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. Le quadrant antérieur (à 12 h) de l’anus est ainsi une. Thank. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Median raphe cysts are a rare, congenital entity. A few antibiotics and massages are used to treat perineal pain but are done only once the inflammation subsides. my bottom left testicle feels swollen & my perineal area all the way down to my anus. 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. Perineum pain in women can also feel sore and itchy. Perineal nodular swelling in a recreational cyclist: diagnosis and discussion. Always in the exact same place. Perineal grooves in two newborn babies were described in this report, and the literature on. What DOES worry me is that just now I found my perineal raphe to be swollen. SOC 2 Type 2 Certified. Antibiotic treatment will be started when patient’s temperature is high, or if the patient has higher blood leukocytes. Some of these are overlooked in the delivery room if meconium is passing and the physician does not look closely at the. RF 2T1WAMX – Pelvic floor muscles. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. 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. Otsuka T, Terauchi M. 89 may differ. Here, the raphe starts in the midline at the scrotum, but then winds around the shaft to the left and ends up on the left side at tip. the caudal end of the left and right urethral folds fuse to form the urethral raphe. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. Dansk: 21 årig kvindes anus med fremtrædende Perineal raphe (en sammensmeltning ved mellemkødet, oftest set hos mænd). got pap, clear. Overview A perineal abscess is an infection that causes a painful lump in the perineum. It was a long and narrow tumefaction developed strictly on the midline on the median. The perineal area needs extra care to heal after childbirth, including cool sitz baths to reduce swelling and speed healing. in diameter (fig. RF 2GHKC77 – A doctor in a medical glove holds on to the groin area of a. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. Anatomy and function of the scrotum. Gently pat the. 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. The diamond shaped perineum is divided into two triangles, the urogential triangle anteriorly and the anal triangle posteriorly. [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. Perianal region is an extremely rare location for these lesions. Starting stages of fetal development looks same but at 7th week of pregnancy, fetal genital tissues change and form male reproductive organs i. Answered in 1 minute by: 1/28/2021. Hot-water soaks increase blood circulation to the inflamed area, allowing more of the body’s healing factors access to the area. 225 - other international versions of ICD-10 L02. The cyst may occur anywhere along the midline from glans to anus. 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. Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. General causes, gynecologic causes, and abdominal causes. 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. Indications. The clinical picture did not fit that of an abscess. RM 2H47JFP – Plate XLII. That's my perineal raphe and although the line is darker as it should be after a year of estrogen use, the skin has become loose and flappy. Connect with a U. Anatomical Study. 1. 1). Perineal injury happens to the perineum, which is the part of the body between the genitals and anus. It is located in the midline and anterior to the anus in an area called the perineal median raphe. 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 lower part of the pelvis is sealed off by a muscular diaphragm and perineal membrane known as the pelvic floor. Median raphe cysts are a rare, congenital entity. These bumps can occur anywhere on perineal raphe most commonly around anus. I don’t know of any procedures to remove it short of testicular nullification. [2–5] About 25-45% of these patients can develop serious complications. ___ is a sagittal ridge of skin in the perineum that extends between: o The anus and the vulva in females. Perineal nodular induration (PNI), or biker’s nodule, is a rare, bothersome, pseudotumour. penis and scrotum. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. Midline – fibers form a midline levator raphe Blood supply Branches of the anterior division of the internal iliac artery: inferior vesical, pudendal, inferior gluteal. This line starts just anterior to the anus and extends. Wear loose cotton underwear and keep the area clean and dry. 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. skeletal muscle. Bulbospongiosus is a paired muscle of the pelvic floor. In botany and planktology it is commonly used when describing a seam or ridge on diatoms or seeds . It is unknown to many clinicians, which usually leads to misdiagnosis. Anatomy A seamlike line or ridge between two similar parts of a. After delivery, the doctor or midwife usually closes the perineal tear with stitches. Definition: Raphe means a line of fusion of the two halves of various symmetrical body parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum; and it is divided anatomically to: penile raphe, scrotal and perineal raphae. Perineal raphe bump is a lump formation on the line of tissues i. Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. This perianal soft tissue swelling may be mistaken for a skin tag, or acrochordon. Sit on a rubber ring (for no more than half an hour at a. Use a back and forth U-shaped movement to gently massage the lower half of your vagina for 2-3 minutes. 225 may differ. 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. Therefore gents, you have a bit of a labia on your scrotum. If redness, swelling, warmth or discharge from the cut occurs, contact your medical provider quickly to evaluate for a developing cellulitis. 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. vulva, labia and clitoris in women. This condition is one of the uncommon anomalies of urogenital/anogenital region that is unknown to many clinicians. " Answered by Dr. These diseases are amenable to treatment. The diagnosis is mostly. Dr. The perineum is the major area. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. Pain when you pee or have intercourse. They are the result of a burst blood vessel in that area. The pathological diagnosis was infantile perianal pyramidal protrusion. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). An abscess is a painful, swollen area with pus inside. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. 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. Dr. bulbospongiosus, in male. Consult Now. B, Neonate girl with recto fourchette fistula. It does not hurt or itch, but it shouldn't be red. Deutsch: Anus einer einundzwanzigjährigen Frau English: The anus of a 21 year old woman with predominant raphe perinealis . The perineum is the area between the anus and the vagina/penis. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. Ultrasound confirmed the diagnosis of ectopic testicle. It is a normal variant of anogenital anatomy, most often found in young girls. Press down towards the anus and the sides of your vaginal wall. 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. The exposed bowel loops were a sequestered. Itching in the perineum is the main symptom for hemorrhoids, helminthic invasion or perineal fistula. 'seam'; [1] pl. If there is no mass or swelling in the testicle not to worry. They are the result of a burst blood vessel in that area. What is the perineum and why is it important? In males, the perineum lies just. Came home with swelling in. 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. 会阴的具體範圍有不同的定義 [2] ，有一種定義將女性的会阴定義為在陰道及肛門之間的部位，男性的会阴則定義為在陰囊及肛門之間的部位. A lump on your perineum, redness and swelling. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. 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. Perineum. In males, it is located between the anus and bulb of the penis. Sore or itchy perineum. For the past week I had the same problem - an itching/soreness/burning of the perineum and anus area. It has been adapted as a robotic-assisted laparoscopic procedure and provides an alternative to perineal canal dissection in. In human mid-term fetuses, a future scrotum was difficult to identify because of no descent of testis . 1. So, two days ago I noticed a little lump near my anus while showering. [2–4] Perineal wounds usually occur following trauma, ablation of malignancy of the genitalia, low pelvic tumors, or following thermal or electrical injuries. It is a type of genital injury. We present a case where a baby girl was born with failure of fusion of the perineal raphe. mucus or pus-like discharge coming from the anus. Gently pat the area dry. (F) Near the rectum (R), the raphe (arrows) is continuous with a developing midline septum of the bilateral. compresses the vestibular bulb and constricts the vaginal orifice. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. 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. If swelling is present, the area should be. 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. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. —This is a fibrous point in the middle line of the perineum, between the urethra and anus, and about 1. The septum. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. o The anus and the scrotum in males but continues on to the scrotum as ___. Some species have marked seasonal variation in. 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. 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. You may be suffering from tinea cruris which is fungal infection of the inner thighs and buttocks area. Congenital perineal hernia is an extremely rare entity with only 10 cases having been reported in literature. Because of the rarity, exact incidence cannot be calculated. The clinical picture did not fit that of an abscess. Functional Morphology. Women are particularly vulnerable to perineum pain because of childbirth and urinary tract infections. Epidermal cysts are very common lesions. Minor injuries can cause lots of bleeding because of the rich blood supply. Orthodontics 55 years experience. 2. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . 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. Median raphe cysts can develop at any site along the midline of the ventral side of the male genital area, from the meatus to the scrotum and perineum (Figure 1). This is the American ICD-10-CM version of L02. He had been actively cycling for 20 years, riding an average. Antipyretics-. It can be treated by taking four to six weeks of anti fungal treatment which includes tablets along with creams. Median raphe cysts are a rare, congenital entity. Human anatomy 1. Difficulty getting an erection. Perineal raphe develops during fetal development inside mother’s womb. I was actually thinking about some kind of technique that is also used to make scars less visible. [2–5] About 25-45% of these patients can develop serious complications. 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. 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. At night the irch is unbearable at times. The 2024 edition of ICD-10-CM N48. Changes in urinary frequency (how often you pee). May be candida: This is a yeast that often causes problems in warm weather. 1), although cyst enlargement was present at either extremity. In males, the perineum is the space between the scrotum and anus. 6. It arises from the central tendinous point of the perineum and from the median perineal raphe in front. Perianal region is an. He had a normal voiding pattern and normal erections. There are two. The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. Method 1. I was actually thinking about some kind of technique that is also used to make scars less visible. 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. Raphe ( / ˈreɪfi / RAY-fee; from Ancient Greek: ῥαφή, romanized : rhaphḗ, lit. They heal quickly. As per your description, it indicates Anogenital pruritus that is defined as intense itching, acute or chronic, affecting the anal, perianal, perineal, and genital skin. Urinalysis should always be performed, but scrotal imaging is necessary only when the diagnosis remains unclear. WeMedian raphe cysts present anywhere between the external urethral meatus and the anus. A 10-month-old girl was referred to Pediatric Gynecology after her parents noticed an increasing genital bulge. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. Swollen raphe. Thus far, there is no reported case of this anomaly in monozygotic twins. Keep the area covered with a clean dry bandage if possible. I don’t know of any procedures to remove it short of testicular nullification. Use a cold compress or ice pack to relieve pain 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. The genital swelling forms a conspicuous prominence in the genital region of the embryo. Here we present the unusual case of an epidermal cyst occurring between the anal sphincters, presenting as. It is one of the common, extremely annoying symptom for which patients attend the Dermatology Outpatient Department (OPD). Introduction. Sore or itchy perineum. In males, it is located between the anus and bulb of the penis. Product. This rare condition does not usually require surgical correction except for cosmetic reasons or if the. Let’s start with the male external genitalia, which includes the membranous - or intermediate - urethra, the. Not very big and feels more like a very swollen vein than anything else. Recent Findings The Davydov peritoneal vaginoplasty has its origins in neovaginal reconstruction for vaginal agenesis. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. The wound may be a freshly created surgical wound or may be as a result of trauma or burns. scrotal raphe. An anterior perianal lesion is described in a 62 yr old male and attention is drawn to this rarely described location and the unusually late presentation. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Minor cuts or scrapes heal quickly. Wrap this in a flannel or towel to avoid ice-burn, which can be painful. Discussion. Unnecessarily excessive or hard wiping will cause trauma. The perineal lesion (Figure 1) was recognized by CAP as the congenital malformation failure of midline fusion. 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. It does not hurt or itch, but it shouldn't be red. 1. 1 Only a couple hundred case reports of median raphe cysts have been published in the English. Anatomy and function of the scrotum. Sometimes the tear comes as a result of continuous itchiness and scratching. A diamond shaped area between the legs below the pelvic diaphragm. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. The connecting ridge between the two halves of the medulla oblongata or the tegmentum of the midbrain. 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). Pelvic floor massage therapy helps manage long-term pain. Serious injuries are rare. The perineum pain between the genitals and anus can be commonly caused by anal fissures. 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). 1 2 3. Skin care: Most superficial skin cuts will heal with time . If you have concerns, seek examination by Physician or Dentist. Browse Getty Images' premium collection of high-quality, authentic Perineum stock photos, royalty-free images, and pictures. Summary. ”. Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum. 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. 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. Parents reported first noticing what they believed to be a skin tag in the perineal area at birth. These are usually the result of an infection of your internal anal glands. John Chiu agrees. The genital area in girls is protected. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Repeat the massage for 5-10 minutes total, taking breaks when you need to. 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). After looking at it and doing some basic research, I'm pretty sure it's an external haemorrhoid. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. The area may look red and feel painful and be swollen. Arnold Malerman answered. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. Parnham, A. Swollen veins are not common in this area and I have not seen this ever in many years of practice although anything is possible. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. Penile Torsion and Wandering Raphe • Counterclockwise • Abnormal arrangement of penile shaft skin in development • Surgical repair if >40 degrees. As per your description, it indicates Anogenital pruritus that is defined as intense itching, acute or chronic, affecting the anal, perianal, perineal, and genital skin. Abstract. [3] The unhealed perineal wounds can lead to significant morbidity. 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!. 2. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. The term "IPPP" was introduced in the medical literature within the past 10 years. Acute complications can occur in 25-60% cases. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. Median raphe cysts are a rare, congenital entity. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o. The canals are l. Aside from when I actually run my finger over it, there is no pain. Women. Anatomy Pelvis and perineum Pelvic girdle and floor Homology of the male and female genitalia. also rha·phe n. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A median raphe of fibrovascular connective tissue separates both halves. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. Congenital sinus located in the scrotal raphe is an extremely rare anomaly. Hi, I want a dermatologist to look at my rash on my perineum. The lateral part of the genital tubercle. left testicle also feels/looks lower than usual. Keywords: Median raphe cyst, Penis, Scrotum, Perineum, Excision. Perineal pyramidal protrusion is typically smooth and pink and measures from 5. The term "IPPP" was introduced in the medical literature within the past 10 years. Figure 1 Image of patient's perineum. Two anomalies that occur in the median raphe are: (1) cyst, which may be lined by stratified squamous or pseudostratified columnar epithelium; and (2. 5 mm 2 to 28. pl. Low malformations in girls, as seen in Figure 2 B, often end in the posterior fourchette of the vagina. Kirkham, and A. Perineal grooves in two newborn babies were. Mistreatment with over the counter Steroid containing creams like fourderm, panderm. 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. In addition, skin conditions like eczema and scabies can cause a red scrotum. Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). 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. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. The median age at the first visit to our clinic was 1. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. 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. Careful sharp dissection is used to expose the retractor penis muscles, the bulbospongiosus muscle, and the underlying penis. ICD-10-CM Coding Rules. Anatomy A seamlike line or ridge between two similar parts of a. Pressure at one extremity was transmitted to the other, reflecting a. Thomas suggests holding a simple, external vibrator—such as a bullet vibrator or a wand—against your perineum. The perineum is the area between the anus and the vagina/penis. board-certified. perineal membrane and corpus cavernosum of the clitoris. A careful history and examination are required. The perineum is the area between the scrotum and the anus in a man. Category: Medical. 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. Treatment is likely to be with chemoradiotherapy. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. 1. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. Created for people with ongoing healthcare needs but benefits everyone. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. Serious injuries are rare. This condition is noticeably very different from swollen perineum, and you will know right away if you are experiencing. 1. However, it can also occur due to diarrhea, inflammatory bowel disease, and childbirth. The lesion extended 4 cm and was unilocular (Fig. 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). , the Sphincter ani externus, the Bulbocavernosus, the two Transversi perinæi superficiales, and the. Red testicles can have associated symptoms of pain, itchiness, swelling, or dryness of the skin. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. The raphe has three anatomical sections: the penile raphe, scrotal raphe, and perineal raphe. Soak in a comfortably hot bathtub three times a day for 15 minutes. The burning sensation lessens as each day passes, usually burns now only when I pee in the morning. skeletal muscle. In males, it contains male external genitalia and the perineal muscles. Perineal fistula and other anorectal. An ulcer is an open sore internally or externally caused by the failure of skin or a mucous membrane to heal. The raphe joins the internal. For the sake of this article, we will simply refer to it as the raphe. 1. The causes of perineal pain are pretty varied, but they fall into a few different categories. The canals are l. Relevant articles and textbook chapters were reviewed, analyzed, and summarized with the consensus of the authors of this paper. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. Median raphe cysts present anywhere between the external urethral meatus and the anus. Common causes for scrotal redness include allergic reactions to hygienic products, chemicals, or medication. If it's possible to remove it it would just leave a scar in the same place which may or may not be more pleasing to you. 215 became effective on October 1, 2023. Median raphe cyst (MRC) of the perineum is rare congenital midline cyst of the male genitalia. .