for these lesions. 215 became effective on October 1, 2023. the caudal end of the left and right urethral folds fuse to form the urethral raphe. skeletal muscle. 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. increased bowel. The perineal body, a connective tissue mass found between the anus and genitalia, was identified in all specimens caudal to the midline of the perineal membrane; however, no muscles insert on the perineal body, which occupies an anatomical plane caudal to the perineal muscles. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). . Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Kegel. 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. It can be treated by taking four to six weeks of anti fungal treatment which includes tablets along with creams. Here are some treatments you can try to help reduce the discomfort, pain, or swelling that might accompany a perineum lump: Use a donut or hemorrhoid pillow to reduce the pressure on your perineum from your own weight while you sit, especially. James Schumacher, in Equine Surgery (Fourth Edition), 2012. 5 month (range, 0. Try OTC Clotrimazole cream; if no better, see your doctor. Perineal raphe bump is a lump formation on the line of tissues i. It's doesn't hurt. Sore or itchy perineum. A short contracted raphe was detected in 6 cases (10%) with an overall incidence of 0. Warm compresses and. Suprapubic pain in women. Microscopically, there is epidermal acanthosis, marked edema, and mild inflammatory. Minor injuries can cause lots of bleeding because of the rich blood supply. In our study we treated a case with a large congenital scrotal sinus by total surgical excision. 1 Only a couple hundred case reports of median raphe cysts have been published in the English literature. 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. Dr. The perineum swells between the anus and the sex organs, and if you have damage or an injury to this area, it is likely that the entire floor of the muscle will swell. Less commonly, an infection or. 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. The symptoms of a perianal abscess are: pain; irritation around your bottom (anus) swelling; a pus discharge (a yellow or green liquid coming out of the area)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). 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. 8. General causes, gynecologic causes, and abdominal causes. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. . Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. Its exact location is the midline of the perineum at the junction of the anus and urogenital triangle in both females and males. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. 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. Bulbospongiosus is a paired muscle of the pelvic floor. The clinical picture did not fit that of an abscess. Once the correct diagnosis is established, treatment is usually straightforward. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. Pain when you pee or have intercourse. Browse Getty Images' premium collection of high-quality, authentic Perineum stock photos, royalty-free images, and pictures. 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. I was actually thinking about some kind of technique that is also used to make scars less visible. Cysts of the genito-perineal raphe: a study of 160. 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. The anal opening opens into the perineum, which is the place between the scrotum and anal sphincter. A chronic perineal wound could result. Perineal grooves in two newborn babies were described in this report, and the literature on. Functional Morphology. Let’s start with the male external genitalia, which includes the membranous - or intermediate - urethra, the. The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. Aside from when I actually run my finger over it, there is no pain. John Chiu agrees. Dr. Median raphe cysts are a rare, congenital entity. also rha·phe n. NSFW. central tendinous point and the midline raphe on the bulb of the penis. 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. Always in the exact same place. My penile/scrotal raphe has been red for about three weeks. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. Is a swollen perineal raphe a sign of a problem? Afghanistan A 24-year-old male asked: My perineal raphe occasionally becomes very swollen and sore to the. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. ___ is a sagittal ridge of skin in the perineum that extends between: o The anus and the vulva in females. [3] [4] The penoscrotal raphe (penile and scrotal raphe) is homologous to the female labia minora. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. 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. pl. 3 We discuss a case of perineal grooves in twin females who were successfully diagnosed based on physical exami-nation, with confirmation from obstetrics/gynecology. Share. The most common treatment for perineal pain is rest; rest helps the body repair the damage. Perianal region is an extremely rare location for these lesions. the right testicle was absent from the scrotum, but a mass was appreciated over the perineum. 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. Richard Greengold answered. It has been adapted as a robotic-assisted laparoscopic procedure and provides an alternative to perineal canal dissection in. 3 ). Palpation showed mobile, painless lesions, with a relatively elastic consistency. The abscess cavities must be opened and drained, including the testis if it is involved. Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. [3] The unhealed perineal wounds can lead to significant morbidity. Satisfied Customers. Gently pat the. With a perineal fistula, the abnormal anal opening is located outside of the sphincter muscle complex, such that the fistula usually has very few voluntary sphincter muscle fibers surrounding it. 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. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. Perineum is in color. The testes, epididymides, and spermatic cords should be palpated for swelling and tenderness. 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. A careful history and examination are required. A wide array of diseases affect the female perineum in adults. It is found in both males and females, and arises from the fusion of the urogenital folds. Having pre-existing HSV1 typically reduces symptoms of HSV2. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . I was checked for being intersexed before and they found nothing. In women, the perineum is the. 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!. I was actually thinking about some kind of technique that is also used to make scars less visible. When a male fetus’ genital tissues change form and develop into the scrotum and penis, the way that they come together and fuse forms the perineal raphe. L02. This page explains the raphe in detail: Q&A: What Is The Perineal Raphe? | Kinsey Confidential This post explains why it darkens: Quote Any birthmark or pigmented skin area will appear darker and more prominent if that area of skin becomes less stretched (for example, the dark line on a scrotum that has shrunk due to HRT, or an areola on a. Abstract. It is located in the midline and anterior to the anus in an area called the perineal median raphe. There are two. Human anatomy 1. 2%. This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of the penis; it is usually darker in color. 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. Read below for more information on causes and. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. 1. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. Following clinical. Swollen raphe. 6% incidence − 8. Difficulty getting an erection. General causes. ” Another referred to it as the “vagina-nutsack-anus scar,” adding: “Every dude has one. The red extends slightly into the upper scrotum. The more you scratch, the bigger the chances you will tear your perineal wall. Median raphe cysts are a rare, congenital entity. Created for people with ongoing healthcare needs but benefits everyone. Perineal raphe: everything on this line that divides the scrotum in two. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. M. The perineum (pl. 1. vulva, labia and clitoris in women. This tear seems to come and go every few months or so. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. The perineal area is scrubbed and a 10-cm midline skin incision is made below the ischial arch. 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. 5 mm 2 to 28. Allergic contact dermatitis. Keep the area covered with a clean dry bandage if possible. Most. Some species have marked seasonal variation in. 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. ”. Subsequent histopathological examination confirmed a median raphe cyst. Here, the raphe starts in the midline at the scrotum, but then winds around the shaft to the left and ends up on the left side at tip. Treatments include creams, ointments, medications and home remedies. This is the American ICD-10-CM version of N81. 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. In males, this structure continues through the midline of the scrotum (scrotal raphe) and upward…Perineal injury is an injury to the perineum, the area of the body between the anus and the scrotum. SOC 2 Type 2 Certified. The 2024 edition of ICD-10-CM L02. CAP recommended no further sexual assault or medical work-up and no treatment. anal pain or itching. Median raphe cyst is an uncommon anomaly that can develop at any location over the midline of the external genital region from the anus to the scrotum and perineum. Blunt trauma causes split in skin and muscles that may get infected. Because of the rarity, exact incidence cannot be calculated. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. My perineum raphe is inflamed and swollen. 89 may differ. Introduction. The causes of perineal pain are pretty varied, but they fall into a few different categories. Thus far, there is no reported case of this anomaly in monozygotic twins. Before the perineum tears, if there is a yeast infection, you will notice swelling and irritations. Introduction and hypothesis: Descending Perineum Syndrome (DPS) is a coloproctologic disease and the best treatment for it is yet to be defined. This tear seems to come and go every few months or so. Ectopic. Caring for the perineum. An anal abscess can also cause pain in the perineum. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. An unusual swelling in the male perineum Arie Stewart Parnham,1 Alex Freeman,2 Alex Kirkham,2 Asif Muneer3 1Department of Urology, The. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Its purpose is to help support your reproductive organs and pelvic floor muscles. Share. 16. Bruise. In women, the perineum includes the vaginal opening. Perineocele. ReplyA 44-year-old male presented with a painless swelling in the perineum which became more prominent with penile erections. Read More. Postpartum Perineal Care Facts. I'm having trouble with the portion of the perineal raphe that runs from the anal opening to the posterior aspect of the proximal scrotum--the area swells up during the day, which I suspect is exacerbated by the fact that I am constantly on the move and the area becomes moist which is contributing to the irritation. The lesion extended 4 cm and was unilocular (Fig. What does a swollen perineal mean - Answered by a verified Health Professional. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. In botany and planktology it is commonly used when describing a seam or ridge on diatoms or seeds . In human mid-term fetuses, a future scrotum was difficult to identify because of no descent of testis . Median raphe cysts are a rare, congenital entity. Other symptoms may signal an issue with your perineum or a condition affecting the surrounding muscles or organs in your pelvic cavity, including: Trouble peeing or pooping. perineal raphe. There is a longitudinal line in the middle of the scrotum called the scrotal raphe. 8. I've had my family doctor give me an RX cream but it is not working? What is.