Anatomy Pelvis and perineum Pelvic girdle and floor Homology of the male and female genitalia. 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. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. DISCUSSION. General causes. The red extends slightly into the upper scrotum. 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. They are considered congenital alterations in embryologic development. 2. In addition, skin conditions like eczema and scabies can cause a red scrotum. 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). 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. 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. Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. Otsuka T, Terauchi M. my cut has healed but the piece of raphe that was hanging curled up and looks like a pimple?. ”. Perineal raphe: everything on this line that divides the scrotum in two. Suprapubic pain in women. The perineum is the region between the thighs that includes the space between the genitals and anus. 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. Show Less. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. Acute complications can occur in 25-60% cases. The canals are l. Gently, massage the area in up-down or circular motions. 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. If you have concerns, seek examination by Physician or Dentist. This is the American ICD-10-CM version of L02. Following the definitive diagnosis of failure of midline fusion, urology recommended a CT of the abdomen and pelvis to evaluate for additional. . 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. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. : 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. Perineal raphe: everything on this line that divides the scrotum in two. Median raphe cysts are a rare, congenital entity. Microscopically, there is epidermal acanthosis, marked edema, and mild inflammatory. 2. We present a case and review the literature in respect to a 35-year-old man with a non. also rha·phe n. In males, the perineum is the space between the scrotum and anus. (F) Near the rectum (R), the raphe (arrows) is continuous with a developing midline septum of the bilateral. 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. This rare condition does not usually require surgical correction except for cosmetic reasons or if the. Ectopic. Along this tract, which extended across the median raphe of the penis and scrotum, were several cj^stic areas, the largest measuring 2 cm. " Answered by Dr. Penile/scrotal raphe is red. Long-term complications are not expected in most vaginal tears, except in severe lacerations, which are associated. 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. The wound may be a freshly created surgical wound or may be as a result of trauma or burns. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. Definition of gouch in the Definitions. Perineal raphe synonyms, Perineal raphe pronunciation, Perineal raphe translation, English dictionary definition of Perineal raphe. Pressure at one extremity was transmitted to the other, reflecting a. Injuries to the perineum can happen suddenly like an accident or as the activity which puts the. The cyst is generally solitary, with the penile shaft being the most common location, with average size of around 1 cm. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. We aimed to evaluate the subjective. hav bv tho. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. in diameter (fig. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). An ulcer is an open sore internally or externally caused by the failure of skin or a mucous membrane to heal. Its location may be related to anatomic characteristics of the perineum and median raphe. 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). Treatments include creams, ointments, medications and home remedies. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. Functional Morphology. Depending on growth of the bulbospongiosus muscle and corpus spongiosus penis, the midline intermuscular septum obtained a connection to the subcutaneous wavy. The area may look red and feel painful and be swollen. This means that the cause of the itch is not found. SOC 2 Type 2 Certified. They heal quickly. The lesion extended 4 cm and was unilocular (Fig. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Perineal raphe bump is a lump formation on the line of tissues i. The clinical picture did not fit that of an abscess. Bruises and swelling of the labia are most often from a straddle injury. Perineal injury happens to the perineum, which is the part of the body between the genitals and anus. The perineal raphe is where the tissue came together, and this line extends down the the scrotum as well. Sir/ma'am I have a lump (painless) in perineal region, which is not visible from eyes or from surface. 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. Median raphe cysts usually occur in low-type anorectal malformations and suggest the location of the fistula . I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. The Central Tendinous Point of the Perineum. Synonym(s): raphe perinei [TA]I see a raphe on my perineum,but not on scrotal skin. The raphe joins the internal. vulva, labia and clitoris in women. 81 may differ. This structure continues through the midline of the scrotum (scrotal raphe) and upwards through the posterior midline aspect of the penis (penile raphe). 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. If I had a low circ it would look like yours does, cause that's just where my raphe is. The tissue has been described as triangular, pyramidal, oval, tongue-shaped or leaf-shaped. What causes itching (or burning) in the perineum? Here are the common causes of burning or itching in the perineum. Thomas suggests holding a simple, external vibrator—such as a bullet vibrator or a wand—against your perineum. 2. perineal a. Most. 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. 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. Starting stages of fetal development looks same but at 7th week of pregnancy, fetal genital tissues change and form male reproductive organs i. Parnham, A. Structure. central tendinous point and the midline raphe on the bulb of the penis. This uncommon cystic lesion was first described by Mermet in 1985. Such infection may cause cellulitis. compresses the bulb of. 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. board-certified doctor by text or video anytime, anywhere. . "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. They may be located inside the rectum (internal) or outside the body at the anus. ” Another referred to it as the “vagina-nutsack-anus scar,” adding: “Every dude has one. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. Median raphe cysts usually occur in low-type anorectal malformations and suggest the location of the fistula . 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. Raphe of scrotum. It is unknown to many clinicians, which usually leads to misdiagnosis. 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. A 10-month-old girl was referred to Pediatric Gynecology after her parents noticed an increasing genital bulge. Its purpose is to help support your reproductive organs and pelvic floor muscles. The lesion extended 4 cm and was unilocular (Fig. 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 caudal end of the left and right urethral folds fuse to form the urethral raphe. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. This line starts just anterior to the anus and extends through. 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. perineal raphe. A red foreskin tip, without pain or swelling, just indicates that the skin is a bit irritated from doing its job of protecting the. Perineal fistula and other anorectal. The clinical picture did not fit that of an abscess. Hi, I want a dermatologist to look at my rash on my perineum. perineal raphe. In perianal Crohn’s disease, these symptoms are located around the anus and may include: anal bleeding. In animal anatomy it is used to describe a ridged union [2] of continuous. A careful history and examination are required. Noun [ edit] perineal raphe (plural perineal raphae) ( anatomy) The visible line that extends from the anus, through the mid-line of the scrotum and upwards through the posterior mid-line aspect of the penis. Richard Greengold answered. 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). 215 may differ. Perineal raphe and No. An infected median raphe cyst was. The perineal area is scrubbed and a 10-cm midline skin incision is made below the ischial arch. 225 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. In mid 2014 i had HIV, herpes, vdrl & tsh test and all tests. 81 became effective on October 1, 2023. 1. Sit on a rubber ring (for no more than half an hour at a. In addition, the fibers originate from several surrounding structures; perineal body, superficial transverse perineal muscle and external anal sphincter. The perineal raphe is visible and pronounced to varying degrees. Median raphe cyst (MRC) of the perineum is rare congenital midline cyst of the male genitalia. The latter inserts into the scrotal swelling. I have a discoloration rash which a doctor has diagnosed as. Created for people with ongoing healthcare needs but benefits everyone. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. Call/text today: 1-212-204-6300 or make an appointment online. Read More. Use a cold compress or ice pack to relieve pain and. 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. No. read more Dr. 1. 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. A 48-year-old healthy male who is an avid cyclist presented with a progressive inferior perineal and scrotal swelling for five years. Perineoplasty is a surgical procedure to repair the perineum and external organs of your vagina (vulva). Discussion. Thus far, there is no reported case of this anomaly in monozygotic twins. The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. 215 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Difficulty getting an erection. Sore or itchy perineum. There’s lots of other ways to phrase this explanation of the perineal raphe. Perineal grooves in two newborn babies were. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. Perineocele. Therefore gents, you have a bit of a labia on your scrotum. Serious injuries are rare. I have them since 1-2 years, everytime after using ointment/cream bumps goes out but came back after some days. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. Jean E. 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. The 2024 edition of ICD-10-CM N81. The 2024 edition of ICD-10-CM L02. penis and scrotum. Many times the left testicle can hang lower and the baggy scrotum can look a little asym. Perineal nodular induration (PNI), or biker’s nodule, is a rare, bothersome, pseudotumour. ”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. Before the perineum tears, if there is a yeast infection, you will notice swelling and irritations. Perineal Injury. Bruise. Submitted: 2 years ago. There are two. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. These bumps can occur anywhere on perineal raphe most commonly around anus. Congenital sinus located in the scrotal raphe is an extremely rare anomaly. Thus far, there is no reported case of this anomaly in monozygotic twins. Perineal Injury. They can be found from the distal penis and scrotum to the perineum in a midline position. 1). The 2024 edition of ICD-10-CM N48. Human anatomy 1. Richard Greengold: May be candida: This is a yeast that often causes problems in warm wea. Overview A perineal abscess is an infection that causes a painful lump in the perineum. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. 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). 1-3 The diagnosis can be made in early infancy through the preschool and early school years. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. compresses the vestibular bulb and constricts the vaginal orifice. During a vulvar biopsy, doctors collect tissue samples from a female’s external genitalia. If there is no mass or swelling in the testicle not to worry. I accidentally cut my perineal raphe. in front of the latter. The stitches will dissolve in 1 to 2 weeks, so they will not need to be removed. This report describes an anterior perianal lesion in a 62 yr old male and draws attention to this rarely described location and the unusually late presentation. This lesion extends vertically downward from the posterior portion of the vaginal fourchette to the anterior rim of the anus. The unhealed perineal wounds can lead to significant morbidity. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. Antibiotic treatment will be started when patient’s temperature is high, or if the patient has higher blood leukocytes. ___ is a sagittal ridge of skin in the perineum that extends between: o The anus and the vulva in females. 2. Repeat the massage for 5-10 minutes total, taking breaks when you need to. They heal quickly. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. In males, it is wrapped around the bulb of penis and corpus. This is the visible line or ridge on the underside of the penis that runs from the scrotum to the tip of the penis. I don’t know of any procedures to remove it short of testicular nullification. compresses the vestibular bulb and constricts the vaginal orifice. Nose length- Saddle nose length also seems to be a factor. So, two days ago I noticed a little lump near my anus while showering. Abstract. 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. These diseases are amenable to treatment. Raphe ( / ˈreɪfi / RAY-fee; from Ancient Greek: ῥαφή, romanized : rhaphḗ, lit. Soak in a comfortably hot bathtub three times a day for 15 minutes. The perineal raphe is a visible line or ridge of tissue on the male human body that extends from the anus through theperineum. It can be treated by taking four to six weeks of anti fungal treatment which includes tablets along with creams. Pelvic floor massage therapy helps manage long-term pain. Product. Minor cuts or scrapes heal quickly. HIPAA Secure. 1 Normal Scrotal Raphe. 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. my bottom left testicle feels swollen & my perineal area all the way down to my 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. The lateral part of the genital tubercle. Postpartum Perineal Care Facts. [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. This line starts just anterior to the. Start on the lightest setting. I was checked for being intersexed before and they found nothing. A lump on your perineum, redness and swelling. The site of the median septum is apparent on the surface of the scrotum along a median longitudinal ridge called the scrotal raphe. You can see yours has some crooked spots too. Perineal body (sagittal view) Anorectal triangle. Keep the area clean and dry. One person on Reddit succinctly (but not completely accurately) described it as “where our vaginas would be had you been born a girl instead of a guy. 2. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. 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. 1. 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. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. Treatment is likely to be with chemoradiotherapy. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. central tendinous point and the midline raphe on the bulb of the penis. Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum. Using a throwaway account cause this is personal. Abstract. The connecting ridge between the two halves of the medulla oblongata or the tegmentum of the midbrain. An infected median raphe cyst was suspected, and the patient. The purpose of the median septum is to compartmentalize each testis in order to prevent friction or trauma. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. The lateral part of the genital tubercle. Simple orchidectomy: Known as a subinguinal orchiectomy, this type of procedure allows the surgeon to access the testicle through a cut in the scrotum. A chronic perineal wound could result. MRC is thought to be caused by congenital alterations in the embryologic development of the male. 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. Le quadrant antérieur (à 12 h) de l’anus est ainsi une. 1. Foster Carr answered. In males, it is located between the anus and bulb of the penis. M. Warm compresses and. It is located in the midline and anterior to the anus in an area called the perineal median raphe. What DOES worry me is that just now I found my perineal raphe to be swollen. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Deutsch: Anus einer einundzwanzigjährigen Frau English: The anus of a 21 year old woman with predominant raphe perinealis . tight feeling in anus happens also. 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. 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. Perineal grooves in two newborn babies were described in this report, and the literature on. When I shake it , it sound like liquid but it's hard. Anatomy and function of the scrotum. 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. 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. The burning sensation lessens as each day passes, usually burns now only when I pee in the morning. The tourniquet may need to be re-applied as the swelling is reduced. Hot-water soaks increase blood circulation to the inflamed area, allowing more of the body’s healing factors access to the area. 2 Other symptoms include localized pain, chronic seepage, and excessive moisture. perineal raphe: [TA] the central anteroposterior line of the perineum, more marked in the male, being continuous with the raphe of the scrotum. Introduction. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. It is a sac of skin and muscle that hangs in front of the pelvis, between the legs. Careful sharp dissection is used to expose the retractor penis muscles, the bulbospongiosus muscle, and the underlying penis. Therefore, disturbed anal anatomy, as in cases of ARM, is commonly associated with PST. 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. If redness, swelling, warmth or discharge from the cut occurs, contact your medical provider quickly to evaluate for a developing cellulitis. Call/text today: 1-212-204-6300 or make an appointment online. scrotum and penis in men. This uncommon cystic lesion was first described by Mermet in 1985. who do i go to&is this easy/safe to treat? Median raphe cysts are a rare, congenital entity. 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. An unusual swelling in the male perineum Arie Stewart Parnham,1 Alex Freeman,2 Alex Kirkham,2 Asif Muneer3 1Department of Urology, The. o The anus and the scrotum in males but continues on to the scrotum as ___. Sometimes the tear comes as a result of continuous itchiness and scratching. The more you scratch, the bigger the chances you will tear your perineal wall. Perineal raphe synonyms, Perineal raphe pronunciation, Perineal raphe translation, English dictionary definition of Perineal raphe. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. Examination revealed a small, poorly outlined, tender, red swelling in the median raphe of the penis near its middle. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. The perineum is divided into the anterior urogenital triangle and the posterior. It does not hurt or itch, but it shouldn't be red. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Dr. 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. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. skeletal muscle. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. May be candida: This is a yeast that often causes problems in warm weather. Vulvar trauma, infection (including Fournier gangrene. From the raphe, the. The perineum is the area between the anus and the vagina/penis. It is observed as a noticeable line. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. 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. There are many Raphes in the human body. Perineal pain or perineum pain is often caused by infection of perineal skin, subcutaneous tissue or deeper tissue like anus, vulva and vagina. 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. Dr. Read below for more information on causes and. It seems aggravated by coffee and I often have diarrhea at the same time. The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. Satisfied Customers. After looking at it and doing some basic research, I'm pretty sure it's an external haemorrhoid. Six cases are reported: five with canals or cysts of the genito-perineal raphe, one with a periurethral cyst. 9). Two anomalies that occur in the median raphe are: (1) cyst, which may be lined by stratified squamous or pseudostratified columnar epithelium; and (2. 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. Learn how we can help. I was actually thinking about some kind of technique that is also used to make scars less visible. Pruritus ani Pruritus ani is a condition that can occur in both genders, but. Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. Minor cuts or scrapes heal quickly. The raphe on the penis usually resembles a stretch mark and can be anywhere from 1-3mm wide.