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. The EAS is continuous with the puborectalis. Long-term complications are not expected in most vaginal tears, except in severe lacerations, which are associated with chronic pelvic floor dysfunctions. In most areas of the body, lichen planus causes itchy purple bumps sometimes streaked with white. Male: median raphe on ventral surface of bulb of penis; perineal body: Male:. Perineal groove was extremely prevalent among the females: 25 of the 26 patients were girls, and only one patient was a boy. An infected median raphe cyst was. I cut myself on the Perineal Raphe of my scrotum . Learn how to say Perineal with EmmaSaying free pronunciation tutorials. Even intense itching, if left alone, will subside after 5-10 minutes. Taint. Kegel Exercises. 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. 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. Perineal soreness is common, especially if you. A few antibiotics and massages are used to treat perineal pain but are done only once the inflammation subsides. It is completely common and normal physiological tissue line. penis and scrotum. Dr. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. No pain or itch. 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. Then pat the area dry. A lump can also result. Perineoplasty helps restore tightness and repairs damage to your perineum and vulva. I have had a small hemroid for 14 years but it has never bothered me before so I don't think it's that. Sex: Male Duration of complaint: 1 year and 6 months. 4,922 satisfied customers. Pain medications and numbing sprays: Taking acetaminophen (Tylenol®) or ibuprofen (Advil®) and using pain-numbing sprays can ease the pain while your body heals. This is the American ICD-10-CM version of N48. Its location may be related to anatomic characteristics of the perineum and median raphe. The pathological diagnosis was infantile perianal pyramidal protrusion. Only 1 dog required veterinary intervention with relation to swelling/irritation around the surgical site in the form of a sterile saline. 1). Sit in 8 to 10 centimetres of warm water (sitz bath) for 15 to 20 minutes 3 times a day and after bowel movements. Nov 22, 2021 at 1:46 AM. Vaginal discharge that smells bad. Causes include poor anal hygiene, allergies, certain foods and drinks and other health conditions. Most are asymptomatic and are noted incidentally. 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. Perineum raphe itch and inflammation. 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). Increase in self-esteem. 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. (E-H) A 12-week fetus. (A, E) The most anterior side of each series of photos. I accidentally cut my perineal raphe. 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. The vulva may appear pale or pink, sometimes with a white lacy pattern. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Incising the urethral mucosa may be. (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. Discussion. , failure of midline fusion of the perineal raphe , lichen sclerosus, accidental trauma , anal fissure, vulvar. The perineum is the region below the pelvic diaphragm; it consists of muscle-fascial. 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. Statistics. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. The raphe, that mysterious “ stitch” running along the bottom of the scrotum, is a remnant of our shared human development in the womb. Apply emollient or barrier creams to the anal area to. Call/text today: 1-212-204-6300 or make an appointment online. These diseases are amenable to treatment. Common sites are midline of the ventral aspect of the urethra, glans, penile shaft (Fig. Same-day virtual video appointments and in-person appointments are available. My perineum raphe is irritated and itchy, not at the rectal end but at the penile end, below the corona. 1. As the name suggests, perianal skin tags are soft growths that occur around the anus. Have a doctor drain fluid or pus from a cyst or an abscess. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. The purpose of the median septum is to compartmentalize each testis in order to prevent friction or trauma. 2 may differ. The perineum is the region of the body between the pubic symphysis (pubic arch) and the coccyx (tail bone), including the perineal body and surrounding structures. The 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 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. Even though common in women, men can experience perineum pain too. 2 mm (C–D, D–E), and 0. The most common treatment for perineal pain is rest; rest helps the body repair the damage. Median raphe cyst is an uncommon developmental anomaly that can develop anywhere along the midline of the external genitals. It is unknown to many clinicians, which usually leads to misdiagnosis. This is a less invasive procedure and is more often used when treating injuries to the testicles. 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. 2 years. Genital Crease. Currently, CPG can be divided into two types based on the morphology of perineum, complete and partial (2,3, 8). Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. The most common terms used to refer to this area are: Grundle. It's situated between interior thighs and anal region. Should go away on its own. Median raphe cysts are a rare, congenital entity. This kind. The median raphe cyst is in the dermis and does not drain into the overlying. Possible causes of pain in this area include tears during childbirth, infections, and pelvic floor problems. Even if its a small thing, it bothers me quite a bit. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. Doctoral Degree. Perineal lacerations occur in up to 80% of vaginal deliveries. It is the result of a fetal developmental phenomenon whereby the scrotum. Antibiotic treatment will be started when patient’s temperature is high, or if the patient has higher blood leukocytes. The perineal raphe is a visible line or ridge of tissue on the human body that extends from the anus through the perineum. • Constipation or passing hard bowel movements can also irritate the area. Scrotum. It is observed as a noticeable line. The female perineum is a diamond-shaped structure inferior to the pelvic diaphragm and between the symphysis pubis and coccyx. There are lots of Vulvodynia groups online. The perineum pain between the genitals and anus can be commonly caused by anal fissures. The pain is especially intense when passing urine or stool. Perianal streptococcal dermatitis is a bright red, sharply demarcated rash that is caused by group A beta-hemolytic streptococci. tight feeling in anus happens also. Stuffy nose: allergy, inflammation, hayfever, cocaine, snorting heroin, asthma, being hit in the nose, crying. If you have concerns, seek examination by Physician or Dentist. Thus far, there is no reported case of this anomaly in monozygotic twins. This line starts just anterior to the. Area: perineum I've been having pain and inflammation in my perineal area, more accurately at the ridge. It is located in the midline and anterior to the anus in an area called the perineal median raphe. : Usually nerve irritation. But then I saw a thick line going from my anus to scrotum (perhaps a nerve) which has a burning. The perineal raphe is the noticeable line along the underside of the penis. 89 may differ. 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. General causes, gynecologic causes, and abdominal causes. New or worsening stomach pain. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. 4 years ago. Board Certified Physician. Hemorrhoid wipes and creams can help with pain, itching or burning in your perineum, too. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. Perineal groove is a rare congenital midline malformation of the perineal raphe. Created for people with ongoing healthcare needs but benefits. 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. The area is itchy and starts just under my scrotum and ends at the anus. When I shake it , it sound like liquid but it's hard. Abstract. Hematoxylin and eosin staining. which will prevent healing. burning or itching around. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. 225 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is due to the trauma placed on the perineal area during this process. Returns your vagina to its pre-childbirth size. B, Neonate girl with recto fourchette fistula. Your testicles can feel extremely itchy or uncomfortable when you have an outbreak of this virus. The urethra is the last part of the urinary tract and traverses the corpus spongiosum. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. 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. mucus or pus-like discharge coming from the anus. Created for people with ongoing healthcare needs. 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. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Record the pronunciation of this word in your own voice and play it to listen to how you have pronounced it. 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!Lichen sclerosus is a chronic (life-long) condition. please do help. Aside from when I actually run my finger over it, there is no pain. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. 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. I had a female name chosen and was supposed to be born a girl, but I "came out a boy" and they thought I was a girl even during labor. M. When the area is numb, your OB/GYN may then use a. Therefore gents, you have a bit of a labia on your scrotum. Median raphe cysts contain clear fluid, and may be up to 10 mm. This uncommon cystic lesion was first described by Mermet in 1985. 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. Take pain medication like ibuprofen (Advil) to reduce swelling and pain. In mid 2014 i had HIV, herpes, vdrl & tsh test and all tests. My penile/scrotal raphe has been red for about three weeks. I am a young (20 yrs) female and I have a question about the perineal raphe. Now i gone to doctor and he gave terbinafine & mometosone furoate cream base with itraconazole 100 mg. I've had it about 3 years now. On vulvar skin, the most common symptoms are soreness, burning, and rawness. My perineum raphe is irritated and itchy, not at the rectal end but at the penile end, below the corona. 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. An ID Reaction can be caused by treating the primary skin condition improperly. This is especially true for people who have IBD, and in particular, Crohn's disease. Genital Crease. In males, the bulbospongiosus is located in the middle line of the perineum, in front of the anus. Up to 42% of women experience perineal pain after childbirth. They can be found all the way from the distal penis and scrotum toward the perineum in a midline position. Get App. The perineum is surrounded by several nerve endings. 5. Perineal raphe bumps/fluffiness. anal herpes 2. Here are some of the most common symptoms of a perineum cut. Voiding difficulties are common, especially in patients with pre-existing lower urinary tract symptoms, and acute urinary. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just fall off. Perineal pyramidal protrusion is typically smooth and pink and measures from 5. How to pronounce perineal. Its been here since 2-3 years. 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. Itching in the perineum is the main symptom for hemorrhoids, helminthic invasion or perineal fistula. Abstract. The perineum lies just inferior to the levator ani muscles and has a border with the pubic arch anteriorly and the coccyx tip posteriorly. changes of the urothelium, secondary to irritation or local stimulation, has been described[14], which. lately i started feeling like that part of mine is now a bit more thicker. Increased pain, swelling, redness, or warmth in the perineal area. Perineal groove is a rare congenital midline malformation of the perineal raphe. Sometimes, the treatment varies in men and women: Get adequate rest. Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. Dansk: 21 årig kvindes anus med fremtrædende Perineal raphe (en sammensmeltning ved mellemkødet, oftest set hos mænd). 4 or pain in the testicle (not scrotum). Anatomy and function of the scrotum. 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). In a woman, it's the area between the vulva and the anus. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. 8 ± 3. Median raphe cysts are supposed to be formed during the fusion of the urethral. Conditions that can cause this symptom include: 1. Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. Abstract. I noticed the skin directly next to my perineal raphe (penis) has turned dark brown. These can include perineal pain or discomfort, bruising, haematuria (14. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). 6. . Anatomy Name: The Intertrochanteric Line. The most observant and observant now know what it is. And herpes sores can look like cuts. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. 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. Read below for more information on causes and treatment options. General causes. We report the case of a 4-year-old child presented to the emergency department for a serpiginous and redness lesion extended from the basis of the penis until the perineum. Purpose of Review To discuss perineal and robotic approaches to gender-affirming vaginoplasty. This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of the penis. 89 became effective on October 1, 2023. MRC is thought to be caused by congenital alterations in the embryologic development of the male. The adductor muscles of the hip originate. The perineum is a major area of muscle attachment, which makes it one of the most common sites of pain. Low malformations in girls,. These diseases are amenable to treatment. But in 70% of calls to a specialist, the main formulation of the diagnosis with such symptoms is "idiopathic itch of the anus". Then pat the area dry. A perineal abscess is an infection that causes a painful lump in the perineum. 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]. Skin is not rough or flaky. I have them since 1-2 years, everytime after using ointment/cream bumps goes out but came back after some days. The crease between the thigh and groin is known by several different names. Main problem is the slight pain irritation putting a limit on stretching for now. Scrotal Raphe. It is found in both. The causes of perineal pain are pretty varied, but they fall into a few different categories. The diagnoses of infantile pyramidal protrusion and irritant diaper dermatitis were made, both. Early perineal raphe seen in two male fetuses. 89 - other international versions of ICD-10 N48. James Schumacher, in Equine Surgery (Fourth Edition), 2012. Scrotal Raphe. While much attention has been given to these conditions, the particular ones affecting the median raphe have gone almost unreported. 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. . [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. 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 perineum. How if you experience any of the following symptoms, please contact your clinician: Fever. A 10-month-old girl was referred to Pediatric Gynecology after her parents noticed an increasing genital bulge. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The cyst may occur anywhere along the midline from glans to anus. Bifid scrotum is presented in a wide range of phenotypic forms, and simply classified to partial or complete. This is called ‘idiopathic pruritus ani’ which means ‘itchy anus of unknown cause’. Perineal Body: The median raphe of levator ani between the anus and vagina, is reinforced by the central tendon of the perineum. Incidence of this congenital anomaly is underestimated as it may be unrecognized earlier at birth and/or. Now i gone to doctor and he gave terbinafine & mometosone furoate cream base with itraconazole 100 mg. Abstract. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. Introduction. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Congenital anomalies of the genitourinary system are varied and frequent. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. When this is the case, some of the general treatments include: Take an over-the-counter antihistamine (such as Benadryl), especially at night when itching tends to worsen. This means that the cause of the itch is not found. Image acquired using minimal zoom on a surgical, digital camera. Perianal Crohn’s disease can lead to more symptoms over time. The perineal raphe, septum, body, and fasciae are mainly constituted by contributions of the superficial and deep dorsal urogenital stroma. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. May be candida: This is a yeast that often causes problems in warm weather. Relieved to see that others have had experiences with the raphe area acting up but getting through it nonetheless. Even when I touched it, it wasn't so much pain as it. It is unknown to many clinicians, which usually leads to misdiagnosis. bulbospongiosus, in male. At New York Urology Specialists, we offer same-day treatment for perineal pain . However, the most common cause is a diet that contains a lot of acidic or spicy foods, such as coffee, citrus. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12. 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. 5 month (range, 0. It's around 1cm in diameter, was purple (now more pink), and right next to my anus. The 2024 edition of ICD-10-CM R10. This line starts just anterior to the anus and extends through. described perineal groove as an exposed erythematous nonepithelized mucous membrane extending from the vaginal fourchette to the anus (). Dans la première forme, la lésion serait due à une faiblesse constitutionnelle de. The area may look red and feel painful and be swollen. −Pain −Bleeding −Circumcised −Meatal stenosis in 24 of 239 (7. . 5 mm 2 in size. Learn more. Irritation of the urinary tract may cause pollakiuria and hemorrhage of the urinary mucosa. Itchy Perineum! Hello. 1. a local anesthetic in older patients and incision of the hemorrhoid to evacuate the clot provide immediate relief of pain. Perineum pain is most common in women following childbirth. 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). 2. Pain medications and numbing sprays: Taking acetaminophen (Tylenol®) or ibuprofen (Advil®) and using pain-numbing sprays can ease the pain while your body heals. Panel (A), including a longitudinal course of the penile urethra (UR), displays the most anterior side of photos. Very easy. Moderate. 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. The crease between the thigh and groin is known by several different names. A perineal fistula is a type of anorectal malformation (ARM) that involves a misplaced anal passage that is often narrowed. two days later, I mustirbated again and when I came I had tension and. anal warts 3. Dr. This is the American ICD-10-CM version of R10. Easy. This is the American ICD-10-CM version of L02. Perianal tinea is uncommon. Firstly, my perineal raphe looks red and raised. This is a rare congenital midline malformation of the perineal raphe. my cut has healed but the piece of raphe that was hanging curled up and looks like a pimple?. Constipation by itself can cause the pain that you have. N48. Anatomy and function of the scrotum. 5 mm 2 to 28. 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. The coccygeus is supplied by the fourth and fifth sacral nerves. We find broad structural homologies between male and female dogs related to erection,. The wound should be kept. Bulbocavernosus, superficial transverse perineal and external anal sphincter muscles also converge on the central tendon. Pain in the area between the. Adding vegetables and fiber, such as is found in a high fiber cereal like All-Bran or Fiber One or. I've had my family doctor give me - Answered by a verified Urologist. Other symptoms of genital herpes include: feeling exhausted or sick. 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. Home;. ”. Injuries Impacts to the groin area during physical activity or from falling on your rear can bruise, tear, or rip your perineum, causing a lump there. 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. D. GP if it isnt healing in the next few days, would go to urgent care or ED for spreading redness, fever over 100. Perineal groove is a rare congenital malformation characterized by a midline wet erythematous sulcus of the perineal raphe extending from the posterior fourchette to the anterior edge of anus with a normal anatomy of urethra, vagina and anus. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. A: The symphysis pubis is the joint where the two pubic bones attach, dead center of the perineum. A physician will want to do a physical exam and potentially a rectal exam to see what's happening. I have a discoloration rash which a doctor has diagnosed as. I have been having a burning sensation in a vein in my between my thighs (perhaps called perineum). Most UTIs affect the lower urinary tract, which includes your. Subsequent histopathological examination confirmed a median raphe cyst. This is called ‘idiopathic pruritus ani’ which means ‘itchy anus of unknown cause’. Possible causes of pain in this area include tears during. My perineum raphe is irritated and itchy, not at the rectal. The complexity of the process results from the nervous system not being a ‘hard. Other benefits of the procedure include: Improved sexual satisfaction. Penile/scrotal raphe is red. The coccygeus muscle completes the pelvic floor, which is also called the pelvic diaphragm . Perineal pain or perineum pain is often caused by infection of perineal skin, subcutaneous tissue or deeper tissue like anus, vulva and vagina. Itching around the anal and perineal area can be a sexually transmitted infection (STI) symptom. 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. Its been here since 2-3 years. . Satisfied Customers. Methods: We enrolled men with gonococcal infection of the penile raphe and men with urethral. Created for people with ongoing healthcare needs but benefits everyone. In males, the muscle consists of two parts that are fused at the median fibrous raphe of 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. At this point, perineal raphe is formed. 2%. Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. So, the seam is really the remnants of what were originally your labio-scrotal folds, bits that were meant to become a labia. The 2024 edition of ICD-10-CM L02. This lesion extends vertically downward from the posterior portion of the vaginal fourchette to the anterior rim of the anus. Sperm are produced in the testes and stored in the. The urogenital triangle differs between males and females. Read below for more information on causes and. See a urologist for a thorough prostate evaluation including a dig. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. Perianal region is an extremely rare location for these lesions. 會陰. Although uncommon, infection may be a complication.