We report a newborn with exposed bowel loops coming out through a defect in the perineum to the right of the median raphe and propose the term perineoschisis for this abnormality. Standard treatment includes complex decongestive therapy, which uses a combination of drainage, compression. Mistreatment with over the counter Steroid containing creams like fourderm, panderm. Your midwife may also suggest using a maternity pad that has been kept in the fridge or freezer. Acute complications can occur in 25-60% cases. bulbospongiosus, in male. Background Median raphe cyst is usually benign and asymptomatic male genitalia lesions. Abstract. ICD-10-CM Coding Rules. 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. Men: To stimulate the perineum from the inside, insert two fingers or a prostate massager into the rectum and look for rope-like nerves. FormalPara Definition . They develop when tissue becomes trapped near the median raphe nerve in your penis. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Its purpose is to help support your reproductive organs and pelvic floor muscles. The area may look red and feel painful and be swollen. The pathogenesis of perineal groove is not clear, and there are few cases reported in the current medical literature. 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. 225 - other international versions of ICD-10 L02. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. 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. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). 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. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. The perineal raphe is visible and pronounced to varying degrees. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. Perineal Injury. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. Gastroenterology/General Surgery - 1 - Managing Perianal Itching (Pruritus Ani) What is pruritus ani? Itching around the anal area (called “anal itch” or pruritus ani) is a common condition characterized by irritation of the skin around the anus leading to anThe 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. Rinsing the area with warm water after you use the bathroom. Serious injuries are rare. Raphe means the line of union of the two halves of various symmetrical parts, and the term median raphe refers to the perineal raphe, which is also known as the median raphe of the perineum. 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). 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. This condition is noticeably very different from swollen perineum, and you will know right away if you are experiencing. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. The area may look red and feel painful and be swollen. 1 Only a couple hundred case reports of median raphe cysts have been published in the English literature. my bottom left testicle feels swollen & my perineal area all the way down to my anus. Try OTC Clotrimazole cream; if no better, see your doctor. Fungal infections may account up to 40% of secondary infectious pruritus ani cases–a majority is caused by Candida . Raphe of scrotum. 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. La rainure périnéale congénitale (perineal groove), est une malformation anopérinéale rare, survenant presque toujours chez des filles et correspondant à un rainure érythémateuse suintante, s’étendant de la fourchette vulvaire postérieure au bord antérieur de l’anus [1], [2], [3]. Pain when you pee or have intercourse. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. 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. 3 ). Put an ice/cool pack on the area for about 10 minutes at a time. ”. 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 into the perineum ( figure 1 ). 89 - other international versions of ICD-10 N48. The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. An incision is made through the median raphe of the bulbospongiosus muscle and into the underlying urethra. Median raphe cyst is a very rare, benign congenital lesion occurring mainly on the ventral aspect of the penis, but can develop anywhere in the midline between the external urethral meatus. It's around 1cm in diameter, was purple (now more pink), and right next to my anus. 6. skeletal muscle. Perineum swelling is associated with a variety of conditions, including: Cysts and abscesses: Cysts (which are fluid-filled sacs) develop due to infection or irritation in the perineum. Answered in 1 minute by: 1/28/2021. Epidermal cysts are very common lesions. The perineal raphe further extends forward to the undersurface of the penis and backward to the anal opening. Women are particularly vulnerable to perineum pain because of childbirth and urinary tract infections. 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. Call/text today: 1-212-204-6300 or make an appointment online. It is located in the midline and anterior to the anus in an area called the perineal median raphe. The most common treatment for perineal pain is rest; rest helps the body repair the damage. However, I would never put my money on anything when. Repeat the massage for 5-10 minutes total, taking breaks when you need to. Thomas suggests holding a simple, external vibrator—such as a bullet vibrator or a wand—against your perineum. ra·phae also rha·phae 1. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. Therefore, disturbed anal anatomy, as in cases of ARM, is commonly associated with PST. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. Penile/scrotal raphe is red. Recent Findings The Davydov peritoneal vaginoplasty has its origins in neovaginal reconstruction for vaginal agenesis. A red foreskin tip, without pain or swelling, just indicates that the skin is a bit irritated from doing its job of protecting the. Gynecologic evaluation of the prepubertal child is approached by directing attention to the specific complaint, symptom, or question to be addressed [ 1 ]. Perineoplasty is a surgical procedure to repair the perineum and external organs of your vagina (vulva). Take a warm bath. 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. It is noteworthy that a rudimentary gubernaculum also forms in females. [2–5] About 25-45% of these patients can develop serious complications. The site of the median septum is apparent on the surface of the scrotum along a median longitudinal ridge called the scrotal raphe. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. Given the above, it's possible that what you are experiencing is herpes, especially if it's recurring at the same place. The cyst is generally solitary, with the penile shaft being the most common location, with average size of around 1 cm. Cremasteric reflex should be tested bilaterally. Apply ice to perineum for first 12 hours. The perineum is an erogenous zone. Browse Getty Images' premium collection of high-quality, authentic Perineum stock photos, royalty-free images, and pictures. Perineal grooves in two newborn babies were. In addition, the fibers originate from several surrounding structures; perineal body, superficial transverse perineal muscle and external anal sphincter. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. Orthodontics 55 years experience. Perineal Injury. Otsuka T, Terauchi M. The perineal area is scrubbed and a 10-cm midline skin incision is made below the ischial arch. Anatomy and function of the scrotum. Creamy pus could be expressed from a broad funnel-shaped opening into a blind pouch in the area of the swelling, smears of which revealed gram-negative intracellular diplococci, morphologically typical of Neisseria gonorrheae. Perineocele. To externally stimulate it, press the fingers gently on the perineum and massage it lightly. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. Product. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. the two halves of which meet in a midline raphe deep. Perineal pyramidal protrusion is typically smooth and pink and measures from. Perineal raphe synonyms, Perineal raphe pronunciation, Perineal raphe translation, English dictionary definition of Perineal raphe. General causes, gynecologic causes, and abdominal causes. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. Along this tract, which extended across the median raphe of the penis and scrotum, were several cj^stic areas, the largest measuring 2 cm. For the sake of this article, we will simply refer to it as the raphe. It is a normal variant of anogenital anatomy, most often found in young girls. 5 mm 2 to 28. D. Definition of gouch in the Definitions. 1 It is divided on the midline by the scrotal raphe, which is continuous with the raphe of the prepuce, penis, and. The abscess may form after surgery or after delivery of a baby. 1 2 3. This is the visible line or ridge on the underside of the penis that runs from the scrotum to the tip of the penis. Testis. From the raphe, the. A swollen or inflamed prostate can lead to perineum pain in men. Sometimes the tear comes as a result of continuous itchiness and scratching. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. The causes of perineal pain are pretty varied, but they fall into a few different categories. A lump on your perineum, redness and swelling. perineal raphe. 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. A differential diagnosis must be. Right now my perineum is swollen, around my anus towards my vagina and I have a have a tiny tear half way between my vagina and anus. Perineum pain in women can also feel sore and itchy. The raphe joins the internal septum with the scrotum. Start on the lightest setting. perineal raphe. [2–4] Perineal wounds usually occur following trauma, ablation of malignancy of the genitalia, low pelvic tumors, or following thermal or electrical injuries. Belly swelling; Vomiting; No stool within the first 48 hours; Stool coming out of the urethra; Types of anorectal malformations. 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. 215 may differ. Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. The wound may be a freshly created surgical wound or may be as a result of trauma or burns. Connect with a U. 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. We report a 6-year-old child with a long standing painless scrotal swelling thought by the parents to be polyorchidism. Sit on a rubber ring (for no more than half an hour at a. Over the next few months, the area became more swollen and did not regress despite recommended sitz baths and barrier creams. Other symptoms of an abscess include: a red, pimple-like bump on. Warm compresses and numbing sprays may help with the pain. Keep the area clean and dry. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Penile/scrotal raphe is red. James Schumacher, in Equine Surgery (Fourth Edition), 2012. Read More. The perineal raphe is a small, vertical, slightly raised ridge of scrotal skin under which is found the scrotal septum. 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. Start on the lightest setting. Use a cold compress or ice pack to relieve pain and. Cut. Treatment is likely to be with chemoradiotherapy. This isn't external, but rather internal. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). This tear seems to come and go every few months or so. Background A defect in embryological development or closure of median raphe may lead to formation of cyst(s) anywhere in the midline from glans to anus. 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. 215 became effective on October 1, 2023. My perineum raphe is inflamed and swollen. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. . also rha·phe n. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. A case where a baby girl was born with failure of fusion of the perineal raphe is presented, and the embryological origin of this congenital abnormality is reviewed. 1). I have a discoloration rash which a doctor has diagnosed as. 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. 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. Median raphe cysts are a rare, congenital entity. It is found in both males and females, and arises from the fusion of the urogenital folds. It is an extension of the perineal raphe, a line of tissue that extends. I was actually thinking about some kind of technique that is also used to make scars less visible. 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. A chronic perineal wound could result. Skin care: Most superficial skin cuts will heal with time . Introduction and hypothesis: Descending Perineum Syndrome (DPS) is a coloproctologic disease and the best treatment for it is yet to be defined. Depending on growth of the bulbospongiosus muscle and corpus spongiosus penis, the midline intermuscular septum obtained a connection to the subcutaneous wavy. The 2024 edition of ICD-10-CM L02. The median age at the first visit to our clinic was 1. Medicaments including neomycin. The scrotal raphe is in continuity with the penile raphe superiorly and the perineal raphe inferiorly. [5] [6] [7] At New York Urology Specialists, we offer same-day treatment for perineal pain . Sore or itchy perineum. In women, the perineum is the space between the vaginal opening and anus. It's situated between interior thighs and anal region. 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. L02. Feeling of increase swelling over suprapubic or perineal area, Pain refers to lower abdomen, waist, thighs and back; Symptoms of Perineal Pain and Traumatic Injury of Perineum-Perineal injury is caused by either blunt or penetrating trauma. Call/text today: 1-212-204-6300 or make an appointment online. A perineal median raphe cyst arising in a 3‐year‐old boy was successfully treated with primary excision and the possible origins and histologic features are briefly reviewed. It was a long and narrow tumefaction developed strictly on the midline on the median raphe between the scrotum and anus. Penile curvature − 0. If there is no mass or swelling in the testicle not to worry. Physical examination revealed 2 nodular lesions at both sides of the perineal raphe, immediately behind the scrotum, both covered by redundant, but otherwise normal-looking skin, with no external signs of inflammation or infection. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. Here we present the unusual case of an epidermal cyst occurring between the anal sphincters, presenting as. Rinsing the area with warm water after you use the bathroom. central tendinous point and the midline raphe on the bulb of the penis. A perineal abscess is an infection that causes a painful lump in the perineum. Sometimes, the treatment varies in men and women: Get adequate rest. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. Following the definitive diagnosis of failure of midline fusion, urology recommended a CT of the abdomen and pelvis to evaluate for additional. Dr. 16. Injuries to the perineum can happen suddenly like an accident or as the activity which puts the. The perineum pain between the genitals and anus can be commonly caused by anal fissures. perineal a. Gently pat the. What DOES worry me is that just now I found my perineal raphe to be swollen. In our study we treated a case with a large congenital scrotal sinus by total surgical excision. The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. These are usually the result of an infection of your internal anal glands. 31,291 satisfied customers. Perineal raphe synonyms, Perineal raphe pronunciation, Perineal raphe translation, English dictionary definition of Perineal raphe. It is located in the midline and anterior to the anus in an area called the perineal median raphe. The perineal area needs extra care to heal after childbirth, including cool sitz baths to reduce swelling and speed healing. Topical allergens that can cause perianal allergic contact dermatitis include: Ingredients of topical haemorrhoid preparations, such as local anaesthetics benzocaine and lignocaine. Keep the area covered with a clean dry bandage if possible. This line starts just anterior to the. Externally, a swelling called the genital tubercule appears over the cloacal membrane. The clinical picture did not fit that of an abscess. What does a swollen perineal mean - Answered by a verified Health Professional. The management of an intrascrotal abscess, regardless of the cause, requires surgical drainage (see image below). Perianal region is an extremely rare location for these lesions. Pruritus ani Pruritus ani is a condition that can occur in both genders, but. 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. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. DO. The perineum is the major area. 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. Doctoral Degree. 2 Other symptoms include localized pain, chronic seepage, and excessive moisture. Thomas suggests holding a simple, external vibrator—such as a bullet vibrator or a wand—against your perineum. Introduction. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. 2. e. 6. A median raphe of fibrovascular connective tissue separates both halves. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. The canals are l. 1Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. 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. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Do not use soap over that area. read more Dr. 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. ”. 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. Childbirth, weight loss, trauma and other factors can damage this area and cause the skin around your. 1. Created for people with ongoing healthcare needs but benefits everyone. Its location may be related to anatomic characteristics of the perineum and median raphe. Some species have marked seasonal variation in. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. Ectopic. After looking at it and doing some basic research, I'm pretty sure it's an external haemorrhoid. My perineum raphe is swollen and itches. ___ is a sagittal ridge of skin in the perineum that extends between: o The anus and the vulva in females. Been using a cream to stop the itchyng and it helps and the line has disapeared a little but it itches again after a while!. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. Doctor's Assistant: How long have you been dealing with this? Does anything in particular seem to make the itch. So, the seam is really the remnants of what were originally your labio-scrotal folds, bits that were meant to become a labia. The perineum is the area between the anus and the vagina/penis. Acute complications can occur in 25-60% cases. These bumps can occur anywhere on perineal raphe most commonly around anus. 6% penile anomalies − Often associated with hypospadias − Can be initially noted inScrotal examination should note asymmetry, swelling, erythema or discoloration, and positioning of the testes (horizontal vs vertical, high vs low). Definition of gouch in the Definitions. Women. 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. it is normal? 1 doctor answer • 3 doctors weighed in. The perineal raphe joins the anal verge (opening of the anus), to the posterior end of the urogenital fold. The raphe has three anatomical sections: the penile raphe, scrotal raphe, and perineal raphe. It forms a line that midway between the legs. They may be located inside the rectum (internal) or outside the body at the anus. 会阴 （perineum）是人体 生殖器 到 肛门 间的间隙（space），主要是软组织构成；在 针灸学 是一个 任脉 穴 [1] 。. It consists of the genital fold. Relevant articles and textbook chapters were reviewed, analyzed, and summarized with the consensus of the authors of this paper. This is the visible line or ridge on the underside of the penis that runs from the scrotum to the tip of the penis. At night the irch is unbearable at times. You can vary the pressure as per your liking. 89 may differ. 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. Learn how we can help. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. scrotal raphe. 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. 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). Board Certified Physician. The urogenital triangle differs between males and females. To report 2 cases of median raphe cysts, 1 in the penis and the other in the perineum. This uncommon cystic lesion was first described by Mermet in 1985. Jean E. 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. My perineum raphe is inflamed and swollen. At least I'm pretty sure that's what that is -- basically, there's a lump between my anus and my testicles, in the crack, so to say. It is mostly presented in female infants as an isolated anomaly but can be found in males as well []. Gently, massage the area in up-down or circular motions. Avoid a lot of skin care products, antiseptics are ok. Michelle Jones singer answered. The clinical picture did not fit that of an abscess. For the sake of this article, we will simply refer to it as the raphe. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. 3. 2. In mid 2014 i had HIV, herpes, vdrl & tsh test and all tests. My penile/scrotal raphe has been red for about three weeks. Hemorrhoids and swollen perineal raphe? Hi, all. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. It is found in the superficial perineal space (pouch), together with the ischiocavernosus and superficial transverse perineal muscles. During a vulvar biopsy, doctors collect tissue samples from a female’s external genitalia. Median raphe cysts present anywhere between the external urethral meatus and the anus. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. central tendinous point and the midline raphe on the bulb of the penis. Genital lymphedema is a buildup of fluid causing swelling in the soft tissues of the genital (crotch) area. Lanolin. Treatments include creams, ointments, medications and home remedies. A fistula was observed deep within the urethra cavernosum, excluding the possibility of a perineal fistula. Jean E. read more. It is unknown to many clinicians, which usually leads to misdiagnosis. 1 Instead of keratinized epithelial skin, the perineum has a non-epithelialized midline sulcus and mucosal membrane spanning the. board-certified. 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. It is completely common and normal physiological tissue line. They can be found from the distal penis and scrotum to the perineum in a midline position. In males, this structure continues through the midline of the scrotum (scrotal raphe) and upward…Perineal injury is an injury to the perineum, the area of the body between the anus and the scrotum. Then work up to whatever intensity that feels. Painful urination (pain when you pee). 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). Therefore gents, you have a bit of a labia on your scrotum. It would be most prudent for you. The cavity should be left open and packed. 1. Always in the exact same place. $44 video appointments with $19/month membership * * Billed $57 every 3 months. also rha·phe n. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. I have a facial discoloration rash which a doctor has diagnosed as a fungal infection due to an allergic reaction to a cream prescribed by a. Causes of painless scrotal swelling in children and adolescents; Clinical manifestations and complications of inflammatory bowel disease in children and adolescents; Condylomata acuminata (anogenital warts) in children; Congenital anomalies of the hymen and vagina; Constipation in infants and children: EvaluationPerineal trauma, also known as vaginal tears, is a very typical and expected side effect of vaginal delivery. The 2024 edition of ICD-10-CM N48. Perineal groove is a rare congenital midline malformation of the perineal raphe.