It would be most prudent for you to. In a woman, it's. Common causes for scrotal redness include allergic reactions to hygienic products, chemicals, or medication. 6 7 14 Given that the perineal. The perineal raphe joins the anal verge (opening of the anus), to the posterior end of the urogenital fold. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . read more Dr. Read More. 1. central tendinous point and the midline raphe on the bulb of the penis. 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. It is noteworthy that a rudimentary gubernaculum also forms in females. There are two (males) or three (females) openings that. Penile/scrotal raphe is red. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. 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. Try OTC Clotrimazole cream; if no better, see your doctor. Abstract. Method 1. Call/text today: 1-212-204-6300 or make an appointment online. Jean E. Alex Kirkham 2, Asif Muneer 3 Correspondence to Arie Stewart Parnham, [email protected] membrane and corpus cavernosum of the clitoris. 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. Serious injuries are rare. The canals are l. my bottom left testicle feels swollen & my perineal area all the way down to my anus. It has been adapted as a robotic-assisted laparoscopic procedure and provides an alternative to perineal canal dissection in. anal pain or itching. RF 2GHKC77 – A doctor in a medical glove holds on to the groin area of a. In mid 2014 i had HIV, herpes, vdrl & tsh test and all tests. , the Sphincter ani externus, the Bulbocavernosus, the two Transversi perinæi superficiales, and the. ”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. These diseases are amenable to treatment. The clinical picture did not fit that of an abscess. In animal anatomy it is used to describe a ridged union [2] of continuous. board-certified doctor by text or video anytime, anywhere. The exposed bowel loops were a sequestered. the right testicle was absent from the scrotum, but a mass was appreciated over the perineum. Another clue to a possible penile torsion is the rotated appearance of the median raphe. Pressure at one extremity. What is the perineum and why is it important? In males, the perineum lies just. a very prominent midline perineal raphe extending from the site of the anal orifice to the scrotum [10]. ericsphotography / Getty Images Anatomy . Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. 1. ( botany) The part of the stalk of an anatropous ovary that is united in growth to the outside covering and forms a ridge along the body of the ovule . 2. 1. Cremasteric reflex should be tested bilaterally. 1 Only a couple hundred case reports of median raphe cysts have been published in the English literature. 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. Median raphe cysts are a rare, congenital entity. perineal raphe: [TA] the central anteroposterior line of the perineum, more marked in the male, being continuous with the raphe of the scrotum. What DOES worry me is that just now I found my perineal raphe to be swollen. An ulcer is an open sore internally or externally caused by the failure of skin or a mucous membrane to heal. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. To our knowledge, there has been limited reports of this form of congenital abnormality in. Dr. Perineal grooves in two newborn babies were. The 2024 edition of ICD-10-CM L02. 1. If redness, swelling, warmth or discharge from the cut occurs, contact your medical provider quickly to evaluate for a developing cellulitis. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. DISCUSSION. Perineal fistula and other anorectal. 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 perineal raphe was thin and wavy at 10 weeks, and it was continuous with and took a direction same as the inferior wall of the closed penile urethra after physiological hypospadias. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. Men: To stimulate the perineum from the inside, insert two fingers or a prostate massager into the rectum and look for rope-like nerves. Created for people with ongoing healthcare needs but benefits everyone. ra·phae also rha·phae 1. Although uncommon, infection may be a complication. Muneer, “An unusual swelling in the male. The complete type has the sulcus extended from the posterior fourchette to the. It is an extension of the perineal raphe, a line of tissue that extends. After looking at it and doing some basic research, I'm pretty sure it's an external haemorrhoid. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. Urinalysis should always be performed, but scrotal imaging is necessary only when the diagnosis remains unclear. Six cases are reported: five with canals or cysts of the genito-perineal raphe, one with a periurethral cyst. Pressure at one extremity was transmitted to the other, reflecting a. Warm compresses and. 31,291 satisfied customers. 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. Perineal raphe develops during fetal development inside mother’s womb. Anatomy A seamlike line or ridge between two similar parts of a. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. 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. It forms a line that midway between the legs. The perineal area needs extra care to heal after childbirth, including cool sitz baths to reduce swelling and speed healing. Note bulging perineum, and meconium in perineal raphe and scrotal raphe. Using a throwaway account cause this is personal. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. Share. The diamond shaped perineum is divided into two triangles, the urogential triangle anteriorly and the anal triangle posteriorly. 1). Once the correct diagnosis is established, treatment is usually straightforward. 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. . Although uncommon, infection may be a complication. It is observed as a noticeable line. Skeletal Radiol. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. Doctoral Degree. Its exact location is the midline of the perineum at the junction of the anus and urogenital triangle in both females and males. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. Share this conversation. 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 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. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Browse 111 authentic perineum stock photos, high-res images, and pictures, or explore additional perineum sunning or perineum tanning stock images to find the right photo at the right size and resolution for your project. The more you scratch, the bigger the chances you will tear your perineal wall. The tourniquet may need to be re-applied as the swelling is reduced. central tendinous point and the midline raphe on the bulb of the penis. mucus or pus-like discharge coming from the anus. For the sake of this article, we will simply refer to it as the raphe. Call/text today: 1-212-204-6300 or make an appointment online. Thus, in the present study, we will apply a term "perineal raphe" to a raphe behind the root of penis. Women. Penile curvature − 0. 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. 225 became effective on October 1, 2023. . skeletal muscle. 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. : 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. 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. I've had my family doctor give me an RX cream but it is not working? What is. Difficulty getting an erection. Human anatomy 1. The perineum is an erogenous zone. Another clue to a possible penile torsion is the rotated appearance of the median raphe. Median raphe cyst is usually benign and asymptomatic male genitalia lesions. Background Median raphe cyst is usually benign and asymptomatic male genitalia lesions. 6% incidence − 8. " Answered by Dr. Hemorrhoids, or "piles," are swollen veins in the anus or rectum. All the patients presented with an unusual lesion at the anus or perineum, but no symptoms related to this anomaly. Pudendal neuralgia is long-term pelvic pain that originates from damage or irritation of the pudendal nerve – a main nerve in the pelvis. This tear seems to come and go every few months or so. 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. Epidermal cysts are very common lesions. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. Median raphe cysts are a rare, congenital entity. . Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. This structure continues through the midline of the scrotum (scrotal raphe) and upwards through the posterior midline aspect of the penis (penile raphe). Therefore, disturbed anal anatomy, as in cases of ARM, is commonly associated with PST. "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. Testis. Category: Medical. 2%. Suprapubic pain in women. Educating the child and family prior to this examination is important both for their reassurance and for gaining their trust. It is a normal variant of anogenital anatomy, most often found in young girls. These are usually the result of an infection of your internal anal glands. Bruises and swelling of the labia are most often from a straddle injury. 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. Not very big and feels more like a very swollen vein than anything else. This condition is one of the uncommon anomalies of urogenital/anogenital region that is unknown to many clinicians. Purpose of Review To discuss perineal and robotic approaches to gender-affirming vaginoplasty. it is normal? 1 doctor answer • 3 doctors weighed in. 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 lesion extended 4 cm and was unilocular (Fig. N81. MRC is thought to be caused by congenital alterations in the embryologic development of the male. 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. Hold your thumbs in this position for about 1 minute. 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. 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. The perineum is the area between the scrotum and the anus in a man. The diagnosis is mostly. If swelling is present, the area should be. Dr. Le quadrant antérieur (à 12 h) de l’anus est ainsi une. Ask Your Own Medical Question. The urogenital triangle differs between males and females. A swollen or inflamed prostate can lead to perineum pain in men. The red extends slightly into the upper scrotum. o The anus and the scrotum in males but continues on to the scrotum as ___. Surgical dissection of the male perineum. scrotum and penis in men. Jean E. [2–4] Perineal wounds usually occur following trauma, ablation of malignancy of the genitalia, low pelvic tumors, or following thermal or electrical injuries. In perianal Crohn’s disease, these symptoms are located around the anus and may include: anal bleeding. Penile Torsion and Wandering Raphe • Counterclockwise • Abnormal arrangement of penile shaft skin in development • Surgical repair if >40 degrees. 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. Anatomy and function of the scrotum. Genital lymphedema is a buildup of fluid causing swelling in the soft tissues of the genital (crotch) area. Sometimes the tear comes as a result of continuous itchiness and scratching. Pressure on the scrotal cysts caused expression of a milky fluid from the upper portion of the tract. An infected median raphe cyst was suspected, and the patient. The clinical picture did not fit that of an abscess. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. Wrap this in a flannel or towel to avoid ice-burn, which can be painful. Furuncle of perineum. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. 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. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. A red foreskin tip, without pain or swelling, just indicates that the skin is a bit irritated from doing its job of protecting the. 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 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. The red extends slightly into the upper scrotum. 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. I don’t know of any procedures to remove it short of testicular nullification. Women. HIPAA Secure. perineal raphe. Synonym(s): raphe perinei [TA]I see a raphe on my perineum,but not on scrotal skin. As the patient grows older, the cyst may also progress slowly. The unhealed perineal wounds can lead to significant morbidity. Aside from when I actually run my finger over it, there is no pain. 89 may differ. Median raphe cysts are a rare, congenital entity. A chronic perineal wound could result. Hemorrhoids and swollen perineal raphe? Hi, all. To report 2 cases of median raphe cysts, 1 in the penis and the other in the perineum. 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. In males, the muscle consists of two parts that are fused at the median fibrous raphe of penis. The raphe joins the internal. The pathogenesis of perineal groove is not clear, and there are few cases reported in the current medical literature. 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. I can hold it well with two fingers when pressed hard . I don’t know of any procedures to remove it short of testicular nullification. He had been actively cycling for 20 years, riding an average. Thus far, there is no reported case of this anomaly in monozygotic twins. 215 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The vast majority of the raphes do not bifurcate (123 genera), but the raphes of 7 genera do. also rha·phe n. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. S. This report describes an anterior perianal lesion in a 62 yr old male and draws attention to this rarely. It is completely common and normal physiological tissue line. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. 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. bulbospongiosus, in male. Its location may be related to anatomic characteristics of the perineum and median raphe. 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. pl. Swollen perineal A 19-year-old male asked: I think i have a median raphe cyst. Treatment is likely to be with chemoradiotherapy. General causes. the caudal end of the left and right urethral folds fuse to form the urethral raphe. Congenital perineal hernia is an extremely rare entity with only 10 cases having been reported in literature. The anoscrotal distance is more or less fixed, with a minimal variation (Chap. Perineal nodular swelling in a recreational cyclist: diagnosis and discussion. Clarene Cress: Possible molluscum: Pimples that have a hard white core sound like mol. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. 215 - other international versions of ICD-10 L02. Ultrasound confirmed the diagnosis of ectopic testicle. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. Connect with a U. They are considered congenital alterations in embryologic development. The tissue has been described as triangular, pyramidal, oval, tongue-shaped or leaf-shaped. The canals are l. Some species have marked seasonal variation in. So, two days ago I noticed a little lump near my anus while showering. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. May be candida: This is a yeast that often causes problems in warm weather. Satisfied Customers. There’s lots of other ways to phrase this explanation of the perineal raphe. In males, the perineum is the area which is situated between the scrotum and the anus, the pouch of the skin which holds the testicles. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Perineal nodular induration (PNI), or biker’s nodule, is a rare, bothersome, pseudotumour. Put an ice/cool pack on the area for about 10 minutes at a time. The management of an intrascrotal abscess, regardless of the cause, requires surgical drainage (see image below). " 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. No. In our study we treated a case with a large congenital scrotal sinus by total surgical excision. 8. I was checked for being intersexed before and they found nothing. 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. 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. That line is called the “penile raphe. 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. Main page; Contents; Current events; Random article; About Wikipedia; Contact us; DonateTypes of Genital Injuries in Females. Perineal injury in. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. Board Certified Physician. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. Medicaments including neomycin. It consists of the genital fold. They are the result of a burst blood vessel in that area. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). Michelle Jones singer answered. Treatments include creams, ointments, medications and home remedies. Antibiotics can help treat certain types of perineal pain. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. Abscesses are pus-filled “cysts”. The burning sensation lessens as each day passes, usually burns now only when I pee in the morning. 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. net dictionary. Avoid a lot of skin care products, antiseptics are ok. 215 may differ. 1), although cyst enlargement was present at either extremity. [5] [6] [7]At New York Urology Specialists, we offer same-day treatment for perineal pain . Swollen raphe. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Infection is treated with antibiotics. also rha·phe n. The penile raphe is part of a broader line in the male reproductive organs, that runs from the anus through the perineum ( perineal raphe) and continues to the scrotum and penis, collectively referred to as median raphe. The perineal body, a connective tissue mass found between the anus and genitalia, was identified in all specimens caudal to the midline of the perineal membrane; however, no muscles insert on the perineal body, which occupies an anatomical plane caudal to the perineal muscles. The attachments of bulbospongiosus are different among males and females. central tendinous point and the midline raphe on the bulb of the penis. ”. My perineum raphe is swollen and itches. Median raphe cysts present anywhere between the external urethral meatus and the anus. Its purpose is to help support your reproductive organs and pelvic floor muscles. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. Dansk: 21 årig kvindes anus med fremtrædende Perineal raphe (en sammensmeltning ved mellemkødet, oftest set hos mænd). Cut. L02. 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. 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. 1 Only a couple hundred case reports of median raphe cysts have been published in the English. Pain when you pee or have intercourse. A midline draining sinus tract was noted in the scrotal-perineal area. Over the next few months, the area became more swollen and did not regress despite recommended sitz baths and barrier creams. 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). A swollen or inflamed prostate can lead to perineum pain in men. A diamond shaped area between the legs below the pelvic diaphragm. Two anomalies that occur in the median raphe are: (1) cyst, which may be lined by stratified squamous or pseudostratified columnar epithelium; and (2. There are two. 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. The cavity should be left open and packed. Up until the eighth week after fertilization. Congenital perineal groove is characterized by an exposed erythematous nonepithelized mucous membranes that resembles exposed wet erythematous sulcus, inflammation, or rupture of the midperineum area. The perineum pain between the genitals and anus can be commonly caused by anal fissures. Most. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . 1. In addition, the fibers originate from several surrounding structures; perineal body, superficial transverse perineal muscle and external anal sphincter. Sometimes the tear comes as a result of continuous itchiness and scratching. The perineum is divided into the anterior urogenital triangle and the posterior. The abscess cavities must be opened and drained, including the testis if it is involved. Consult Now. compresses the bulb of. Ectopic. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. 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. M. 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. It does not hurt or itch, but it shouldn't be red. . Thank. Perineal body (sagittal view) Anorectal triangle. (F) Near the rectum (R), the raphe (arrows) is continuous with a developing midline septum of the bilateral. 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. Introduction and hypothesis: Descending Perineum Syndrome (DPS) is a coloproctologic disease and the best treatment for it is yet to be defined. The diagnosis is clinical with histological confirmation. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. Damage, or injury, to either the testes or the epididymis can cause swelling and pain in the scrotum. Overview A perineal abscess is an infection that causes a painful lump in the perineum. It consists of two symmetrical parts, united along the median line by a tendinous perineal raphe. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just fall off. Dr. 3. Perineal injury in. A lump on your perineum, redness and swelling. This is the American ICD-10-CM version of L02. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. ”. It is a normal variant of anogenital anatomy, most often found in young girls. It is a normal variant of anogenital anatomy, most often found in young girls.