In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. These diseases are amenable to treatment. General causes, gynecologic causes, and abdominal causes. drinking and heart pain jumped 33 percent. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. Perineum pain is most common in women following childbirth. I have been having a burning sensation in a vein in my between my thighs (perhaps called perineum). Here are some of the most common symptoms of a perineum cut. Very difficult. vulva, labia and clitoris in women. In fact, it is reported that up to 85% of women will have some degree of perineal trauma during vaginal delivery (1-3). The main focus of this article will be the pelvic floor muscles. 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] 。. raphe cyst of the perineum having ciliated cells in the cyst wall (the previously two reported cases being present on the penis)[11,12] in the English literature. 2. Most are asymptomatic and are noted incidentally. Mohamed A Baky Fahmy. Referred pain: A variety of. The NPS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity. Red testicles can have associated symptoms of pain, itchiness, swelling, or dryness of the skin. The levator ani muscle is part of the pelvic floor along with. 1/4. a very prominent midline perineal raphe extending from the site of the anal orifice to the scrotum [10]. The scrotum will usually tighten during penile erection and when. When to See a Doctor. 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. Definition and meaning can be found here:of perineum. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe. James Schumacher, in Equine Surgery (Fourth Edition), 2012. Starting stages of fetal development looks same but at 7th week of pregnancy, fetal genital tissues change and form male reproductive organs i. Median raphe cysts are developmental and usually arise on the ventral surface of the penis of young men. It arises from the central tendinous point of the perineum and from the median perineal raphe in front. 225 may differ. Perineal. This means that the cause of the itch is not found. An ID Reaction can be caused by treating the primary skin condition improperly. I've had it about 3 years now. The infant showed no signs of pain, tenderness, pruritus, or other symptoms. However, your body may not let you do so that easily! Many moms experience perineal soreness, pain around the vagina and rectum, after giving birth. I may take hobby’s suggestion and do the Smores stretches dry, but after a really good warmup, from now on. 2. Mine have really calmed down, and I have lots of. - Answered by a verified Doctor. Satisfied Customers. A wide array of diseases affect the female perineum in adults. The study aimed to understand the incidence, sites, clinical manifestations, and treatment of gonococcal infection of the penile raphe. Itching in the perineum is the main symptom for hemorrhoids, helminthic invasion or perineal fistula. The urethra is the last part of the urinary tract and traverses the corpus spongiosum. My perineum raphe is irritated and itchy, not at the rectal end but at the penile end, below the corona. A: The symphysis pubis is the joint where the two pubic bones attach, dead center of the perineum. This kind. I accidentally cut my perineal raphe. Perianal region is an extremely rare location for these lesions. Perineal groove is a rare congenital midline malformation of the perineal raphe. Itching around the anal and perineal area can be a sexually transmitted infection (STI) symptom. Other symptoms of genital herpes include: feeling exhausted or sick. I have a problem that I misturbate a lot. In the event of an injury or trauma to its tissues, pain and itching are inevitable. In winters i had them rarely but now summer is starting & again bumps are appearing on my perineal raphe (outer back penis skin). The median age at the first visit to our clinic was 1. Incising the urethral mucosa may be. By my anus my raphe is very red and what seems to look a bit inflammed sort of like a pimple on the end of it. Both cysts and abscesses can cause. . Intervals between panels are 0. my cut has healed but the piece of raphe that was hanging curled up and looks like a pimple?. Its been here since 2-3 years. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. 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. Fortunately, benign behavior of these cysts permitsRaphe 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. 4 years ago. 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). 225 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. im 38 years old and have a scar on my penis (perineal raphe). My perineum raphe is irritated and itchy, not at the rectal end but at the penile end, below the corona. Pudendal neuralgia is long-term pelvic pain that originates from damage or irritation of the pudendal nerve – a main nerve in the pelvis. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). Irritating, itchy, inflammatory bumps/fluffiness. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. It serves as a passage both for urine and semen. It is the result of a fetal developmental phenomenon whereby the scrotum. drinking and heart pain jumped 33 percent. Due to the cessation of random erections, the erectile tissue will atrophy if not regularly put to use, causing the entire penis to shrink over time. Antibiotics can help treat certain types of perineal pain. 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. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. 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. My attention was called to the possibility of congenital epidermal canals being responsible for chronic inflammation of the perineal raphe by the following case. Hematoxylin and eosin staining. A fungal infection is also possible. . [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. Other perianal infections It's very itchy and usually surrounds the area where the other rash or skin condition is. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. I have them since 1-2 years, everytime after using ointment/cream bumps goes out but came back after some days. Causes of itchy perineum can include: Moisture (due to sweating or frequent washing), The abrasion caused by clothing, The pressure of sitting, Chemical irritants like laundry soaps, colognes and scented toilet paper, 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. Method 1. Pus draining from the cut. Even if its a small thing, it bothers me quite a bit. Before your biopsy, you may be told to take an over-the-counter pain medication. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. Structure. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. The perineal area needs extra care to heal after childbirth, including cool sitz baths to reduce swelling and speed healing. There are many Raphes in the human body. Itchy Perineum! Hello. D. Your welcome. In females, the perineum begins at the front of. Certainly sounds that is need. 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. Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. Low malformations in girls,. It consists of two symmetrical parts, united along the median line by a tendinous perineal raphe. I can hold it well with two fingers when pressed hard . From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. The pain can be felt in your buttocks, perineum and genital region, and is more severe. After pressing skin I can feel hard jelly like mass . Frontal sections. The perineal body is continuous with the perineal raphe in the scrotal skin. Easy. A short contracted raphe was detected in 6 cases (10%) with an overall incidence of 0. This condition can also be caused by improper cleaning of the perineal area after using the toilet and also be caused by using toilet paper. Now i gone to doctor and he gave terbinafine & mometosone furoate cream base with itraconazole 100 mg. Common sites are midline of the ventral aspect of the urethra, glans, penile shaft (Fig. Mycotic infection can present with annular lesions with scaly elevated borders and central clearing, or as a bright red rash in a “butterfly” distribution with. While I treated it by cleaning and neosporin I am fearful that I will never be able to have children. Hemorrhoids and swollen perineal raphe? Hi, all. , 2022). Perineal raphe; FMA:. 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). Perineal raphe removal? question Its the seem-like line between your scrotum and anus. Treatment of Pain Problems: What You Need to Know What is Perineal Pain? Live pain-free from perineal pain. Age:22 Height:182cm Weight:60kg Race: Caucasian Sex: Male Duration of complaint: 1 year and 6 months. [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. Other symptoms include itching, a burning sensation around the vulva, lumps, warts, sores, lesions, tender spots, and pelvic pain. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The diagnosis is clinical with histological confirmation. Repeat the massage for 5-10 minutes total, taking breaks when you need to. A Verified Doctor answered. Discussion. Not the anus or scrotum (well, the scrotum a little) that's itching, but the perineum is giving me HELL! Burning, itching, especially at night. The perineal muscles can be palpated, and tested for voluntary and reflex contraction. Then pat the area dry. • Postural alterations. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. Pat your perineum dry after leaving the bath instead of scrubbing. Median raphe cysts are a rare, congenital entity. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. The perineal raphe, septum, body, and fasciae are mainly constituted by contributions of the superficial and deep dorsal urogenital stroma. Perineum. 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). 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. New or worsening stomach pain. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. Introduction. The pathogenesis of perineal groove is not clear, and there are few cases reported in the current medical literature. I have them since 1-2 years, everytime after using ointment/cream bumps goes out but came back after some days. Hi, I have quite a red/brown penile raphe and it is quite noticeable and im very conscious of it. The urethral opening is called the meatus and lies on the tip of the glans penis. It is found in both males and females, and arises from the fusion of the urogenital folds. 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. Biopsy of vulva or perineum (separate procedure); 1 lesion. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. 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. It is found in both. Sperm are produced in the testes and stored in the. Doctoral Degree. It has been adapted as a robotic-assisted laparoscopic procedure and provides an alternative to perineal canal dissection in. Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. 1). Lower back pain; History of herpes zoster or trauma. 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. : Usually nerve irritation. Perineal grooves in two newborn babies were described in this report, and the literature on. Then pat the area dry. . In men, however, the pain may be located in the perineum but may also radiate to the testes and the rectum. In humans, the scrotum becomes covered with pubic hair at puberty. Postpartum Perineal Care Facts. The perineum pain between the genitals and anus can be commonly caused by anal fissures. The crease between the thigh and groin is known by several different names. 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. New or worsening stomach pain. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). The perineum is surrounded by several nerve endings. N48. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. 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. Main problem is the slight pain irritation putting a limit on stretching for now. He had had a slight split in the median raphe of the prepuce since childhood. I am writing on behalf of my dad who was diagnosed with prostate cancer almost a year ago. Bulbospongiosus is a sexually dimorphic muscle, meaning that it is different among sexes. Four cases which illustrate the difficulties of achieving healing are reported, and from these important aspects of treatment are highlighted. Learn how we can help. hi, I am 28 years old patientold man. Because of the rarity, exact incidence cannot be calculated. The body’s natural response is to form a scar where the tissues have torn. anal herpes 2. (A, E) The most anterior side of each series of photos. 會陰. 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. This is due to the trauma placed on the perineal area during this process. Abstract. perineorrhaphy: [ per″ĭ-ne-or´ah-fe ] suture of the perineum . Vaginal discharge that smells bad. Penile raphe. 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. 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. However, during the past 5–6 years, the splitting had started in other parts of raphe covering the penis and scrotum. It's usually in response to a fungal infection (most common). Perineal Tear. The diagnosis is clinical with histological confirmation. This was associated with the occurrence of a webbed penis with deficient ventralThe perineum is then examined. gonorrhea 4. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. A previous report published by Kadowai et al. Traffic on JustAnswer rose 14 percent. Hi doctor, i have bumps/blisters/redness with heavy itching and irritation on my outer back side of penis (mostly on perineal raphe). Vulvar trauma,. The complete type has the sulcus extended from the posterior fourchette to the. Abstract. 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. See a urologist for a thorough prostate evaluation including a dig. Bacterial infections can lead to an inflammation of the prostate and it could be a cause of pain after ejaculation that you need to watch out for. How if you experience any of the following symptoms, please contact your clinician: Fever. When to See a Doctor. Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions. 1. 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. Long-term complications are not expected in most vaginal tears, except in severe lacerations, which are associated. It is found in both males and females, and arises from the fusion of the urogenital folds. When the area is numb, your OB/GYN may then use a. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. Definition: Scrotal midline indentation or cleft with absent scrotal raphe. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or. The mechanism by which a damaging stimulus in the body is perceived as painful by the brain is a complex one which is not yet fully understood. a rare congenital abnormality of failure of fusion of the perineal raphe and discussion. Excision is the treatment of choice with minimal chance of recurrence. What is the perineum and why is it important? In males, the perineum lies just. The perineal raphe is visible. Hold your thumbs in this position for about 1 minute. Without effectively treating both aspects, perineum pain remains. The perineum is surrounded by several nerve endings. 5 mm 2 to 28. 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. Thus far, there is no reported case of this anomaly in monozygotic twins. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. I had hiv, herpes, vdrl, tsh tests in 2014 & all tests were normal (negative). 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. Possible causes of pain in this area include tears during. 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. The diarrhea itself may be caustic and burn the skin and repeated wiping with toilet paper can. Median raphe cysts present anywhere between the external urethral meatus and the anus. So I am concerned what that means when. The area is itchy and starts just under my scrotum and ends at the anus. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. The diagnosis is mostly. This is especially true for people who have IBD, and in particular, Crohn's disease. Treatment is likely to be with chemoradiotherapy. Scrotum. mucus or pus-like discharge coming from the anus. Now i gone to doctor and he gave terbinafine & mometosone furoate cream base with itraconazole 100 mg. In the event of an injury or trauma to its tissues, pain and itching are inevitable. 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). This is especially true for people who have IBD, and in particular, Crohn's. 5. Perineal trauma is an extremely common and expected complication of vaginal birth. I had hiv, herpes, vdrl, tsh tests in 2014 & all tests were normal (negative). Created for people with ongoing healthcare needs. Radical orchidectomy: Also known as a radical inguinal orchiectomy, this is a more. I accidentally cut my perineal raphe. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). REPORT OF A CASE An American of Bohemian ancestry, aged 23, was first seen on Feb. Note bulging perineum, and meconium in perineal raphe and scrotal raphe. Congenital anomalies of the genitourinary system are varied and frequent. Created for people with ongoing healthcare needs but benefits everyone. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. Recent Findings The Davydov peritoneal vaginoplasty has its origins in neovaginal reconstruction for vaginal agenesis. The complete type has the sulcus extended from the posterior fourchette to the. In males, the perineum sits just behind the scrotum and extends to the anus. And herpes sores can look like cuts. If the vulvar skin breaks down, the eroded areas appear moist and red. If it was itching, I wouldnt ask in a bodymod subreddit. 3 ). See morePerineal raphe itching is most common in men than women and the reason behind this difference is unknown. This is a less invasive procedure and is more often used when treating injuries to the testicles. Tinea. See a doctor: By far the main cause of penile sores is herpes, especially when several sores or blisters appear at once. lately i started feeling like that part of mine is now a bit more thicker. The causes of perineal pain are pretty varied, but they fall into a few different categories. bot now i doubt it's something else. Three cases had a redundant long prepuce, and 1 had paraphimosis after preputial retraction, otherwise no other genitourinary anomalies could be detected in those cases. But in 70% of calls to a specialist, the main formulation of the diagnosis with such symptoms is "idiopathic itch of the anus". Common causes for scrotal redness include allergic reactions to hygienic products, chemicals, or medication. In human mid-term fetuses, a future scrotum was difficult to identify because of no descent of testis . anal warts 3. Pelvic floor massage therapy helps manage long-term pain. These diseases are amenable to treatment. How if you experience any of the following symptoms, please contact your clinician: Fever. Care of the wound and suture line is done as a clean rather than a sterile procedure. 2. Keywords: Median raphe cyst, Penis, Scrotum, Perineum, Excision. Anyone who hasn't been through it cannot appreciate the level of misery it causes. The cyst may occur anywhere along the midline from glans to anus. 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. Hematoxylin and eosin staining. The proper term to use may depend on the context, situation, and cultural background of the speaker. I have only one sexual partner (gf) & she don't have any kind of problem. Dr. My perineum raphe is irritated and itchy, not at the rectal. 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. [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). This lesion extends vertically downward from the posterior portion of the vaginal fourchette to the anterior rim of the anus. So my perineal raphe has been hurting for a about a week now. They develop when tissue becomes trapped near the median raphe nerve in your penis. The perineum is the area between the scrotum and the anus in a man. Orthodontics 55 years experience. Resulting in a flap of skin down the perineal raphe. Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions. 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. ICD-10-CM Coding Rules. If you have pudendal neuralgia, this nerve is injured or compressed and causes stabbing, burning or shooting pain. A friend who had the same thing said that wearing compression tights really helped. One last note: that ridge or seam on the underside of the penis is called the perineal raphe, and it may also be a more sensitive area of the shaft for some individuals. Currently, CPG can be divided into two types based on the morphology of perineum, complete and partial (2,3, 8). Dorsally, the EAS is attached to the skin superficially and the sacrococcygeal raphe and coccyx more deeply. It is generally not pruritic, unlike many other scrotal dermatoses. 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. Do this as long as you have pain. 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. 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. Perineal groove is a rare congenital midline malformation of the perineal raphe. Area: perineum I've been having pain and inflammation in my perineal area, more accurately at the ridge. Genital Crease. The raphe joins the internal. If no opening is present, urine is obtained for study, and the child is. Lacerations can occur spontaneously or iatrogenically, as with an episiotomy, on the perineum, cervix, vagina, and vulva. Only a few hundred cases have. Other benefits of the procedure include: Improved sexual satisfaction. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. Painful urination (pain when you pee). Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. (I do get that some people are unhygenic and ignorant tho) I was thinking that maybe there is some kind of technique that is also used to make. Ultrasound confirmed the diagnosis of ectopic testicle. 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. In contrast, in the human perineum between the scrotum and anus, the urorectal septum is most likely to provide the perineal raphe as in mice. Open in a separate window. 4), medial raphe of the scrotum, the perineal raphe or the perianal region. 89 may differ. 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. 7. 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. Stars indicate an intermuscular space between the bulbospongiosus muscle (BS) and ischiocavernosus muscle (IC). The perineal raphe is visible and pronounced to varying degrees. Been having some pain in my perineum area when I push to pee and today when I was showering I felt a bump in that area that kind of felt like a harder pimple. In a woman, it's the area between the vulva and the anus. Genital Crease. Aside from when I actually run my finger over it, there is no pain. The area may look red and feel painful and be swollen. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. Perineal groove is a rare congenital midline malformation of the perineal raphe.