The 2024 edition of ICD-10-CM L02. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. Functional Morphology. Hold your thumbs in this position for about 1 minute. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12. The management of an intrascrotal abscess, regardless of the cause, requires surgical drainage (see image below). 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. On histological. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. Clarene Cress: Possible molluscum: Pimples that have a hard white core sound like mol. 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). 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. 2. This rare condition does not usually require surgical correction except for cosmetic reasons or if the. HIPAA Secure. Perineal raphe: everything on this line that divides the scrotum in two. It is a normal variant of anogenital anatomy, most often found in young girls. DO. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . 1. Introduction. " Answered by Dr. In mid 2014 i had HIV, herpes, vdrl & tsh test and all tests. 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. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. It consists of two symmetrical parts, united along the median line by a tendinous perineal raphe. Swelling in perineum. 1), although cyst enlargement was present at either extremity. also rha·phe n. 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. Wrap this in a flannel or towel to avoid ice-burn, which can be painful. This structure continues through the midline of the scrotum (scrotal raphe) and upwards through the posterior midline aspect of the penis (penile raphe). 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. He had a normal voiding pattern and normal erections. Cross section of male abdomen with pelvic diaphragm, Prostate, bladder, rectum, pubic bone, urethra, anus, and coccyx. 2. The perineum is the region between the thighs that includes the space between the genitals and anus. Perineal pain or perineum pain is often caused by infection of perineal skin, subcutaneous tissue or deeper tissue like anus, vulva and vagina. So, the seam is really the remnants of what were originally your labio-scrotal folds, bits that were meant to become a labia. If swelling is present, the area should be. Its purpose is to help support your reproductive organs and pelvic floor muscles. Dr. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Perineal raphe develops during fetal development inside mother’s womb. Standard treatment includes complex decongestive therapy, which uses a combination of drainage, compression. At this point six muscles converge and are attached: viz. Swollen veins are not common in this area and I have not seen this ever in many years of practice although anything is possible. The raphe has three anatomical sections: the penile raphe, scrotal raphe, and perineal raphe. Abscesses are pus-filled “cysts”. ” Another referred to it as the “vagina-nutsack-anus scar,” adding: “Every dude has one. A. A median raphe of fibrovascular connective tissue separates both halves. In a woman, it's. Midline – fibers form a midline levator raphe Blood supply Branches of the anterior division of the internal iliac artery: inferior vesical, pudendal, inferior gluteal. What is the perineum and why is it important? In males, the perineum lies just. Parnham, A. I was actually thinking about some kind of technique that is also used to make scars less visible. Abstract. compresses the bulb of. 会阴 (perineum)是人体 生殖器 到 肛门 间的间隙(space),主要是软组织构成;在 针灸学 是一个 任脉 穴 [1] 。. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. A perineal abscess is an infection that causes a painful lump in the perineum. Median raphe cysts usually occur in low-type anorectal malformations and suggest the location of the fistula . central tendinous point and the midline raphe on the bulb of the penis. This line starts just anterior to the anus and extends. My perineum raphe is inflamed and swollen. I have a facial discoloration rash which a doctor has diagnosed as a fungal infection due to an allergic reaction to a cream prescribed by a. The Central Tendinous Point of the Perineum. S. Pelvic floor massage therapy helps manage long-term pain. The abscess may form after surgery or after delivery of a baby. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Then work up to whatever intensity that feels. How is a perianal dermatosis diagnosed? Perianal dermatoses are diagnosed by taking a comprehensive history, including hygiene practices, use of tight-fitting clothing, bowel habits, use of topical preparations, systemic symptoms, associated medical conditions, personal and family history of skin conditions, and response to treatment. Less commonly, an infection or. There’s lots of other ways to phrase this explanation of the perineal raphe. central tendinous point and the midline raphe on the bulb of the penis. Skin care: Most superficial skin cuts will heal with time . He had been actively cycling for 20 years, riding an average. 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. Perineoplasty is a surgical procedure to repair the perineum and external organs of your vagina (vulva). It is a sac of skin and muscle that hangs in front of the pelvis, between the legs. The lesion extended 4 cm and was unilocular (Fig. scrotal raphe. Call/text today: 1-212-204-6300 or make an appointment online. Changes in urinary frequency (how often you pee). Meaning of gouch. $44 video appointments with $19/month membership * * Billed $57 every 3 months. 4 to 6 weeks: The post partum period is 4 to 6 weeks. 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. They heal quickly. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. Anatomical Study. In women, the perineum is the space between the vaginal opening and anus. There are two (males) or three (females) openings that. 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]. In perianal Crohn’s disease, these symptoms are located around the anus and may include: anal bleeding. At night the irch is unbearable at times. 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. given strong steroid cream, now increased. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. 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. . 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. Two cases of median raphe cyst are described; the first was treated by surgery and the second required no. As the patient grows older, the cyst may also progress slowly. The tourniquet may need to be re-applied as the swelling is reduced. The perineal raphe joins the anal verge (opening of the anus), to the posterior end of the urogenital fold. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. Women. 225 may differ. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. This lesion extends vertically downward from the posterior portion of the vaginal fourchette to the anterior rim of the anus. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. It does not hurt or itch, but it shouldn't be red. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just fall off. A perineal median raphe cyst arising in a 3‐year‐old boy was successfully treated with primary excision and the possible origins and histologic features are briefly reviewed. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. Externally, a swelling called the genital tubercule appears over the cloacal membrane. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. My perineal raphe occasionally becomes very swollen and sore to the touch, is this the sign of a problem? i cannot find or determine a cause Dr. The genital swelling forms a conspicuous prominence in the genital region of the embryo. 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. perineal raphe. Raised bumps on perineal raphe. The pudendal nerve supplies areas including the: lower buttocks. A perineal fistula is a type of anorectal malformation (ARM) that involves a misplaced anal passage that is often narrowed. 1 It is divided on the midline by the scrotal raphe, which is continuous with the raphe of the prepuce, penis, and. The most observant and observant now know what it is. MRC is thought to be caused by congenital alterations in the embryologic development of the male. Perineocele. You may be suffering from tinea cruris which is fungal infection of the inner thighs and buttocks area. The diagnosis is clinical with histological confirmation. [3] The unhealed perineal wounds can lead to significant morbidity. I was checked for being intersexed before and they found nothing. WeMedian raphe cysts present anywhere between the external urethral meatus and the anus. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. In botany and planktology it is commonly used when describing a seam or ridge on diatoms or seeds . The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. Overview A perineal abscess is an infection that causes a painful lump in the perineum. Sit on a rubber ring (for no more than half an hour at a. Gently, massage the area in up-down or circular motions. For the sake of this article, we will simply refer to it as the raphe. During a vulvar biopsy, doctors collect tissue samples from a female’s external genitalia. However, it can also occur due to diarrhea, inflammatory bowel disease, and childbirth. The perineal raphe is visible and pronounced to varying degrees. Bulbospongiosus is a sexually dimorphic muscle, meaning that it is different among sexes. The more you scratch, the bigger the chances you will tear your perineal wall. General causes, gynecologic causes, and abdominal causes. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. Median raphe cysts are uncommon benign cysts thought to occur due to improper fusion of the genital tubercle and can occur anywhere along the median raphe, from the glans to the anus, most commonly occurring along the ventral penile shaft. 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. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. The purpose of the median septum is to compartmentalize each testis in order to prevent friction or trauma. Dr. 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. 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. 6% incidence − 8. . Perineal nodular swelling in a recreational cyclist: diagnosis and discussion. deep branch of the perineal nerve (from pudendal nerve) perineal a. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. From the frenulum, my raphe goes down the midline maybe 1mm then makes a bend almost 90° counter clockwise, and that forms a big arc before getting back to the midline of my dick. ”A case of median raphe cyst in the perineum presenting as a perianal polyp in a 65-year-old, English white male with exceptionally rare ciliated epithelium is reported. The abscess cavities must be opened and drained, including the testis if it is involved. Perineal injury happens to the perineum, which is the part of the body between the genitals and anus. What DOES worry me is that just now I found my perineal raphe to be swollen. 1Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. 5 mm 2 to 28. 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. 2. It is found in both males and females, and arises from the fusion of the urogenital folds. 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). Pruritus ani Pruritus ani is a condition that can occur in both genders, but. Created for people with ongoing healthcare needs but benefits everyone. perineal raphe: [TA] the central anteroposterior line of the perineum, more marked in the male, being continuous with the raphe of the scrotum. Same-day virtual video appointments and in-person appointments are available. It has been adapted as a robotic-assisted laparoscopic procedure and provides an alternative to perineal canal dissection in. The exposed bowel loops were a sequestered. Alex Kirkham 2, Asif Muneer 3 Correspondence to Arie Stewart Parnham, [email protected] membrane and corpus cavernosum of the clitoris. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. the caudal end of the left and right urethral folds fuse to form the urethral raphe. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. These canals and cysts are explained as arising from epithelial rests incident to imperfect ventral fusion in the formation of the external genitalia, or from masses of epithelial cells which have migrated from the primitive epithelium. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. A 3-year-old boy presented with whitish cystic lesions running along the midline of the perineum in a linear fashion, and there were linear 1to 2-mm yellowish white papules along a cord-like swelling runningAlong the midlines of the scrotum and the ventral aspect of the penis. Median raphe cysts are a rare, congenital entity. 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. This line starts just anterior to the anus and extends through. Answered in 1 minute by: 1/28/2021. Median raphe cysts are a rare, congenital entity. Bulbospongiosus is a paired muscle of the pelvic floor. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. Jean E. Read More. 81 became effective on October 1, 2023. Using a throwaway account cause this is personal. Connect with a U. Congenital perineal hernia is an extremely rare entity with only 10 cases having been reported in literature. 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. B, Neonate girl with recto fourchette fistula. Male perineum Stock Photos and Images. Take a warm bath. perineal membrane and corpus cavernosum of the clitoris. 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. Abstract. After delivery, the doctor or midwife usually closes the perineal tear with stitches. Same-day virtual video appointments and in-person appointments are available. These are usually the result of an infection of your internal anal glands. 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. It's situated between interior thighs and anal region. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. Kirkham, and A. 1 Only a couple hundred case reports of median raphe cysts have been published in the English literature. Cancel anytime. Having pre-existing HSV1 typically reduces symptoms of HSV2. Read below for more information on causes and. Other symptoms of an abscess include: a red, pimple-like bump on. 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). 4 to 6 weeks: The post partum period is 4 to 6 weeks. The perineum is the area between the scrotum and the anus in a man. Perineal fistula and other anorectal. 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]. 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 don’t know of any procedures to remove it short of testicular nullification. John Chiu agrees. We present a case and review the literature in respect to a 35-year-old man with a non-visible, painless midline. Warm compresses and numbing sprays may help with the pain. You may notice pieces of the stitches on your sanitary pad or on the toilet. Damage, or injury, to either the testes or the epididymis can cause swelling and pain in the scrotum. Microscopically, there is epidermal acanthosis, marked edema, and mild inflammatory. It is completely common and normal physiological tissue line. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. Because of the rarity, exact incidence cannot be calculated. Pressure at one extremity was transmitted to the other, reflecting a. The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. mucus or pus-like discharge coming from the anus. 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. Share. 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. Suprapubic pain in women. In addition, the fibers originate from several surrounding structures; perineal body, superficial transverse perineal muscle and external anal sphincter. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. A careful history and examination are required. 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. When I shake it , it sound like liquid but it's hard. Genital Lymphedema. 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. Raphe of scrotum. Even when I touched it, it wasn't so much pain as it. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. 1 2 3. It's doesn't hurt. 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. Its exact location is the midline of the perineum at the junction of the anus and urogenital triangle in both females and males. Kegel. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. Penile/scrotal raphe is red. Try OTC Clotrimazole cream; if no better, see your doctor. Statistics. It is found in the superficial perineal space (pouch), together with the ischiocavernosus and superficial transverse perineal muscles. 1), although cyst enlargement was present at either extremity. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. . The perineal raphe further extends forward to the undersurface of the penis and backward to the anal opening. 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. Its location may be related to anatomic characteristics of the perineum and median raphe. If I had a low circ it would look like yours does, cause that's just where my raphe is. 1). Thus, in the present study, we will apply a term "perineal raphe" to a raphe behind the root of penis. Perineal pyramidal protrusion is typically smooth and pink and measures from. Pudendal neuralgia is long-term pelvic pain that originates from damage or irritation of the pudendal nerve – a main nerve in the pelvis. Antibiotics can help treat certain types of perineal pain. My perineum raphe is swollen and itches. 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. The perineum (pl. L02. Therefore, disturbed anal anatomy, as in cases of ARM, is commonly associated with PST. The perineal area is scrubbed and a 10-cm midline skin incision is made below the ischial arch. Structure. We aimed to evaluate the subjective. 1. These cysts are referred to as median raphe cysts, an uncommonly encountered clinical condition. 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. Median raphe cysts are a rare, congenital entity. 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. NSFW. 215 became effective on October 1, 2023. Indications. 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. Anatomy Pelvis and perineum Pelvic girdle and floor Homology of the male and female genitalia. Aside from when I actually run my finger over it, there is no pain. [3] [4] The penoscrotal raphe (penile and scrotal raphe) is homologous to the female labia minora. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. Came home with swelling in. CAP recommended no further sexual assault or medical work-up and no treatment. The wound may be a freshly created surgical wound or may be as a result of trauma or burns. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. 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. DISCUSSION. In human mid-term fetuses, a future scrotum was difficult to identify because of no descent of testis . Signs and Symptoms Dr Basu. Start on the lightest setting. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. This is the American ICD-10-CM version of L02. 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. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. Wear loose cotton underwear and keep the area clean and dry. This uncommon cystic lesion was first described by Mermet in 1985. 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. Difficulty getting an erection. 2 Other symptoms include localized pain, chronic seepage, and excessive moisture. 215 - other international versions of ICD-10 L02. it is normal? 1 doctor answer • 3 doctors weighed in. Its exact location is the midline of the perineum at the junction of the anus and urogenital triangle in both females and males. The stitches will dissolve in 1 to 2 weeks, so they will not need to be removed. The raphe joins the internal. 4 month). 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. The lateral part of the genital tubercle. 3 ). 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 uncommon cystic lesion was first described by Mermet in 1985. Cut. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. The vast majority of the raphes do not bifurcate (123 genera), but the raphes of 7 genera do. It seems aggravated by coffee and I often have diarrhea at the same time. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Congenital sinus located in the scrotal raphe is an extremely rare anomaly. 1. There are two. This means that the cause of the itch is not found. The burning sensation lessens as each day passes, usually burns now only when I pee in the morning. 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). 9). Perianal region is an extremely rare location for these lesions. Minor injuries can cause lots of bleeding because of the rich blood supply. 2. 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. A few antibiotics and massages are used to treat perineal pain but are done only once the inflammation subsides. It is located in the midline and anterior to the anus in an area called the perineal median raphe. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. The lateral part of the genital tubercle. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. General causes. 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. That said, disregard the raphe. I have them since 1-2 years, everytime after using ointment/cream bumps goes out but came back after some days. RF 2T1WAMX – Pelvic floor muscles. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. It would be most prudent for you. If redness, swelling, warmth or discharge from the cut occurs, contact your medical provider quickly to evaluate for a developing cellulitis. It is noteworthy that a rudimentary gubernaculum also forms in females. 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. 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.