. DO. Abstract. 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. 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. 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. It is a broad muscular sheet that attaches to the bodies of the pubic bones anteriorly, ischial spines posteriorly and to a thickened fascia of the obturator internus muscle. then about a year ago the itch started getting worse, and since then. Only a few hundred cases have. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. Skin is not rough or flaky. 2 became effective on October 1, 2023. It's usually in response to a fungal infection (most common). deep branch of the perineal nerve (from pudendal nerve) perineal a. I may take hobby’s suggestion and do the Smores stretches dry, but after a really good warmup, from now on. A careful history and examination are required. Earlier I had this problem while walking so I thought that it is because of my pubic hair so I cut them. The cyst is generally solitary, with the penile shaft being the most common location, with average size of around 1 cm. To reduce the inflammation, you can apply a very small amount of 1% or 2% hydrocortisone ointment or cream, after bowel movements and twice a day, to the affected skin. They can be found from the distal penis and scrotum to the perineum in a. Perineal lacerations occur in up to 80% of vaginal deliveries. 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). Infections from perineal tears or cuts are rare. 2 Other symptoms include localized pain, chronic seepage, and excessive moisture. 1. Subsequent histopathological examination confirmed a median raphe cyst. vulva, labia and clitoris in women. If you have concerns, seek examination by Physician or Dentist. However, during the past 5–6 years, the splitting had started in other parts of raphe covering the penis and scrotum. . Median raphe cysts present anywhere between the external urethral meatus and the anus. This is one of the most common areas of pain in men and women who suffer from various forms of pelvic pain. Perineal wounds can also occur following Fournier's gangrene, hideradenitis suppurativa, or in chronically bed ridden patients where pressure sores can extend into the perineal region. No pain or itch. Symptoms. Hi i am 28 years old uncircumcised male. Increased pain, swelling, redness, or warmth in the perineal area. The cyst may occur anywhere along the midline from glans to anus. 4), medial raphe of the scrotum, the perineal raphe or the perianal region. A physician will want to do a physical exam and potentially a rectal exam to see what's happening. This kind. [1] [2] The line is typically darker than the rest of the shaft skin, even though its shape and pigmentation may vary greatly among males. Same-day virtual video appointments and in-person appointments are available. The proper term to use may depend on the context, situation, and cultural background of the speaker. This is especially true for people who have IBD, and in particular, Crohn's disease. Sepsis occurs in less than 1% of patients . He had no history of medical disease or con. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. What Causes Perineum Pain? In all sexes In males In females Takeaway The perineum lies near several nerves, muscles,. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. [2],[3],[4],[7],[8],[9] In particular, chronic pain may be. Go to: 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. 1 Lacerations commonly occur on the perineum and vagina but can also occur on the labia, clitoris, urethra, and cervix. I have been having pain between anus and scrotum for two months. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. The urethral opening is called the meatus and lies on the tip of the glans penis. This is called ‘idiopathic pruritus ani’ which means ‘itchy anus of unknown cause’. 8. Perineal Body: The median raphe of levator ani between the anus and vagina, is reinforced by the central tendon of the perineum. 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. The incision is extended through the paired retractor penis muscles, the bulbospongiousus muscle, the corpus spongiosum penis, and urethral mucosa overlying the stallion catheter. The most common terms used to refer to this area are: Grundle. Dr. I don't know what caused it, though I suspect that, when I let my nasty cousin live with me. 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. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. (E) The raphe disappears at the anterior margin of the external anal sphincter (EAS). How to say perineal. Apply emollient or barrier creams to the anal area to. If you have any questions, please contact the GI surgical access centre. 21 yrs old Male asked about Mild pain and small lump on perineal, 1 doctor answered this and 1557 people found it useful. Perineum is in color. perineorrhaphy: [ per″ĭ-ne-or´ah-fe ] suture of the perineum . 4,922 satisfied customers. A total of 43 children presented with perineal trauma to our institution during the study period. Introduction. Introduction. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. Subsequent histopathological examination confirmed a median raphe cyst. Pressure on the scrotal cysts caused expression of a milky fluid from the upper portion of the tract. e. You can find info on it online. How if you experience any of the following symptoms, please contact your clinician: Fever. ". The perineal raphe further extends forward to the undersurface of the penis and backward to the anal opening. The median age at the first visit to our clinic was 1. 1. Currently, CPG can be divided into two types based on the morphology of perineum, complete and partial (2,3, 8). Take pain medication like ibuprofen (Advil) to reduce swelling and pain. The 2024 edition of ICD-10-CM R10. So I am concerned what that means when. Ectopic testicles may be found in the superficial inguinal pouch, the suprapubic area, the perineum, the femoral canal, or even the other side of the scrotum. Even if its a small thing, it bothers me quite a bit. Perineal pain occurs adjacent to the anus. Perianal region is an extremely rare location for these lesions. Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. However, during the past 5–6 years, the splitting had started in other parts of raphe covering the penis and scrotum. 2%. Relaxation of the perineal muscles is important to permit movement of the probe within the rectum and to allow the introducer needle pass easily through to the levator muscles. General. Antipyretics-. Open in a separate window. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. L02. bot now i doubt it's something else. Pain medications and numbing sprays: Taking acetaminophen (Tylenol®) or ibuprofen (Advil®) and using pain-numbing sprays can ease the pain while your body heals. Ultrasound confirmed the diagnosis of ectopic testicle. The symptoms of perineum infection in females may include pain or discomfort in the perineum area, swelling or redness in the perineum area, itching or. Do this as long as you have pain. 2. Coccygodynia, sometimes referred to as coccydynia, coccalgia, coccygeal neuralgia or tailbone pain, is the term used to describe the symptoms of pain that occur in the region of the coccyx. 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. Repeat the massage for 5-10 minutes total, taking breaks when you need to. - Answered by a verified Doctor. Learn how we can help. Use a back and forth U-shaped movement to gently massage the lower half of your vagina for 2-3 minutes. Vaginal discharge that smells bad. The perineal raphe is a visible line or ridge of tissue on the male human body that extends from the anus through theperineum. A friend who had the same thing said that wearing compression tights really helped. A perineoplasty narrows the genital hiatus length, 4 removes redundant perineal skin and distal vaginal mucosa, and. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Anatomy and function of the scrotum. Idk if this is what you meant but examining an FTM bottom surgery post op picture (I am AMAB MTF), the perineal raphe on my body is the exact shape and path of the scarring from the FTM bottom surgery. Perineal groove is a rare congenital midline malformation of the perineal raphe. Keywords: Median raphe cyst, Penis, Scrotum, Perineum, Excision. In males, the perineum sits just behind the scrotum and extends to the anus. 5 month (range, 0. The term is most often used to denote repair of an episiotomy done during childbirth, but it also can mean repair of any tear or laceration of the perineum. Easy. gonorrhea 4. Dr Basu. Four cases which illustrate the difficulties of achieving healing are reported, and from these important aspects of treatment are highlighted. Put a thin cloth between the ice and your skin. 3 We discuss a case of perineal grooves in twin females who were successfully diagnosed based on physical exami-nation, with confirmation from obstetrics/gynecology. Abstract. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. See a urologist for a thorough prostate evaluation including a dig. Referred pain: A variety of. Conditions that can cause this symptom include: 1. 4 or pain in the testicle (not scrotum). The scrotum and testes are a tremendously sensitive erogenous area and should generally be treated with care. Then pat the area dry. Consider the discomfort and pain often associated with the testes. Perineal soreness is common, especially if you. Irritating, itchy, inflammatory bumps/fluffiness. Keywords: Median raphe cyst, Penis, Scrotum, Perineum, Excision. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. The perineum lies just below a sheet of muscles called the pelvic floor muscles, which. in diameter (fig. James Krick answered. 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. This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of the penis. Symptoms or signs of irritation, redness, bleeding, bruising, vaginal discharge, and lesions were deemed more likely to resolve than those of "abnormal examination findings," which included scarring and "enlarged opening. e. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. Relieved to see that others have had experiences with the raphe area acting up but getting through it nonetheless. Perineal injury is an injury to the perineum, the area of the body between the anus and the scrotum. The mean age of the study group was 6. Mine have really calmed down, and I have lots of. Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions. It is a type of genital injury. This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of the penis. Resulting in a flap of skin down the perineal raphe. A Verified Doctor answered. 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. Abscesses are pus-filled “cysts”. [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. Perineum. 会阴 （perineum）是人体 生殖器 到 肛门 间的间隙（space），主要是软组织构成；在 针灸学 是一个 任脉 穴 [1] 。. An infected median raphe cyst was. However, the most common cause is a diet that contains a lot of acidic or spicy foods, such as coffee, citrus. Stuffy nose: allergy, inflammation, hayfever, cocaine, snorting heroin, asthma, being hit in the nose, crying. (A, E) The most anterior side of each series of photos. The penile raphe is a visible line or ridge of tissue that runs on the ventral (urethral) side of the human penis beginning from the base of the shaft and ending in the prepuce. The overall quality of evidence ranged from very low (for the outcomes postpartum maternal febrile morbidity and neonatal infection) to low (for the outcome maternal satisfaction and wound infection. 4 month). My perineum raphe is inflamed and swollen. In addition, skin conditions like eczema and scabies can cause a red scrotum. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. We find broad structural homologies between male and female dogs related to erection,. Two patients were excluded as they expired due to concomitant head injury. Home;. Parents reported first noticing what they believed to be a skin tag in the perineal area at birth. 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. Itching in the perineum is the main symptom for hemorrhoids, helminthic invasion or perineal fistula. A physician will want to do a physical exam and potentially a rectal exam to see what's happening. Difficult. local irritation as a result of wiping, and urinary tract infections. There can be dermatitis or irritation from rubbing. Synonym(s): raphe perinei [TA]Perineal tearing and episiotomy (an incision in the perineum made by your doctor) are a common occurrence in vaginal delivery. In males, it is wrapped around the bulb of penis and corpus. Treatment of pruritus ani may include these four points:The perineum (pl. The levator ani muscle is part of the pelvic floor along with. I have only one sexual partner (gf) & she don't have any kind of problem. Median raphe cysts present anywhere between the external urethral meatus and the anus. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. please do help. Median raphe cysts usually occur in low-type anorectal malformations and suggest the location of the fistula . [1] The penile. Itching around the anal and perineal area can be a sexually transmitted infection (STI) symptom. I have been having a burning sensation in a vein in my between my thighs (perhaps called perineum). Perineum. 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. 2. The cyst may occur anywhere along the midline from glans to anus. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. Treatment of Pain Problems: What You Need to Know What is Perineal Pain? Live pain-free from perineal pain. Created for people with ongoing healthcare needs but benefits everyone. 會陰. A previous report published by Kadowai et al. Same-day virtual video appointments and in-person appointments are available. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just fall off. Haemorrhoids have 4 grades and grade 1 haemorrhoids present like this with a feeling of something coming out of the anus. two days later, I mustirbated again and when I came I had tension and. Age:22 Height:182cm Weight:60kg Race: Caucasian Sex: Male Duration of complaint: 1 year and 6 months. Most lacerations will not lead to long term complications for women however severe lacerations. This is especially true for people who have IBD, and in particular, Crohn's. 16. It arises from the central tendinous point of the perineum and from the median perineal raphe in front. I am a young (20 yrs) female and I have a question about the perineal raphe. Perineal wounds following excision of Hideradenitis suppurativa are usually surface. Male here, I have nicked / cut part of the perineal raphe in the area between my scrotum and my butt. If it gets injured and inflamed, you may feel pain in your perineum that starts suddenly or gradually appears over several weeks or even months. Incising the urethral mucosa may be. 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. . On vulvar skin, the most common symptoms are soreness, burning, and rawness. Outlook The perineum is the area between the genitals and the anus. The congenital form of Perianal Pyramidal Protrusion is caused by the dysfunction of the median raphe and is also considered a residual of the urogenital septum. The term "IPPP" was introduced in the medical literature within the past 10 years. [3] 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 (Figure1). Anyone who hasn't been through it cannot appreciate the level of misery it causes. I have a discoloration rash which a doctor has diagnosed as. A vaginal or perineal biopsy is a quick procedure which can be completed on an outpatient basis in our office. Over the next few months, the area became more swollen and did not regress despite recommended sitz baths and barrier creams. Perianal region is an extremely rare location for these lesions. The symptoms include: burning, itching, stinging, painful intercourse, pain from sitting, pain from wearing tight jeans, etc. The cut itself is about 1/4 inch. 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. Call/text today: 1-212-204-6300 or make an appointment online. The most observant and observant now know what it is. Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. N48. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. 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. 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. I accidentally cut my perineal raphe. Introduction and hypothesis: Descending Perineum Syndrome (DPS) is a coloproctologic disease and the best treatment for it is yet to be defined. increased bowel urgency. Increase in self-esteem. The causes of perineal pain are pretty varied, but they fall into a few different categories. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. In addition, the fibers originate from. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. Please advise,. Download FREE Practo app. 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. Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. Read below for more information on causes and. Along this tract, which extended across the median raphe of the penis and scrotum, were several cj^stic areas, the largest measuring 2 cm. Given the crotch can be sweaty, irritation can arise from perspiration. 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 scrotum has been opened along the median raphe, which liberated foul-smelling brown purulence and exposed necrotic tissue throughout the mid scrotum. Only 1 dog required veterinary intervention with relation to swelling/irritation around the surgical site in the form of a sterile saline. 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. Common causes for scrotal redness include allergic reactions to hygienic products, chemicals, or medication. Dark marks and scars from ingrown hair and irritation from shaving vagina how can I get rid of them? Acne scar removal procedures White bumps on the back of the penis scar treatment for carbuncle on face (nose)Median raphe cysts. 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. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the region from the posterior vaginal fourchette or scrotal. compresses the vestibular bulb and constricts the vaginal orifice. In females, the perineum begins at the front of. An ID Reaction can be caused by treating the primary skin condition improperly. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Up to 42% of women experience perineal pain after childbirth. The pelvic floor is primarily made up of thick skeletal muscles along with nearby ligaments and their investing fascia. 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. Microscopic. I dont have insurance but went to the free clinic and the doc just said i have dry skin. It is unknown to many clinicians, which usually leads to misdiagnosis. Genital Crease. James Schumacher, in Equine Surgery (Fourth Edition), 2012. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o’clock in perianal region. Perineal groove is a rare congenital midline malformation of the perineal raphe. Treats urinary incontinence (leaking urine). 2 years. Created for people with ongoing healthcare needs. It is the result of a fetal developmental phenomenon whereby the scrotum. (E-H) A 12-week fetus. Perineal groove is a rare congenital midline malformation of the perineal raphe. 5. Get App. The perineal. General causes, gynecologic causes, and abdominal causes. In june 2014 i had HIV, herpes, vdrl & tsh test and all tests were negative (normal). The perineal muscles can be palpated, and tested for voluntary and reflex contraction. Fungal infection of skin is common in those area in. The perineum is the region between the thighs that includes the space between the genitals and anus. 8 ± 3. Do this as long as you have pain. Twelve of 15 cases (80%) with MIP had 19 forms of MR anomalies; mainly raphe deviation in 6 cases, hyperpigmented raphe in 6, prominent raphe in 4, and bifurcation in 3 cases. We report the case of a newborn female with a perineal groove and review the limited literature. These diseases are amenable to treatment. Possible causes of pain in this area include tears during. The congenital perineal groove: Defective recognition of a dermal defect. Symptoms include perianal rash, itching and. The perineum can be divided into two triangular portions by the line between the ischial tuberosities. pubic lice These conditions don’t always cause symptoms you can easily see. Oct 08, 2019 · Perineal pain can affect people of both sexes. The tissue is formed during fetal development, and it is believed to be a remnant of the embryonic structure that eventually becomes the vulva in females. And herpes sores can look like cuts. Hemorrhoids also cause pain and discomfort, but you should be able to tell if what you have is a hemorrhoid due to the number of other symptoms that are commonly associated with them. Median raphe cysts present anywhere between the external urethral meatus and the anus. 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. 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. Perineoplasty helps restore tightness and repairs damage to your perineum and vulva. Recent Findings The Davydov peritoneal vaginoplasty has its origins in neovaginal reconstruction for vaginal agenesis. I have them since 1-2 years, everytime after using ointment/cream bumps goes out but came back after some days. I cut myself on the Perineal Raphe of my scrotum . Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. Urinalysis should always be performed, but scrotal imaging is necessary only when the diagnosis remains unclear. 1. It appears as a thin longitudinal line that runs front to back over the entire scrotum. Introduction. How if you experience any of the following symptoms, please contact your clinician: Fever. Perineum raphe itch and inflammation. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just. 7. Internal Medicine 38 years experience. For this reason, it’s a good idea to see a doctor. This means that the cause of the itch is not found. Should go away on its own. central tendinous point and the midline raphe on the bulb of the penis. The perineal body (PB) is the central fibrous skeleton of the perineum and has a pyramid shape in the male and a wedge-shaped in the female; laterally is formed by the perineal smooth muscle, the anterior continuity of the longitudinal anal muscle. In males, the perineum is the area between the anus and the scrotum. my bottom left testicle feels swollen & my perineal area all the way down to my anus. 1 – 3, 5. Before your biopsy, you may be told to take an over-the-counter pain medication. Early perineal raphe and the urethral wall in a 10-week male fetus without a definite penile raphe. Lower back pain; History of herpes zoster or trauma. Genital Crease. He complained of several small but painful ulcers distributed along the under surface of the. inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent. Perianal candidal intertrigo presents as soreness and irritation with bright red erythema and satellite lesions extending into the natal cleft. It is unknown to many clinicians, which usually leads to misdiagnosis. Now i gone to doctor and he gave terbinafine & mometosone furoate cream base with itraconazole 100 mg. It is completely common and normal physiological tissue line. The median raphe cyst is in the dermis and does not drain into the overlying. It's situated between interior thighs and anal region. If the vulvar skin breaks down, the eroded areas appear moist and red. 31,291 satisfied customers. New or worsening stomach pain. When to See a Doctor. Abstract. Perineal Body. Pronunciation of Perineal Raphe with 1 audio pronunciations. area between the buttocks and genitals (perineum) area around the anus and rectum. Statistics. Because of the rarity, exact incidence cannot be calculated. Without effectively treating both aspects, perineum pain remains. described perineal groove as an exposed erythematous nonepithelized mucous membrane extending from the vaginal fourchette to the anus (). Many translated example sentences containing "perineal raphe" – Spanish-English dictionary and search engine for Spanish translations. The wound should be kept. Its been here since 2-3 years. Acute injuries include A perineal injury, or swollen perineum, will typically result in a feeling of throbbing pain, causing discomfort during movement and a few other activities. 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. Treatment is likely to be with chemoradiotherapy.