Perineal trauma, also known as vaginal tears, is a very typical and expected side effect of vaginal delivery. A physician will want to do a physical exam and potentially a rectal exam to see what's happening. . 225 may differ. 1. Kegel Exercises. This perianal soft tissue swelling may be mistaken for a skin tag, or acrochordon. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). The perineum lies just inferior to the levator ani muscles and has a border with the pubic arch anteriorly and the coccyx tip posteriorly. anal pain or itching. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. a local anesthetic in older patients and incision of the hemorrhoid to evacuate the clot provide immediate relief of pain. 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. 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. Median raphe cyst is usually benign and asymptomatic male genitalia lesions. A previous report published by Kadowai et al. 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. The mean age of the study group was 6. To give a little background information he is 73 years old, had a Gleason scale of 8 and has been using a catheter for about 2 years. Treatment can. Earlier I had this problem while walking so I thought that it is because of my pubic hair so I cut them. This structure continues through the midline of the scrotum (scrotal raphe) and upwards through the posterior midline aspect of the penis (penile raphe). Median raphe cysts usually don’t cause problems, but some people may develop symptoms later on in life, including: Swelling in the area. The perineal raphe is visible and pronounced to varying degrees. In humans, the scrotum becomes covered with pubic hair at puberty. Image en medicine. 2. Get App. Created for people with ongoing healthcare needs but benefits everyone. Get your query answered 24*7 only on | Practo Consult. Parents reported first noticing what they believed to be a skin tag in the perineal area at birth. Without treatment, it can lead to scarring, making it difficult or painful to have sexual intercourse ( dyspareunia ), urinate (pee) or have a bowel movement (poop). The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. The main symptoms of a perianal hematoma are: pain; a purplish lump near the edge of the anus; swelling; sensitivity to pressure; difficulty sitting; Bleeding can sometimes be a sign of a perianal. Anatomy Name: The Intertrochanteric Line. 29%) − Glans in wet diaper − ?Blood supply − Meatotomy −OR or officePerineal injury happens to the perineum, which is the part of the body between the genitals and anus. 6 7 14 Given that the perineal. 75m) Weight: 154 lbs (70kg) Race: Caucasian Duration of complaint: 1 hour Location: Scrotum. Voiding difficulties are common, especially in patients with pre-existing lower urinary tract symptoms, and acute urinary. Inflammatory bowel disease (IBD), infections, and chronic diarrhea can cause anusitis. The purpose of the median septum is to compartmentalize each testis in order to prevent friction or trauma. Split median raphe (SMR) of the penis is thought to be due to defective fusion of ectodermal tissue in the region of the urethra and scrotum area or to defective growth of the perineal mesoderm. You can find info on it online. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. A total of 43 children presented with perineal trauma to our institution during the study period. 4 or pain in the testicle (not scrotum). Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. I have a problem that I misturbate a lot. 2 - other international versions of ICD-10 R10. Perianal region is an. Most are asymptomatic and are noted incidentally. Continue Reading. Once the correct diagnosis is established, treatment is usually straightforward. my bottom left testicle feels swollen & my perineal area all the way down to my anus. The most common terms used to refer to this area are: Grundle. Perineal injury is an injury to the perineum, the area of the body between the anus and the scrotum. The red extends slightly into the upper scrotum. Perineal grooves in two newborn babies were. This is called ‘idiopathic pruritus ani’ which means ‘itchy anus of unknown cause’. Possible causes of pain in this area include tears during. Age: 25 Sex: Male Height: 5ft 9in (1. 2%. There are many Raphes in the human body. Scrotal Raphe. Perineal groove is a rare congenital midline malformation of the perineal raphe. Pain, swelling, itching, or a lump or a bump in the anal area should prompt a visit to a doctor to determine what could be causing the problem. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. 1 – 3, 5. Infection is treated with antibiotics. Penile Torsion and Wandering Raphe • Counterclockwise • Abnormal arrangement of penile shaft skin in development • Surgical repair if >40 degrees. R10. Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. Perineal raphe; FMA:. 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. I accidentally cut my perineal raphe. Internal Medicine 38 years experience. 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. Read More. Median raphe cyst is an uncommon developmental anomaly that can develop anywhere along the midline of the external genitals. Prostate: The combination of perineal and penile pain often is due to low grade prostatitis. Board Certified Physician. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). 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. Excision is the treatment of choice with minimal chance of recurrence. When to See a Doctor. . Treats urinary incontinence (leaking urine). Treatment is likely to be with chemoradiotherapy. Have a doctor drain fluid or pus from a cyst or an abscess. Even though common in women, men can experience perineum pain too. I noticed the skin directly next to my perineal raphe (penis) has turned dark brown. I don't know what caused it, though I suspect that, when I let my nasty cousin live with me. Median raphe cysts present anywhere between the external urethral meatus and the anus. Before you try kegel exercises, make sure to empty your bladder. Its location may be related to anatomic characteristics of the perineum and median raphe. Increase in self-esteem. 17. Relieved to see that others have had experiences with the raphe area acting up but getting through it nonetheless. All the patients presented with an unusual lesion at the anus or perineum, but no symptoms related to this anomaly. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. Moderate. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. Taint. Dans la première forme, la lésion serait due à une faiblesse constitutionnelle de. i really am tensed and expecting a solution on this. 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. Note bulging perineum, and meconium in perineal raphe and scrotal raphe. changes of the urothelium, secondary to irritation or local stimulation, has been described[14], which. Lower back pain; History of herpes zoster or trauma. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. I may take hobby’s suggestion and do the Smores stretches dry, but after a really good warmup, from now on. Get ₹200 HealthCash. So my perineal raphe has been hurting for a about a week now. As we have explored, it serves as a reminder of how all. The attachments of bulbospongiosus are different among males and females. Itching in the perineum is the main symptom for hemorrhoids, helminthic invasion or perineal fistula. Contract. It occurs. Apply emollient or barrier creams to the anal area to. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. It is generally not pruritic, unlike many other scrotal dermatoses. 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 cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. 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. He had had a slight split in the median raphe of the prepuce since childhood. 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] 。. Open in a separate window. i have water/air type bumps/fluffiness on my penile raphe. If no opening is present, urine is obtained for study, and the child is. I was wondering if this is normal and what causes it. Pudendal neuralgia is long-term pelvic pain that originates from damage or irritation of the pudendal nerve – a main nerve in the pelvis. Same-day virtual video appointments and in-person appointments are available. Another plausible. Incising the urethral mucosa may be. 1 Lacerations commonly occur on the perineum and vagina but can also occur on the labia, clitoris, urethra, and cervix. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. Depending on growth of the bulbospongiosus muscle and corpus spongiosus penis, the midline intermuscular septum obtained a connection to the subcutaneous wavy. Histology of median raphe cyst. In addition, the fibers originate from. Perineal pain occurs adjacent to the anus. Causes Doctor questions Statistics The perineum pain between the genitals and anus can be commonly caused by anal fissures. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o. (E) The raphe disappears at the anterior margin of the external anal sphincter (EAS). Irritation to these nerves from pathologic and biomechanical forces may predispose to dyspareunia. Even intense itching, if left alone, will subside after 5-10 minutes. (A, E) The most anterior side of each series of photos. I accidentally cut my perineal raphe. The study aimed to understand the incidence, sites, clinical manifestations, and treatment of gonococcal infection of the penile raphe. The 2024 edition of ICD-10-CM L02. The most common early complications were skin irritation (12%), pain associated with poor stoma location (7%) and partial necrosis (5%). This line starts just anterior to the anus and extends through. Read below for more information on causes and treatment options. and had nearly 400,000 page views in 30 days. 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). 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 female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. This is accompanied by. 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). I had really bad vaginal/vulvar pain for a while because of “vulvar varicosities” (in addition to hemorrhoids but their own separate beast, also in the family of varicose veins). Then pat the area dry. Please advise,. If you have any questions, please contact the GI surgical access centre. 5. The perineal raphe is a visible line or ridge of tissue on the male human body that extends from the anus through theperineum. Now i gone to doctor and he gave terbinafine & mometosone furoate cream base with itraconazole 100 mg. Created for people with ongoing healthcare needs but benefits everyone. Use a back and forth U-shaped movement to gently massage the lower half of your vagina for 2-3 minutes. Keywords: Median raphe cyst, Penis, Scrotum, Perineum, Excision. The crease between the thigh and groin is known by several different names. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. No pain or itch. 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. How to say perineal in English? Pronunciation of perineal with 3 audio pronunciations, 4 synonyms, 8 translations, 3 sentences and more for perineal. Panel (A), including a longitudinal course of the penile urethra (UR), displays the most anterior side of photos. Oh, noticed a little bit of acne where there. Same-day virtual video appointments and in-person appointments are available. MRC is thought to be caused by congenital alterations in the embryologic development of the male. Antibiotic treatment will be started when patient’s temperature is high, or if the patient has higher blood leukocytes. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. It is found in the perineal median raphe, which is located in the center and anterior to the anus. 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. 1 Normal Scrotal Raphe. The coccygeus muscle completes the pelvic floor, which is also called the pelvic diaphragm . local irritation as a result of wiping, and urinary tract infections. 0 rating. Skin is not rough or flaky. 5 mm 2 to 28. 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. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Painful urination (pain when you pee). Pus draining from the cut. The severity of lacerations varies from minor lacerations that affect the skin or superficial structures of the perineum to more severe lacerations that damage. 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. The scrotum and testes are a tremendously sensitive erogenous area and should generally be treated with care. Mine have really calmed down, and I have lots of. The scrotum softens and changes color, with the perineal raphe becoming more distinct. The patient depicted in this image is a man with alcoholism and known cirrhosis who presented with exquisite pain limited to the scrotum. A fungal infection is also possible. My attention was called to the possibility of congenital epidermal canals being responsible for chronic inflammation of the perineal raphe by the following case. Use a perineal irrigation bottle to help clean or wash away any skin damage or sources of irritation. pubic lice These conditions don’t always cause symptoms you can easily see. Method 1. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. They are quite common and don't cause harm. Hemorrhoid wipes and creams can help with pain, itching or burning in your perineum, too. Your welcome. Age:22 Height:182cm Weight:60kg Race: Caucasian Sex: Male Duration of complaint: 1 year and 6 months. The pathogenesis of perineal groove is not clear, and there are few cases reported in the current medical literature. compresses the vestibular bulb and constricts the vaginal orifice. , 2022). Common sites are midline of the ventral aspect of the urethra, glans, penile shaft (Fig. 4 years ago. Four cases which illustrate the difficulties of achieving healing are reported, and from these important aspects of treatment are highlighted. This means that the cause of the itch is not found. Introduction. 4 month). Perineal lacerations occur in up to 80% of vaginal deliveries. Excision is the treatment of choice with minimal chance of recurrence. Get your query answered 24*7 only on | Practo Consult. Several different injuries may cause pain in this area. Up to 42% of women experience perineal pain after childbirth. The area is itchy and starts just under my scrotum and ends at the anus. The constrictor pharynges appear to carry this midline posterior raphe after birth (Jin et al. Long-term complications are not expected in most vaginal tears, except in severe lacerations, which are associated with chronic pelvic floor dysfunctions. The coccygeus is supplied by the fourth and fifth sacral nerves. The 2024 edition of ICD-10-CM R10. As the name suggests, perianal skin tags are soft growths that occur around the anus. gonorrhea 4. Tinea. It appears as a thin longitudinal line that runs front to back over the entire scrotum. M. Infectious Disease 55 years experience. I dont have insurance but went to the free clinic and the doc just said i have dry skin. You should drink a lot of water and take a high fiber diet. [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. The causes of perineal pain are pretty varied, but they fall into a few different categories. This is a painful, swollen area near the opening of your bottom (anus). Orthodontics 55 years experience. 225 became effective on October 1, 2023. Other symptoms of genital herpes include: feeling exhausted or sick. Given the crotch can be sweaty, irritation can arise from perspiration. These can include perineal pain or discomfort, bruising, haematuria (14. • Constipation or passing hard bowel movements can also irritate the area. The perineum is the region below the pelvic diaphragm; it consists of muscle-fascial. Symptoms include perianal rash, itching and. Male here, I have nicked / cut part of the perineal raphe in the area between my scrotum and my butt. Abscesses are pus-filled “cysts”. Taint. penis and scrotum. Pat your perineum dry after leaving the bath instead of scrubbing. Pronunciation of Perineal Raphe with 1 audio pronunciations. Methods: We enrolled men with gonococcal infection of the penile raphe and men with urethral. The crease between the thigh and groin is known by several different names. [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. This thread is archived. 48 yrs old Male asked about Perineal inflation, 1 doctor answered this and 70 people found it useful. It is unknown to many clinicians, which usually leads to misdiagnosis. Scrotum. Green leafy vegetables are good. This uncommon cystic lesion was first described by Mermet in 1985. The causes of perineal pain are pretty varied, but they fall into a few different categories. Even intense itching, if left alone, will subside after 5-10 minutes. Six cases are reported: five with canals or cysts of the genito-perineal raphe, one with a periurethral cyst. read more. 8 ± 3. Perineal soreness is common, especially if you. −Pain −Bleeding −Circumcised −Meatal stenosis in 24 of 239 (7. Certainly sounds that is need. How do you treat a perineal cyst? Use a sitz bath to relieve any pain, itching, or swelling in the perineum area. They develop when tissue becomes trapped near the median raphe nerve in your penis. drinking and heart pain jumped 33 percent. Perineal pyramidal protrusion is typically smooth and pink and measures from 5. At this point, perineal raphe is formed. Subsequent histopathological examination confirmed a median raphe cyst. The median raphe cyst is in the dermis and does not drain into the overlying. I have had a small hemroid for 14 years but it has never bothered me before so I don't think it's that. Dr Basu. Created for people. The perineum is divided into the anterior urogenital triangle and the posterior anal triangle; the vulva represents the external genitalia. Therefore gents, you have a bit of a labia on your scrotum. General causes. Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. The perineal. Congenital anomalies of the genitourinary system are varied and frequent. Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. However, during the past 5–6 years, the splitting had started in other parts of raphe covering the penis and scrotum. [1] Located on either side of the lower pelvis, it takes part in supporting and raising the pelvic floor and allows various pelvic structures to pass through it. I've had my family doctor give me - Answered by a verified Urologist. James Schumacher, in Equine Surgery (Fourth Edition), 2012. Perineum is in color. Outlook The perineum is the area between the genitals and the anus. The perineum is an erogenous zone. Perineal groove is a rare congenital midline malformation of the perineal raphe. Abstract. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe (outer back penis skin). Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. The diamond shaped perineum is divided into two triangles, the urogential triangle anteriorly and the anal triangle posteriorly. Image acquired using minimal zoom on a surgical, digital camera. My penile/scrotal raphe has been red for about three weeks. Synonyms: Pubovisceral muscle, Musculus pubovisceralis. 1 It is divided on the midline by the scrotal raphe, which is continuous with the raphe of the prepuce, penis, and. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. ". Perineal Tear. Bifid scrotum is a rare congenital anomaly affecting the midline of the scrotum in a different spectra, in severe form the two scrotal sacs are widely separated with a laid opened urethra in the form of proximal hypospadias and the scrotal raphe is not detectable. The urethra is the last part of the urinary tract and traverses the corpus spongiosum. 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. A perineoplasty narrows the genital hiatus length, 4 removes redundant perineal skin and distal vaginal mucosa, and. The superficial dorsal urogenital stroma forms a complex which comprises elements forming the ventral perineal raphe, superficial perineal septum, and transverse dorsal stroma of the navicular fossa. 7. Im 38 years old and have a scar on my penis (perineal raphe) which ive had for 20 years and is very noticable and is - Answered by a verified Doctor. [2],[3],[4],[7],[8],[9] In particular, chronic pain may be. Irritation to the perianal area can occur with persistent diarrhea. increased bowel urgency. Radical orchidectomy: Also known as a radical inguinal orchiectomy, this is a more. Perineal pyramidal protrusion is a lump or protrusion of perineal tissue near the anus of some young children, usually girls. Perianal region is an extremely rare location for these lesions. The term "IPPP" was introduced in the medical literature within the past 10 years. The pain can be felt in your buttocks, perineum and genital region, and is more severe. 89 became effective on October 1, 2023. This is the American ICD-10-CM version of L02. The lesions spread along the perineal raphe and had a cordlike appearance. I have only one sexual partner (gf) & she don't have any kind of problem. It is completely common and normal physiological tissue line. James Krick 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. Only 1 dog required veterinary intervention with relation to swelling/irritation around the surgical site in the form of a sterile saline. Pain in the perineum Although cyclists tend to talk of a ‘sore bum’ after hours in the saddle, it’s the perineum (the narrow area running forwards from the anus to the scrotum – see figure 1) that usually falls victim to pressure-induced trauma. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the region from the posterior. Untreated lichen sclerosus can also increase your chances of developing a type of skin cancer ( penile cancer and vulvar. I can hold it well with two fingers when pressed hard . In males, the perineum is the area between the anus and the scrotum. Microscopically, there is epidermal acanthosis, marked edema, and mild inflammatory. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. 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 aspect of the anus. Tinea cruris is usually due to T. I've had it about 3 years now. We report the case of a newborn female with a perineal groove and review the limited literature. Perineal Soreness. The adductor muscles of the hip originate. Introduction: Gonococcal infection of the penile raphe is rarely encountered in the clinical setting. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. Perineoplasty helps restore tightness and repairs damage to your perineum and vulva. Perianal region is an extremely rare location for these lesions. There are lots of Vulvodynia groups online. La protrusion pyramidale périanale est une entité d'individualisation récente, assez rare, touchant presque exclusivement le sexe féminin souvent en bas âge, d'origine congénitale, fonctionnelle ou associée au lichen scléroatrophique. The incision extends through skin, retractor penis and bulbospongiosus muscles, CSP, and urethral mucosa. General causes, gynecologic causes, and abdominal causes. I had really bad vaginal/vulvar pain for a while because of “vulvar varicosities” (in addition to hemorrhoids but their own separate beast, also in the family of varicose veins). To prevent hip pain or muscle strain from the exaggerated range of motion, the legs should be raised and lowered slowly and simultaneously once in the stirrups. The perineal muscles can be palpated, and tested for voluntary and reflex contraction. 1). Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. Urinalysis should always be performed, but scrotal imaging is necessary only when the diagnosis remains unclear. Here are some of the most common symptoms of a perineum cut. A friend who had the same thing said that wearing compression tights really helped. Perineum. Sit in 8 to 10 centimetres of warm water (sitz bath) for 15 to 20 minutes 3 times a day and after bowel movements. lately i started feeling like that part of mine is now a bit more thicker. The perineal body is continuous with the perineal raphe in the scrotal skin. N48. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Pain, swelling, itching, or a lump or a bump in the anal area should prompt a visit to a doctor to determine what could be causing the problem. The causes and management of perineal sinus are reviewed. Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. Currently, CPG can be divided into two types based on the morphology of perineum, complete and partial (2,3, 8). Perineal grooves in two newborn babies were described in this report, and the literature on. The perineal body is the point of junction of the superficial and deep transverse perineal muscles, perineal membrane, external anal sphincter, posterior vaginal muscularis, and fibers from the puborectalis and pubococcygeus muscles. Definition: Scrotal midline indentation or cleft with absent scrotal raphe.