9). The perineum (pl. pl. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. The tourniquet may need to be re-applied as the swelling is reduced. This is the American ICD-10-CM version of N48. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. Perianal region is an extremely rare location for these lesions. This is the American ICD-10-CM version of L02. 6% incidence − 8. There is a longitudinal line in the middle of the scrotum called the scrotal raphe. This uncommon cystic lesion was first described by Mermet in 1985. 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!. Furuncle of perineum. 5 mm 2 in size. What is the perineum and why is it important? In males, the perineum lies just. Arnold Malerman answered. Doctor's Assistant: How long have you been dealing with this? Does anything in particular seem to make the itch. 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. : 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. This line starts just anterior to the anus and extends. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. Introduction. They are considered congenital alterations in embryologic development. 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. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. 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. Sometimes, the treatment varies in men and women: Get adequate rest. 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. 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. Fragrances and preservatives, especially in wet wipes. Careful sharp dissection is used to expose the retractor penis muscles, the bulbospongiosus muscle, and the underlying penis. : raphae or raphes) has several different meanings in science. The genital area in girls is protected. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. compresses the vestibular bulb and constricts the vaginal orifice. The most observant and observant now know what it is. The connecting ridge between the two halves of the medulla oblongata or the tegmentum of the midbrain. Ectopic. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. 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). skeletal muscle. 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. 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. Educating the child and family prior to this examination is important both for their reassurance and for gaining their trust. 89 may differ. All the patients presented with an unusual lesion at the anus or perineum, but no symptoms related to this anomaly. Perineal injury happens to the perineum, which is the part of the body between the genitals and anus. 81 - other international versions of ICD-10 N81. Urinalysis should always be performed, but scrotal imaging is necessary only when the diagnosis remains unclear. DISCUSSION. If there is no mass or swelling in the testicle not to worry. 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. Its location may be related to anatomic characteristics of the perineum and median raphe. Then work up to whatever intensity that feels. Pressure at one extremity was transmitted to the other, reflecting a. 1). [5] [6] [7] At New York Urology Specialists, we offer same-day treatment for perineal pain . Using a throwaway account cause this is personal. The site of the median septum is apparent on the surface of the scrotum along a median longitudinal ridge called the scrotal raphe. Caring for the perineum. No. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. The clinical picture did not fit that of an abscess. Consult Now. 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. 1 2 3. The attachments of bulbospongiosus are different among males and females. 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 . Start on the lightest setting. The testes, epididymides, and spermatic cords should be palpated for swelling and tenderness. Abstract. the caudal end of the left and right urethral folds fuse to form the urethral raphe. [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. 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. At this point, perineal raphe is formed. Discussion. As the patient grows older, the cyst may also progress slowly. Sore or itchy perineum. Rinsing the area with warm water after you use the bathroom. The management of an intrascrotal abscess, regardless of the cause, requires surgical drainage (see image below). . This line starts just anterior to the anus and extends through. Painful urination (pain when you pee). Minor cuts or scrapes heal quickly. [2–5] About 25-45% of these patients can develop serious complications. 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). They are the result of a burst blood vessel in that area. General causes, gynecologic causes, and abdominal causes. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum. You can see yours has some crooked spots too. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. Product. It is a type of genital injury. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. In human mid-term fetuses, a future scrotum was difficult to identify because of no descent of testis . DPS is frequently associated with pelvic organ prolapse (POP) and it is reasonable to postulate, that treatment of POP will also have an impact on DPS. Swollen raphe. Specializes in Obstetrics and Gynecology. We aimed to evaluate the subjective. 215 - other international versions of ICD-10 L02. A lump on your perineum, redness and swelling. Caring for the perineum. I don’t know of any procedures to remove it short of testicular nullification. These bumps can occur anywhere on perineal raphe most commonly around anus. Because of the rarity, exact incidence cannot be calculated. The lesion extended 4 cm and was unilocular (Fig. net dictionary. central tendinous point and the midline raphe on the bulb of the penis. Gynecology 40 years experience. Median raphe cysts are a rare, congenital entity. 1. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. 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. Anatomy and function of the scrotum. The clinical picture did not fit that of an abscess. To our knowledge, there has been limited reports of this form of congenital abnormality in. Created for people with ongoing healthcare needs but benefits everyone. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. 89 became effective on October 1, 2023. Orthodontics 55 years experience. Freeman, A. This includes both sets of labia, the clitoris, the urethra, and the vaginal opening. Same-day virtual video appointments and in-person appointments are available. 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. 2. There are many Raphes in the human body. It is observed as a noticeable line. There are two (males) or three (females) openings that. Anatomy and function of the scrotum. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12. An anal fissure is most common when a person has a dry, hard bowel movement. 1), although cyst enlargement was present at either extremity. John Chiu agrees. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Many times the left testicle can hang lower and the baggy scrotum can look a little asym. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. Share this conversation. It's around 1cm in diameter, was purple (now more pink), and right next to my anus. Jean E. 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. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). The perineum is the region of the body between the pubic symphysis (pubic arch) and the coccyx (tail bone), including the perineal body and surrounding structures. 81 may differ. "hav pimples on perineum, they are hard, can't pop and are pinpoint white heads. S. Therefore gents, you have a bit of a labia on your scrotum. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. It is noteworthy that a rudimentary gubernaculum also forms in females. To externally stimulate it, press the fingers gently on the perineum and massage it lightly. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. They heal quickly. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. Anus to genital line: The area of the body between the anus and the scrotum or vagina. 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. Came home with swelling in. This condition is one of the uncommon anomalies of urogenital/anogenital region that is unknown to many clinicians. The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. Having pre-existing HSV1 typically reduces symptoms of HSV2. Purpose of Review To discuss perineal and robotic approaches to gender-affirming vaginoplasty. 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. A case where a baby girl was born with failure of fusion of the perineal raphe is presented, and the embryological origin of this congenital abnormality is reviewed. SOC 2 Type 2 Certified. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. I was checked for being intersexed before and they found nothing. A red foreskin tip, without pain or swelling, just indicates that the skin is a bit irritated from doing its job of protecting the. Read below for more information on causes and treatment options. 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. The perineum is the area between the scrotum and the anus in a man. A. 6. The perineum is divided into the anterior urogenital triangle and the posterior. Wrap this in a flannel or towel to avoid ice-burn, which can be painful. In women, the perineum includes the vaginal opening. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. It is noteworthy that a rudimentary gubernaculum also forms in females. This condition is noticeably very different from swollen perineum, and you will know right away if you are experiencing. 2. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . The perineum is the region between the thighs that includes the space between the genitals and anus. A 48-year-old healthy male who is an avid cyclist presented with a progressive inferior perineal and scrotal swelling for five years. Jean E. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. ICD-10-CM Coding Rules. ra·phae also rha·phae 1. The median age at the first visit to our clinic was 1. 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. 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. Genital Lymphedema. Testis. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. 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 ). This tear seems to come and go every few months or so. Meaning of gouch. ”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. 5 mm 2 to 28. Starting stages of fetal development looks same but at 7th week of pregnancy, fetal genital tissues change and form male reproductive organs i. Cysts of the genito-perineal raphe: a study of 160. Call/text today: 1-212-204-6300 or make an appointment online. 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 Sphincter ani externus, the Bulbocavernosus, the two Transversi perinæi superficiales, and the. The area may look red and feel painful and be swollen. Abscesses are pus-filled “cysts”. Avoid a lot of skin care products, antiseptics are ok. 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. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. Raphe means the line of union of the two halves of various symmetrical parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum. 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] 。. Its exact location is the midline of the perineum at the junction of the anus and urogenital triangle in both females and males. Muneer, “An unusual swelling in the male. Apply ice to perineum for first 12 hours. Signs and Symptoms Dr Basu. got pap, clear. It is found in the superficial perineal space (pouch), together with the ischiocavernosus and superficial transverse perineal muscles. The perineum is the area between the anus and the vagina/penis. If you have concerns, seek examination by Physician or Dentist. Y. 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. Gently, massage the area in up-down or circular motions. A swollen or inflamed prostate can lead to perineum pain in men. NSFW. HIPAA Secure. A perineal groove is defined by three common features on physical examination: (a) moist appearing, erythematous midline sulcus, which generally extends from the posterior vaginal fourchette (or the scrotal raphe) to the anterior anal margin, (b) “hypertrophic minoral tails” that join posteriorly at or near the anus, and (c) normal. Anatomy A seamlike line or ridge between two similar parts of a. , 38 (September. The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. It is a normal variant of anogenital anatomy, most often found in young girls. area between the buttocks and genitals (perineum) area around the anus and rectum. The scrotum is part of the male anatomy. Along this tract, which extended across the median raphe of the penis and scrotum, were several cj^stic areas, the largest measuring 2 cm. The latter inserts into the scrotal swelling. The lateral part of the genital tubercle. 31,291 satisfied customers. 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. Always in the exact same place. Median raphe cyst (MRC) of the perineum is rare congenital midline cyst of the male genitalia. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. Abstract. Share. 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 (Fig. The more you scratch, the bigger the chances you will tear your perineal wall. If you think your swollen perineum is unusually itchy and swollen, go see your OB MD who did the OB care and d. 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. General causes, gynecologic causes, and abdominal causes. 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. There are two. 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. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. mucus or pus-like discharge coming from the anus. 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). Hold your thumbs in this position for about 1 minute. Then work up to whatever intensity that feels. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. "In adults and children, the penile and scrotal raphe vary in shape and thickness between individuals and the anomalies include pearly, pigmented, prominent, or wide raphe," a study which examined. Perineal injury in. vulva, labia and clitoris in women. 2. $44 video appointments with $19/month membership * * Billed $57 every 3 months. 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 cyst is generally solitary, with the penile shaft being the most common location, with average size of around 1 cm. Itching in the perineum is the main symptom for hemorrhoids, helminthic invasion or perineal fistula. A few antibiotics and massages are used to treat perineal pain but are done only once the inflammation subsides. Always in the exact same place. Unnecessarily excessive or hard wiping will cause trauma. Additionally, the scrotum is normally located anterior to the anus, separated from it by the perineal body, and is connected to the lips of the anus by the perineal raphe. The clinical picture did not fit that of an abscess. 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. A swollen or inflamed prostate can lead to perineum pain in men. In males, the perineum is the space between the scrotum and anus. Thus far, there is no reported case of this anomaly in monozygotic twins. Median raphe cysts are a rare, congenital entity. A diamond shaped area between the legs below the pelvic diaphragm. The causes of perineal pain are pretty varied, but they fall into a few different categories. Perineal pain or perineum pain is often caused by infection of perineal skin, subcutaneous tissue or deeper tissue like anus, vulva and vagina. e. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. RF 2T1WAMX – Pelvic floor muscles. The latter inserts into the scrotal swelling. Penile/scrotal raphe is red. The perineal raphe further extends forward to the undersurface of the penis and backward to the anal opening. A 10-month-old girl was referred to Pediatric Gynecology after her parents noticed an increasing genital bulge. Keep the area covered with a clean dry bandage if possible. 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. Thus, in the present study, we will apply a term "perineal raphe" to a raphe behind the root of penis. The lesion extended 4 cm and was unilocular (Fig. This uncommon cystic lesion was first described by Mermet in 1985. penile raphe. 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. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. 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]. Show More. 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. This is the visible line or ridge on the underside of the penis that runs from the scrotum to the tip of the penis. the two halves of which meet in a midline raphe deep. I can hold it well with two fingers when pressed hard . Ask Your Own Medical Question. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Dansk: 21 årig kvindes anus med fremtrædende Perineal raphe (en sammensmeltning ved mellemkødet, oftest set hos mænd). 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1. After looking at it and doing some basic research, I'm pretty sure it's an external haemorrhoid. 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. Median raphe cysts usually don’t cause problems, but some people may develop symptoms later on in life, including: Swelling in the area. Bulbospongiosus is a paired muscle of the pelvic floor. 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. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. Perianal region is an extremely rare location for these lesions. 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. My penile/scrotal raphe has been red for about three weeks. A short contracted raphe was detected in 6 cases (10%) with an overall incidence of 0. Bruises and swelling of the labia are most often from a straddle injury. Pressure at one extremity. Perineal injury in. my cut has healed but the piece of raphe that was hanging curled up and looks like a pimple?. Please tell me what is perineal raphe? 1 doctor answer • 1 doctor weighed in. Less commonly, an infection or. it is normal? 1 doctor answer • 3 doctors weighed in. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. Inspection of the genital region should follow a focused general. Hemorrhoids, or "piles," are swollen veins in the anus or rectum. Your midwife may also suggest using a maternity pad that has been kept in the fridge or freezer. Perineal raphe: everything on this line that divides the scrotum in two. That line is called the “penile raphe. The perineum is an erogenous zone. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. Median raphe cysts are a rare, congenital entity. So, the seam is really the remnants of what were originally your labio-scrotal folds, bits that were meant to become a labia. The tissue has been described as triangular, pyramidal, oval, tongue-shaped or leaf-shaped. Le quadrant antérieur (à 12 h) de l’anus est ainsi une. Injuries to the perineum can happen suddenly like an accident or as the activity which puts the. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. Background Median raphe cyst is usually benign and asymptomatic male genitalia lesions. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. Perineal raphe bump is a lump formation on the line of tissues i. Some species have marked seasonal variation in. Vulvar trauma, infection (including Fournier gangrene. I accidentally cut my perineal raphe. Gynecologic evaluation of the prepubertal child is approached by directing attention to the specific complaint, symptom, or question to be addressed [ 1 ]. 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). 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. Read More. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. We present a case and review the literature in respect to a 35-year-old man with a non. 1. S. The 2024 edition of ICD-10-CM N48. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. The diagnosis is mostly. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Six cases are reported: five with canals or cysts of the genito-perineal raphe, one with a periurethral cyst. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. Otsuka T, Terauchi M. 3 ). Kegel. Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. Hope this helps. This isn't external, but rather internal. The Perineal raphe on my penis from the head to the bottom is red and very itchy non-stop, it started from Sunday in the afternoon. [3] [4] The penoscrotal raphe (penile and scrotal raphe) is homologous to the female labia minora. Keep the area clean and dry. net dictionary. Mesh. The perineal body is continuous with the perineal raphe in the scrotal skin. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. The burning sensation lessens as each day passes, usually burns now only when I pee in the morning.