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. After pressing skin I can feel hard jelly like mass . M. 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. Anatomy Pelvis and perineum Pelvic girdle and floor Homology of the male and female genitalia. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Introduction. . Injuries to the perineum can happen suddenly like an accident or as the activity which puts the. Abstract. Perineal raphe and No. The perineal raphe further extends forward to the undersurface of the penis and backward to the anal opening. Pressure at one extremity was transmitted to the other, reflecting a. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. 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] 。. It is observed as a noticeable line. The exposed bowel loops were a sequestered. Lanolin. Freeman, A. Raphe of scrotum. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. Perineum swelling is associated with a variety of conditions, including: Cysts and abscesses: Cysts (which are fluid-filled sacs) develop due to infection or irritation in the perineum. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. 1. It's around 1cm in diameter, was purple (now more pink), and right next to my anus. Changes in urinary frequency (how often you pee). 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. S. . The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. net dictionary. Perineal Injury. hav bv tho. The genital area in girls is protected. —This is a fibrous point in the middle line of the perineum, between the urethra and anus, and about 1. In botany and planktology it is commonly used when describing a seam or ridge on diatoms or seeds . 6. 215 may differ. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . Acute complications can occur in 25-60% cases. penile raphe. Show Less. Show More. In women, the perineum is the. Bulbospongiosus is a paired muscle of the pelvic floor. Rinsing the area with warm water after you use the bathroom. An abscess is a painful, swollen area with pus inside. the two halves of which meet in a midline raphe deep. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. At night the irch… Nov 13, 2009 · My perineum raphe is inflamed and swollen. Category: Medical. A chronic perineal wound could result. Perineal injury happens to the perineum, which is the part of the body between the genitals and anus. Keywords: Median raphe cyst, Penis, Scrotum, Perineum, Excision. Fournier gangrene (necrotizing fasciitis) requires prompt resuscitation and surgical. The perineum is the region between the thighs that includes the space between the genitals and anus. 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. Anatomy A seamlike line or ridge between two similar parts of a. The most common treatment for perineal pain is rest; rest helps the body repair the damage. Blunt trauma causes split in skin and muscles that may get infected. What is. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. Definition of gouch in the Definitions. 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. Sir/ma'am I have a lump (painless) in perineal region, which is not visible from eyes or from surface. This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of the penis; it is usually darker in color. RF 2T1WAMX – Pelvic floor muscles. It is observed as a noticeable line. Foster Carr answered. Serious injuries are rare. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. There’s lots of other ways to phrase this explanation of the perineal raphe. Relevant articles and textbook chapters were reviewed, analyzed, and summarized with the consensus of the authors of this paper. It seems aggravated by coffee and I often have diarrhea at the same time. You may notice pieces of the stitches on your sanitary pad or on the toilet. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. It is located in the midline and anterior to the anus in an area called the perineal median raphe. If you think your swollen perineum is unusually itchy and swollen, go see your OB MD who did the OB care and d. We present a case and review the literature in respect to a 35-year-old man with a non. Women. Perineocele. When a male fetus’ genital tissues change form and develop into the scrotum and penis, the way that they come together and fuse forms the perineal raphe. 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. The genital swelling forms a conspicuous prominence in the genital region of the embryo. After looking at it and doing some basic research, I'm pretty sure it's an external haemorrhoid. 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. General causes, gynecologic causes, and abdominal causes. At this point six muscles converge and are attached: viz. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. The diamond shaped perineum is divided into two triangles, the urogential triangle anteriorly and the anal triangle posteriorly. Some yeast infection discharges can be very itchy, causing endless discomfort. 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. Abstract. Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. Another clue to a possible penile torsion is the rotated appearance of the median raphe. Let’s start with the male external genitalia, which includes the membranous - or intermediate - urethra, the. 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. Starting stages of fetal development looks same but at 7th week of pregnancy, fetal genital tissues change and form male reproductive organs i. The cavity should be left open and packed. compresses the bulb of. This condition is noticeably very different from swollen perineum, and you will know right away if you are experiencing. 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. 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. Sometimes, the treatment varies in men and women: Get adequate rest. I was actually thinking about some kind of technique that is also used to make scars less visible. General Practice 35 years experience. 'seam'; [1] pl. Gynecology 40 years experience. [3] The unhealed perineal wounds can lead to significant morbidity. 5 mm 2 in size. Penile curvature − 0. L02. Its location may be related to anatomic characteristics of the perineum and median raphe. It can be treated by taking four to six weeks of anti fungal treatment which includes tablets along with creams. Some species have marked seasonal variation in. The tissue has been described as triangular, pyramidal, oval, tongue-shaped or leaf-shaped. That line is called the “penile raphe. Median raphe cysts are a rare, congenital entity. The scrotum is part of the male anatomy. A 48-year-old healthy male who is an avid cyclist presented with a progressive inferior perineal and scrotal swelling for five years. Therefore gents, you have a bit of a labia on your scrotum. So, the seam is really the remnants of what were originally your labio-scrotal folds, bits that were meant to become a labia. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. The wound may be a freshly created surgical wound or may be as a result of trauma or burns. scrotal raphe. James Schumacher, in Equine Surgery (Fourth Edition), 2012. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. Fragrances and preservatives, especially in wet wipes. The 2024 edition of ICD-10-CM N48. 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 causes of perineal pain are pretty varied, but they fall into a few different categories. penis and scrotum. Clarene Cress: Possible molluscum: Pimples that have a hard white core sound like mol. 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. The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. e. compresses the vestibular bulb and constricts the vaginal orifice. Genital Lymphedema. It consists of two symmetrical parts, united along the median line by a tendinous perineal raphe. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Discussion. got pap, clear. Summary. 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!. Perianal region is an extremely rare location for these lesions. He had been actively cycling for 20 years, riding an average. 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. Therefore, disturbed anal anatomy, as in cases of ARM, is commonly associated with PST. Pain when you pee or have intercourse. Do not use soap over that area. The perineal area is scrubbed and a 10-cm midline skin incision is made below the ischial arch. Both cysts and abscesses can cause. (F) Near the rectum (R), the raphe (arrows) is continuous with a developing midline septum of the bilateral. In addition, skin conditions like eczema and scabies can cause a red scrotum. In human mid-term fetuses, a future scrotum was difficult to identify because of no descent of testis . A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. 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). 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Cross section of male abdomen with pelvic diaphragm, Prostate, bladder, rectum, pubic bone, urethra, anus, and coccyx. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. Discussion. FormalPara Definition . Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. Some of these are overlooked in the delivery room if meconium is passing and the physician does not look closely at the. Using a throwaway account cause this is personal. Median raphe cysts are cysts that develop on the median line in the male genital region in any area from the anus to the external meatus. Congenital perineal hernia is an extremely rare entity with only 10 cases having been reported in literature. read more. 2. Nose length- Saddle nose length also seems to be a factor. Here we present the unusual case of an epidermal cyst occurring between the anal sphincters, presenting as. It is an extension of the perineal raphe, a line of tissue that extends. 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. Itchiness can also arise from scarring tissue as the tear tries to heal. A perineal abscess is an infection that causes a painful lump in the perineum. 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. Epidermal cysts are very common lesions. An anal abscess can also cause pain in the perineum. So, two days ago I noticed a little lump near my anus while showering. Aside from when I actually run my finger over it, there is no pain. The perineal lesion (Figure 1) was recognized by CAP as the congenital malformation failure of midline fusion. Unnecessarily excessive or hard wiping will cause trauma. Abstract. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. A 44-year-old male presented with a painless swelling in the perineum which became more prominent with penile erections. I don’t know of any procedures to remove it short of testicular nullification. 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. 1). Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. 16. These diseases are amenable to treatment. The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. 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. ReplyA 44-year-old male presented with a painless swelling in the perineum which became more prominent with penile erections. I have a discoloration rash which a doctor has diagnosed as. Thus far, there is no reported case of this anomaly in monozygotic twins. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just fall off. Antipyretics-. Le quadrant antérieur (à 12 h) de l’anus est ainsi une. skeletal muscle. At night the irch is unbearable at times. 1), although cyst enlargement was present at either extremity. The raphe joins the internal. Perineal Injury. pl. " Answered by Dr. This tear seems to come and go every few months or so. 3. Perianal region is an extremely rare location for these lesions. Many times the left testicle can hang lower and the baggy scrotum can look a little asym. The cyst may occur anywhere along the midline from glans to anus. Wear loose cotton underwear and keep the area clean and dry. This condition is one of the uncommon anomalies of urogenital/anogenital region that is unknown to many clinicians. It's doesn't hurt. Alex Kirkham 2, Asif Muneer 3 Correspondence to Arie Stewart Parnham, [email protected] membrane and corpus cavernosum of the clitoris. Damage, or injury, to either the testes or the epididymis can cause swelling and pain in the scrotum. I was checked for being intersexed before and they found nothing. tight feeling in anus happens also. My perineum raphe is inflamed and swollen. This means that the cause of the itch is not found. 1 Only a couple hundred case reports of median raphe cysts have been published in the English. If swelling is present, the area should be. Some yeast infection discharges can be very itchy, causing endless discomfort. 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. Statistics. Both cysts and abscesses can cause. Dr. The perineum pain between the genitals and anus can be commonly caused by anal fissures. Difficulty getting an erection. Because of the rarity, exact incidence cannot be calculated. 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. perineal raphe. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. This includes both sets of labia, the clitoris, the urethra, and the vaginal opening. 1 It is divided on the midline by the scrotal raphe, which is continuous with the raphe of the prepuce, penis, and. board-certified. This line starts just anterior to the anus and extends. Perineoplasty is a surgical procedure to repair the perineum and external organs of your vagina (vulva). The perineum is an erogenous zone. Richard Greengold: May be candida: This is a yeast that often causes problems in warm wea. read more Dr. An incision is made through the median raphe of the bulbospongiosus muscle and into the underlying urethra. Parents reported first noticing what they believed to be a skin tag in the perineal area at birth. 1. 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. In a 2014 study, researchers found that longer saddle nose lengths produced greater subjective feelings of perineal discomfort and that lengths of 0-3cms were the most comfortable (3). If you think your swollen perineum is unusually itchy and swollen, go see your OB MD who did the OB care and d. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. A red foreskin tip, without pain or swelling, just indicates that the skin is a bit irritated from doing its job of protecting the. Doctor's Assistant: How long have you been dealing with this? Does anything in particular seem to make the itch. Orthodontics 55 years experience. Less commonly, an infection or. 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. Some species have marked seasonal variation in. ra·phae also rha·phae 1. 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. Thus, in the present study, we will apply a term "perineal raphe" to a raphe behind the root of penis. 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. Ectopic. ra·phae also rha·phae 1. The raphe joins the internal septum with the scrotum. John Chiu agrees. com Summary Median raphe cysts are a rare, congenital entity. Infection is treated with antibiotics. 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. : 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. Dr. As the patient grows older, the cyst may also progress slowly. Try OTC Clotrimazole cream; if no better, see your doctor. Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. 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 . In animal anatomy it is used to describe a ridged union [2] of continuous. perineal raphe: [TA] the central anteroposterior line of the perineum, more marked in the male, being continuous with the raphe of the scrotum. ExpandThe perineum is a very common site for herpes outbreaks, and paper cuts are one possible form of herpes. " 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. 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. The connecting ridge between the two halves of the medulla oblongata or the tegmentum of the midbrain. 225 may differ. Although uncommon, infection may be a complication. This is the American ICD-10-CM version of L02. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. In males, it contains male external genitalia and the perineal muscles. They are the result of a burst blood vessel in that area. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. Created for people with ongoing healthcare needs but benefits everyone. Skeletal Radiol. 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. Perineal groove is a rare congenital malformation characterized by a midline wet erythematous sulcus of the perineal raphe extending from the posterior fourchette to the anterior edge of anus with a normal anatomy of urethra, vagina and anus. Cremasteric reflex should be tested bilaterally. These. . ericsphotography / Getty Images Anatomy . The scrotum of the horse is a prepubic diverticulum of skin that contains the testes, their associated ducts, and the distal portion of the spermatic cords. 1. Perineal fistula and other anorectal. 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. Scrotum. 8. A perineal fistula is a type of anorectal malformation (ARM) that involves a misplaced anal passage that is often narrowed. Always in the exact same place. ( 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 . Anatomy and function of the scrotum. 1), although cyst enlargement was present at either extremity. 2. 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. These are usually the result of an infection of your internal anal glands. What does a swollen perineal mean - Answered by a verified Health Professional. This structure continues through the midline of the scrotum (scrotal raphe) and upwards through the posterior midline aspect of the penis (penile raphe). Dr. 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. The vast majority of the raphes do not bifurcate (123 genera), but the raphes of 7 genera do. Take a warm bath. Pressure on the scrotal cysts caused expression of a milky fluid from the upper portion of the tract. ”. Treatments include creams, ointments, medications and home remedies. Perineal midline raphe anomalies lining from the urethral meatus to the anus are rarely detected in children, and they are usually in the form of cystic structures [3, 4]. Came home with swelling in. Warm compresses and. Anatomy and function of the scrotum. This is the visible line or ridge on the underside of the penis that runs from the scrotum to the tip of the penis. Given the above, it's possible that what you are experiencing is herpes, especially if it's recurring at the same place. In a woman, it's the area between the vulva and the anus. No. On histological. It is noteworthy that a rudimentary gubernaculum also forms in females. the caudal end of the left and right urethral folds fuse to form the urethral raphe. The lesion extended 4 cm and was unilocular (Fig. Perianal region is an. Raphe ( / ˈreɪfi / RAY-fee; from Ancient Greek: ῥαφή, romanized : rhaphḗ, lit. The purpose of the median septum is to compartmentalize each testis in order to prevent friction or trauma. Dermatitis is when an irritant causes the skin to become red, swollen, and sore. Hemorrhoids and swollen perineal raphe? Hi, all. Consult Now. Caring for the perineum. Testis. Serious injuries are rare. Specializes in Obstetrics and Gynecology. Low malformations in girls, as seen in Figure 2 B, often end in the posterior fourchette of the vagina. These bumps can occur anywhere on perineal raphe most commonly around anus. This is the American ICD-10-CM version of N81. Perineal raphe: everything on this line that divides the scrotum in two. EVALUATION OF A PERINEAL WOUND. 2 Other symptoms include localized pain, chronic seepage, and excessive moisture. Perineum. Perineal raphe synonyms, Perineal raphe pronunciation, Perineal raphe translation, English dictionary definition of Perineal raphe. Product. 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. Jean E. The 2024 edition of ICD-10-CM N81. Method 1. This report describes an anterior perianal lesion in a 62 yr old male and draws attention to this rarely. 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. Bulbospongiosus is a sexually dimorphic muscle, meaning that it is different among sexes. 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). It is a tear to your perineum (say "pair-uh-NEE-um"), which is the area between your vagina and anus. "The line that runs down the underside of the penis and down the middle of the scrotum, the peno-scrotal raphe (where the urogenital folds fused early in the womb), will darken. The septum. A perineum cut is back again! Vulvitis is common and can result from an allergic reaction, an infection or an injury. Perineal grooves in two newborn babies were. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o. Median raphe cysts usually occur in low-type anorectal malformations and suggest the location of the fistula . , the Sphincter ani externus, the Bulbocavernosus, the two Transversi perinæi superficiales, and the. You can vary the pressure as per your liking. The term "IPPP" was introduced in the medical literature within the past 10 years. The pathogenesis of perineal groove is not clear, and there are few cases reported in the current medical literature. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. 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. The tourniquet may need to be re-applied as the swelling is reduced. deep branch of the perineal nerve (from pudendal nerve) perineal a. 3. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. Soak in a comfortably hot bathtub three times a day for 15 minutes. Furuncle of perineum. The perineum is the area between the anus and the vagina/penis. Perineal grooves in two newborn babies were described in this report, and the literature on. Structure. Ask Your Own Medical Question. It may also be too small. Jean E. It is located in the midline and anterior to the anus in an area called the perineal median raphe. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. 89 became effective on October 1, 2023. Long-term complications are not expected in most vaginal tears, except in severe lacerations, which are associated. Read below for more information on causes and. Introduction. I don’t know of any procedures to remove it short of testicular nullification. The clinical picture did not fit that of an abscess. in front of the latter. 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. Hemorrhoids, or "piles," are swollen veins in the anus or rectum. 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. My perineum raphe is inflamed and swollen.