Swollen perineal raphe. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Swollen perineal raphe

 
 They can be found all the way from the distal penis and scrotum toward the perineum in a midline positionSwollen perineal raphe  Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis

Women. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. It is a normal variant of anogenital anatomy, most often found in young girls. Show Less. Introduction. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Surgical dissection of the male perineum. This perianal soft tissue swelling may be mistaken for a skin tag, or acrochordon. The lateral part of the genital tubercle. Inspection of the genital region should follow a focused general. 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. 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). Otsuka T, Terauchi M. Excision is the treatment of choice with minimal chance of recurrence. 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. The lower part of the pelvis is sealed off by a muscular diaphragm and perineal membrane known as the pelvic floor. 2. pl. Median raphe cysts are a rare, congenital entity. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). 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. Fragrances and preservatives, especially in wet wipes. 16. The canals are l. Bulbospongiosus is a sexually dimorphic muscle, meaning that it is different among sexes. In males, it contains male external genitalia and the perineal muscles. After you’ve given birth, it’s common for the perineum to be sore. They are the result of a burst blood vessel in that area. This is the American ICD-10-CM version of N81. A 32-year-old male asked: If the area looks red and swollen or there is a painful cyst on the perineum, this may be a sign of infection. Depending on growth of the bulbospongiosus muscle and corpus spongiosus penis, the midline intermuscular septum obtained a connection to the subcutaneous wavy. 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. They are considered congenital alterations in embryologic development. perineal raphe: [TA] the central anteroposterior line of the perineum, more marked in the male, being continuous with the raphe of the scrotum. The perineum is the area between the anus and the vagina/penis. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Hold your thumbs in this position for about 1 minute. Hemorrhoids, or "piles," are swollen veins in the anus or rectum. The 2024 edition of ICD-10-CM N48. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. 1. Swelling in perineum. e. The clinical picture did not fit that of an abscess. ra·phae also rha·phae 1. The term "IPPP" was introduced in the medical literature within the past 10 years. The canals are l. "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" Answered by Dr. ExpandThe perineum is a very common site for herpes outbreaks, and paper cuts are one possible form of herpes. Alternatively, hemorrhoids develop close to the anus. Swollen red foreskin My Foreskin is red, puffy, itchy, slightly crusty, and HURTS Dry. Perineal nodular induration (PNI), or biker’s nodule, is a rare, bothersome, pseudotumour. Treatments include creams, ointments, medications and home remedies. 215 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Therefore gents, you have a bit of a labia on your scrotum. A short contracted raphe was detected in 6 cases (10%) with an overall incidence of 0. Anatomy A seamlike line or ridge between two similar parts of a. net dictionary. A chronic perineal wound could result. Swollen red foreskin My Foreskin is red, puffy, itchy, slightly crusty, and HURTS Dry. 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. perineal membrane and corpus cavernosum of the clitoris. Perineum is in color. A 44-year-old male presented with a painless swelling in the perineum which became more prominent with penile erections. 1), although cyst enlargement was present at either extremity. It is located in the midline and anterior to the anus in an area called the perineal median raphe. Lanolin. Parents reported first noticing what they believed to be a skin tag in the perineal area at birth. Bulbospongiosus is a paired muscle of the pelvic floor. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Perineal raphe synonyms, Perineal raphe pronunciation, Perineal raphe translation, English dictionary definition of Perineal raphe. Genital Lymphedema. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. 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. Dr. It is completely common and normal physiological tissue line. It is an extension of the perineal raphe, a line of tissue that extends. On histological. also rha·phe n. The most observant and observant now know what it is. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum. RF 2GHKC77 – A doctor in a medical glove holds on to the groin area of a. The perineum pain between the genitals and anus can be commonly caused by anal fissures. This is the American ICD-10-CM version of L02. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. in diameter (fig. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. Warm compresses and. Orthodontics 55 years experience. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. Although uncommon, infection may be a complication. To perform a perineal urethrostomy, a 4-cm long, cutaneous incision is created on the perineal raphe, 2 to 3 cm distal to the ventral. Method 1. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. scrotal raphe. The pathological diagnosis was infantile perianal pyramidal protrusion. Using a throwaway account cause this is personal. Penile/scrotal raphe is red. It seems aggravated by coffee and I often have diarrhea at the same time. It is found in both males and females, and arises from the fusion of the urogenital folds. Thomas suggests holding a simple, external vibrator—such as a bullet vibrator or a wand—against your perineum. 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. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. Mesh. left testicle also feels/looks lower than usual. Along this tract, which extended across the median raphe of the penis and scrotum, were several cj^stic areas, the largest measuring 2 cm. I was checked for being intersexed before and they found nothing. DISCUSSION. A perianal abscess is an abscess near the opening of your bottom (anus). Discussion. Hi, I want a dermatologist to look at my rash on my perineum. Two cases of median raphe cyst are described; the first was treated by surgery and the second required no. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. 6. A swollen or inflamed prostate can lead to perineum pain in men. Figure 1 Image of patient's perineum. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. Currently, CPG can be divided into two types based on the morphology of perineum, complete and partial (2,3, 8). In males, it is wrapped around the bulb of penis and corpus. compared with his twin's perineal raphe and, whereas the raphe in the affected twin was of the calibre of the lead in a pencil, thatof the unaffected was of the calibre of a hog's bristle. Allergic contact dermatitis. Its location may be related to anatomic characteristics of the perineum and median raphe. Damage, or injury, to either the testes or the epididymis can cause swelling and pain in the scrotum. Because of the rarity, exact incidence cannot be calculated. A lump on your perineum, redness and swelling. 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. Women are particularly vulnerable to perineum pain because of childbirth and urinary tract infections. 1. Abstract. D. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. 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. Bruise. Definition of gouch in the Definitions. Other embryologic origins of the perineal grove are proposed, including a relic of an open cloacal duct or medial genital folds between the perineal raphe and the vestibule. [3] [4] The penoscrotal raphe (penile and scrotal raphe) is homologous to the female labia minora. 225 - other international versions of ICD-10 L02. Perianal region is an extremely rare location for these lesions. That line is called the “penile raphe. Avoid a lot of skin care products, antiseptics are ok. The causes of perineal pain are pretty varied, but they fall into a few different categories. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. [2–5] About 25-45% of these patients can develop serious complications. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Created for people with ongoing healthcare needs but benefits everyone. Main page; Contents; Current events; Random article; About Wikipedia; Contact us; DonateTypes of Genital Injuries in Females. However, I would never put my money on anything when. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. Men: To stimulate the perineum from the inside, insert two fingers or a prostate massager into the rectum and look for rope-like nerves. Deutsch: Anus einer einundzwanzigjährigen Frau English: The anus of a 21 year old woman with predominant raphe perinealis . 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. Cancel anytime. . Pressure at one extremity. Perineum. board-certified doctor by text or video anytime, anywhere. It is noteworthy that a rudimentary gubernaculum also forms in females. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). Common causes for scrotal redness include allergic reactions to hygienic products, chemicals, or medication. There are many Raphes in the human body. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Statistics. Always in the exact same place. Some yeast infection discharges can be very itchy, causing endless discomfort. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. The perineum is the major area. M. Perianal region is an. Cut. Minor cuts or scrapes heal quickly. 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. In a woman, it's the area between the vulva and the anus. Came home with swelling in. The keywords used were levator ani muscle, rhabdosphincter, urethra, perineal membrane, smooth muscles, elastic fibers, continence, and pelvic floor anatomy. Antibiotics can help treat certain types of perineal pain. skeletal muscle. . Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. Read below for more information on causes and. 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 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. It is found in both males and females, and arises from the fusion of the urogenital folds. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. 25 cm. Skin care: Most superficial skin cuts will heal with time . . What does a swollen perineal mean - Answered by a verified Health Professional. 1 Only a couple hundred case reports of median raphe cysts have been published in the English. Before the perineum tears, if there is a yeast infection, you will notice swelling and irritations. I don’t know of any procedures to remove it short of testicular nullification. bulbospongiosus, in male. area between the buttocks and genitals (perineum) area around the anus and rectum. In males, the muscle consists of two parts that are fused at the median fibrous raphe of penis. 1. " The fact that the line darkens when higher levels of estrogen are introduced into the body indicate that it could be seen as a "gauge" of sorts of a person's estrogen. It is observed as a noticeable line. Such infection may cause cellulitis. Thus far, there is no reported case of this anomaly in monozygotic twins. Median raphe cysts usually occur in low-type anorectal malformations and suggest the location of the fistula . A median raphe of fibrovascular connective tissue separates both halves. They heal quickly. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. The Central Tendinous Point of the Perineum. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. There’s lots of other ways to phrase this explanation of the perineal raphe. There are two. Richard Greengold answered. They may be located inside the rectum (internal) or outside the body at the anus. As the patient grows older, the cyst may also progress slowly. 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. This uncommon cystic lesion was first described by Mermet in 1985. Board Certified Physician. Pruritus ani Pruritus ani is a condition that can occur in both genders, but. 2. Some yeast infection discharges can be very itchy, causing endless discomfort. Michelle Jones singer answered. : perineums or perinea) in humans is the space between the anus and scrotum in the male, or between the anus and the vulva in the female. Start on the lightest setting. The perineum (pl. The septum. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. The anal opening opens into the perineum, which is the place between the scrotum and anal sphincter. The perineum is the area between the scrotum and the anus in a man. ra·phae also rha·phae 1. 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. General causes, gynecologic causes, and abdominal causes. 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. 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. NSFW. . Freeman, A. Difficulty getting an erection. 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. 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. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. 3. The management of an intrascrotal abscess, regardless of the cause, requires surgical drainage (see image below). compresses the vestibular bulb and constricts the vaginal orifice. 215 - other international versions of ICD-10 L02. Median raphe cysts are cysts that develop on the median line in the male genital region in any area from the anus to the external meatus. Congenital perineal groove (CPG) is a rare malformation characterized by the presence of a moist sulcus with mucous membrane on the perineum since birth (1, 2). Functional Morphology. The most common treatment for perineal pain is rest; rest helps the body repair the damage. Alex Kirkham 2, Asif Muneer 3 Correspondence to Arie Stewart Parnham, [email protected] membrane and corpus cavernosum of the clitoris. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. A. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. 3 ). ”. Bruise. Skeletal Radiol. 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. 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. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. Indications. 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. Start on the lightest setting. 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 ). 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. Once the correct diagnosis is established, treatment is usually straightforward. Pressure at one extremity was transmitted to the other, reflecting a. hav bv tho. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. Starting stages of fetal development looks same but at 7th week of pregnancy, fetal genital tissues change and form male reproductive organs i. 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. 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. Perineal Injury. It has been adapted as a robotic-assisted laparoscopic procedure and provides an alternative to perineal canal dissection in. Always in the exact same place. The perineum is the area between the anus and the vagina/penis. 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). Parnham, A. penis and scrotum. 1 It is divided on the midline by the scrotal raphe, which is continuous with the raphe of the prepuce, penis, and. 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. ericsphotography / Getty Images Anatomy . Swollen veins are not common in this area and I have not seen this ever in many years of practice although anything is possible. 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. My perineum raphe is inflamed and swollen. Both cysts and abscesses can cause. Read More. Raphe of scrotum. Microscopically, there is epidermal acanthosis, marked edema, and mild inflammatory. Gently pat the area dry. The clinical picture did not fit that of an abscess. After you’ve given birth, it’s common for the perineum to be sore. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. Let’s start with the male external genitalia, which includes the membranous - or intermediate - urethra, the. They can be found from the distal penis and scrotum to the perineum in a midline position. The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. Warm compresses and numbing sprays may help with the pain. I can hold it well with two fingers when pressed hard . Rinsing the area with warm water after you use the bathroom. This line starts just anterior to the anus and extends through. my bottom left testicle feels swollen & my perineal area all the way down to my anus. Externally, a swelling called the genital tubercule appears over the cloacal membrane. A perineal fistula is a type of anorectal malformation (ARM) that involves a misplaced anal passage that is often narrowed. Penile curvature − 0. Its purpose is to help support your reproductive organs and pelvic floor muscles. a very prominent midline perineal raphe extending from the site of the anal orifice to the scrotum [10]. To our knowledge, there has been limited reports of this form of congenital abnormality in. Show More. 31,291 satisfied customers. Then work up to whatever intensity that feels. Perineal raphe: everything on this line that divides the scrotum in two. 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. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. The perineal area is scrubbed and a 10-cm midline skin incision is made below the ischial arch. 81 became effective on October 1, 2023. After pressing skin I can feel hard jelly like mass . 1Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. Share. Call/text today: 1-212-204-6300 or make an appointment online. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. Infection is treated with antibiotics. 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. Left and right genital eminences fuse at the scrotal raphe which links forward to the penile raphe at the root of the penis and backward to the perineal raphe. It is a sac of skin and muscle that hangs in front of the pelvis, between the legs. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. N48. Browse Getty Images' premium collection of high-quality, authentic Perineum stock photos, royalty-free images, and pictures. We present a case and review the literature in respect to a 35-year-old man with a non. The term "IPPP" was introduced in the medical literature within the past 10 years. 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 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. It is a tear to your perineum (say "pair-uh-NEE-um"), which is the area between your vagina and anus. Clarene Cress: Possible molluscum: Pimples that have a hard white core sound like mol. Many times the left testicle can hang lower and the baggy scrotum can look a little asym. Cysts of the genito-perineal raphe: a study of 160. Over the next few months, the area became more swollen and did not regress despite recommended sitz baths and barrier creams. I don’t know of any procedures to remove it short of testicular nullification. 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. Medicaments including neomycin. Congenital sinus located in the scrotal raphe is an extremely rare anomaly. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. my bottom left testicle feels swollen & my perineal area all the way down to my anus. 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. You may be suffering from tinea cruris which is fungal infection of the inner thighs and buttocks area. If you think your swollen perineum is unusually itchy and swollen, go see your OB MD who did the OB care and d. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. DO. 2. 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. 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. The area may look red and feel painful and be swollen. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o. Sometimes the tear comes as a result of continuous itchiness and scratching. No. Recent Findings The Davydov peritoneal vaginoplasty has its origins in neovaginal reconstruction for vaginal agenesis. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. This is a less invasive procedure and is more often. Dr. However, embryological mechanisms have been proposed as follows: (1) a relic of the open cloacal duct, 13 (2) midline fusion failure of medial genital folds between the perineal raphe and the vestibule, 3 4 and (3) urorectal septum developmental defect during cloacal embryological stages at 5th to 8th week of GA. 4 to 6 weeks: The post partum period is 4 to 6 weeks. The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. Hope this helps. I was actually thinking about some kind of technique that is also used to make scars less visible. 1. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. 215 became effective on October 1, 2023. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. 5 month (range, 0. Perianal region is an extremely rare location for these lesions. Caring for the perineum. It is noteworthy that a rudimentary gubernaculum also forms in females. Simple orchidectomy: Known as a subinguinal orchiectomy, this type of procedure allows the surgeon to access the testicle through a cut in the scrotum. 2%. General causes. There are two. 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. This line starts just anterior to the. 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.