inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent. 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. When to See a Doctor. Perianal region is an extremely rare location for these lesions. Person feels itching and discomfort. Age: 25 Sex: Male Height: 5ft 9in (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. . Pudendal neuralgia (or pudendal nerve entrapment) is when you experience chronic pelvic pain from damage or irritation to your pudendal nerve. Try OTC Clotrimazole cream; if no better, see your doctor. Introduction. This line starts just anterior to the. The pathogenesis of perineal groove is not clear, and there are few cases reported in the current medical literature. We report the case of a newborn female with a perineal groove and review the limited literature. Median raphe cysts contain clear fluid, and may be up to 10 mm. Created for people with ongoing healthcare needs but benefits everyone. It is located in the midline and anterior to the anus in an area called the perineal median raphe. Voiding difficulties are common, especially in patients with pre-existing lower urinary tract symptoms, and acute urinary. In our patient, a probe tube was inserted into the fistula after incision of the median raphe cysts. It arises from the central tendinous point of the perineum and from the median perineal raphe in front. Most reported cases of congenital perineal groove presented as an isolated defect in term or early-term singleton female infants. Listen to the audio pronunciation in the Cambridge English Dictionary. See a urologist for a thorough prostate evaluation including a dig. In june 2014 i had HIV, herpes, vdrl & tsh test and all tests were negative (normal). Sir/ma'am I have a lump (painless) in perineal region, which is not visible from eyes or from surface. Early perineal raphe seen in two male fetuses. 6 7 14 Given that the perineal. D. How to pronounce perineal. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. 21 yrs old Male asked about Mild pain and small lump on perineal, 1 doctor answered this and 1557 people found it useful. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. 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. i really am tensed and expecting a solution on this. Genital Crease. While hemorrhoids may trigger perineum pain, they don’t cause perineum swelling. 会阴的具體範圍有不同的定義 [2] ，有一種定義將女性的会阴定義為在陰道及肛門之間的部位，男性的会阴則定義為在陰囊及肛門之間的部位. Put ice or a cold pack on the sore area for 10 to 20 minutes at a time. 89 - other international versions of ICD-10 N48. Hemorrhoid wipes and creams can help with pain, itching or burning in your perineum, too. There are two. drinking and heart pain jumped 33 percent. The perineum is divided into the anterior urogenital triangle and the posterior anal triangle; the vulva represents the external genitalia. Slight hyperpigmentation of the genital raphe is almost invariably present (Fig. : Usually nerve irritation. 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 coccygeus is supplied by the fourth and fifth sacral nerves. On examination of this infant, the right testicle was absent from the scrotum, but a mass was appreciated over the perineum. Use a back and forth U-shaped movement to gently massage the lower half of your vagina for 2-3 minutes. Injuries to the perineum can happen suddenly like an accident or as the activity which puts the. I've had it about 3 years now. Long-term complications are not expected in most vaginal tears, except in severe lacerations, which are associated. Symptoms include perianal rash, itching and. 5 mm 2 to 28. 2. Early perineal raphe and the urethral wall in a 10-week male fetus without a definite penile raphe. 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. 1). A friend who had the same thing said that wearing compression tights really helped. The ID Reaction is usually symmetrical too. Perineal pain or perineum pain is often caused by infection of perineal skin, subcutaneous tissue or deeper tissue like anus, vulva and vagina. Apply cool compresses to the perineal area to soothe burning sensations. Perineum. Treatment is likely to be with chemoradiotherapy. The 'perineal' raphe exists in both men & women by the ways. Causes Doctor questions Statistics The perineum pain between the genitals and anus can be commonly caused by anal fissures. The symptoms may remain present for up to 10 days3. [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. 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). 89 may differ. Perineal raphe develops during fetal development inside mother’s womb. Perineoplasty helps restore tightness and repairs damage to your perineum and vulva. 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). Here are some of the most common symptoms of a perineum cut. Area: perineum I've been having pain and inflammation in my perineal area, more accurately at the ridge. . 4,922 satisfied customers. Easy. The adductor muscles of the hip originate. . 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. anal warts 3. I had hiv, herpes, vdrl, tsh tests in 2014 & all tests were normal (negative). Tinea cruris is usually due to T. Temporary erectile dysfunction might be experienced by some patients . The diagnosis is clinical with histological confirmation. Firstly, my perineal raphe looks red and raised. Although the incidence and pathogenesis of perineal groove is unknown, there is. two days later, I mustirbated again and when I came I had tension and. Its been here since 2-3 years. That line is called the “penile raphe. 8 ± 3. It is one of the common, extremely annoying symptom for which patients attend the Dermatology Outpatient Department (OPD). So, two days ago I noticed a little lump near my anus while showering. PERINEAL WOUNDS FOLLOWING HIDERADENITIS SUPPURATIVA AND TRAUMA. Median raphe cysts of the perineum are rare congenital anomalies of the male genitalia, which form during embryological development, and can be found in the midline from the distal penis to the. Irritation of the urinary tract may cause pollakiuria and hemorrhage of the urinary mucosa. NSFW. Resulting in a flap of skin down the perineal raphe. Pain medications and numbing sprays: Taking acetaminophen (Tylenol®) or ibuprofen (Advil®) and using pain-numbing sprays can ease the pain while your body heals. Get your query answered 24*7 only on | Practo Consult. I know there is supposed to be a line there from the fusion of the two halves, however; mine have a excess of skin on mine. Irritating, water/air type, itchy, inflammatory bumps/fluffiness. Several different injuries may cause pain in this area. −Pain −Bleeding −Circumcised −Meatal stenosis in 24 of 239 (7. A physician will want to do a physical exam and potentially a rectal exam to see what's happening. 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. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. Perineal wounds following excision of Hideradenitis suppurativa are usually surface. 3 ). The cut itself is about 1/4 inch. Increased pain, swelling, redness, or warmth in the perineal area. I cut myself in the perineal raphe shaving. lately i started feeling like that part of mine is now a bit more thicker. No trial reported on perineal trauma. 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. I have been having a burning sensation in a vein in my between my thighs (perhaps called perineum). New or worsening stomach pain. Perineum is in color. It is supplied by the fourth sacral nerve and by a branch derived from the perineal or sometimes from the inferior hemorrhoidal division of the pudendal nerve. General causes, gynecologic causes, and abdominal causes. He complained of several small but painful ulcers distributed along the under surface of the. See morePerineal raphe itching is most common in men than women and the reason behind this difference is unknown. Use a perineal irrigation bottle to help clean or wash away any skin damage or sources of irritation. 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. Doctoral Degree. Perineal Tear. Duct obstruction, entrapment of pudendal nerve, abscess, prostatitis, perineural cyst, ischiorectal abscess, benign prostatic hypertrophy, and prostatitis. pubic lice These conditions don’t always cause symptoms you can easily see. Statistics. It has been nearly half a century since Stephens first detailed the perineal groove (PG) as a congenital malformation consisting of three features: (1) a wet groove in the midperineum between the fourchette and the anus; (2) normal formation of the vestibule including the. - Urate crystals diaper - Degrees of hypospadias - Bilateral cryptorchidism 2 - Sexual maturity rating of pubic hair/genitalia in males (Tanner) - Prader orchidometer - Perineal hypospadias - Atypical genital appearance 1 - Atypical genital appearance 2 - Partial labial adhesion in a prepubertal female - Sexual maturity rating of breast. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. In various areas the raphe takes. Green leafy vegetables are good. anal herpes 2. Panel (A), including a longitudinal course of the penile urethra (UR), displays the most anterior side of photos. The perineal raphe is visible. Read below for more information on causes and. 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). Noun [ edit] perineal raphe (plural perineal raphae) ( anatomy) The visible line that extends from the anus, through the mid-line of the scrotum and upwards through the posterior mid-line aspect of the penis. The perineal muscles can be palpated, and tested for voluntary and reflex contraction. The abscess may form after surgery or after delivery of a baby. a rare congenital abnormality of failure of fusion of the perineal raphe and discussion. This means that the cause of the itch is not found. Perineal injury can occur and cause swelling and/or a lump between anus and scrotum. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o’clock in perianal region. Perianal region is an extremely rare location for these lesions. The body’s natural response is to form a scar where the tissues have torn. The proper term to use may depend on the context, situation, and cultural background of the speaker. 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. Urology 38 years experience. Not on my testicles but the last bit near the anus and about a couple centimeters up. The perineum is surrounded by several nerve endings. 1. General causes. The raphe joins the internal. 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. The lesions spread along the perineal raphe and had a cordlike appearance. a very prominent midline perineal raphe extending from the site of the anal orifice to the scrotum [10]. If it was itching, I wouldnt ask in a bodymod subreddit. The site of the median septum is apparent on the surface of the scrotum along a median longitudinal ridge called the scrotal raphe. Currently, CPG can be divided into two types based on the morphology of perineum, complete and partial (2,3, 8). General causes. See a doctor: By far the main cause of penile sores is herpes, especially when several sores or blisters appear at once. "i think i have a median raphe cyst. Difficult. [2],[3],[4],[7],[8],[9] In particular, chronic pain may be. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. this nonepithelized mucous membrane can pose the risk of local irritation and infection, urinary tract infection. 2 Other symptoms include localized pain, chronic seepage, and excessive moisture. A lump can also result. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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. Median raphe cysts are cysts that develop on the median line in the male genital region in any area from the anus to the external meatus. I have been experiencing a little bit of disturbing kinda pain in perineal raphe of mine and i was thinking that it might be the pain because of the tangling of pubic hairs out there. Median raphe cysts usually appear before 30 years of age. In women, the perineum includes the vaginal opening. I can hold it well with two fingers when pressed hard . Download FREE Practo app. [1] The penile. Anatomy Name: The Intertrochanteric Line. Both cysts and abscesses can cause. Certainly sounds that is need. [1]Lacerations on the perineum, cervix, vagina, and vulva can occur spontaneously or iatrogenically, as with an episiotomy. vulva, labia and clitoris in women. I have a discoloration rash which a doctor has diagnosed as. This means that the cause of the itch is not found. Outlook The perineum is the area between the genitals and the anus. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just. Perineum pain: Causes, treatments, and when to see a doctor. Although the incidence and pathogenesis of perineal groove is unknown, there is a clear female predominance. It is completely common and normal physiological tissue line. 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. In addition, skin conditions like eczema and scabies can cause a red scrotum. The most common early complications were skin irritation (12%), pain associated with poor stoma location (7%) and partial necrosis (5%). As we have explored, it serves as a reminder of how all. Ultrasound confirmed the diagnosis of ectopic testicle. A short contracted raphe was detected in 6 cases (10%) with an overall incidence of 0. scrotum and penis in men. This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of the penis. Perineal trauma, also known as vaginal tears, is a very typical and expected side effect of vaginal delivery. Scrotal raphe is a slightly elevated ridge of tissue running from the base of the penis to the midline of the perineum. Perineal groove is a rare benign congenital anomaly with lesion that resembles perforation of mid-perineum or perineal raphe area. Using a throwaway account cause this is personal. The pelvic floor is primarily made up of thick skeletal muscles along with nearby ligaments and their investing fascia. 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). It is a local problem in that chronic worry, anxiety and nervous arousal in certain individuals results in the local pain and dysfunction of the pelvic muscles. Discussion. Synonyms: Pubovisceral muscle, Musculus pubovisceralis. 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 perineum is the region between the thighs that includes the space between the genitals and anus. Created for people with ongoing healthcare needs but benefits. They may happen after hemorrhoids heal or cleaning that area too. Perineal groove is a sulcus of mucosal tissue with clearly defined margins that can be found in the midline anywhere between the vagina and anus in girls, and rarely. 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). Image acquired using minimal zoom on a surgical, digital camera. Read below for more information on causes and treatment options. Perineal groove is a rare anoperineal congenital malformation disease that usually affects newborn females. bowel incontinence. 17. Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. They can be found from the distal penis and scrotum to the perineum in a. Perineal wounds can also occur following Fournier's gangrene, hideradenitis suppurativa, or in chronically bed ridden patients where pressure sores can extend into the perineal region. The vulva may appear pale or pink, sometimes with a white lacy pattern. The causes and management of perineal sinus are reviewed. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Redundant vaginal mucosa is excised, and the levator ani muscles are approximated. The perineal body is continuous with the perineal raphe in the scrotal skin. Its been here since 2-3 years. Go to: Median raphe cyst is an uncommon anomaly that can develop at any location over the midline of the external genital region from the anus to the scrotum and perineum. occasionally the inner labia. Hi i am 28 years old uncircumcised male. 1/4. Untreated lichen sclerosus can also increase your chances of developing a type of skin cancer ( penile cancer and vulvar. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). Because of the rarity, exact incidence cannot be calculated. 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. Created for people. 7. In males, it contains male external genitalia and the perineal muscles. Perineal pain occurs adjacent to the anus. With the many pains of pregnancy finally over, you are ready to focus on your baby and regain some sort of composure. 2. Same-day virtual video appointments and in-person appointments are available. 1. Penile raphe. The diamond shaped perineum is divided into two triangles, the urogential triangle anteriorly and the anal triangle posteriorly. 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. Do this as long as you have pain. It is found in the perineal median raphe, which is located in the center and anterior to the anus. Bulbocavernosus, superficial transverse perineal and external anal sphincter muscles also converge on the central tendon. 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. Here are some of the most common symptoms of a perineum cut. The perineal raphe is a visible line or ridge of tissue on the male human body that extends from the anus through theperineum. 16. Adding vegetables and fiber, such as is found in a high fiber cereal like All-Bran or Fiber One or. This is a less invasive procedure and is more often used when treating injuries to the testicles. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. Patient Care . REPORT OF A CASE An American of Bohemian ancestry, aged 23, was first seen on Feb. 2 mm (C–D, D–E), and 0. Perineal Soreness. Learn how to say Perineal with EmmaSaying free pronunciation tutorials. Hematoxylin and eosin staining. They develop when tissue becomes trapped near the median raphe nerve in your penis. Background. Excision is the treatment of choice with minimal chance of recurrence. A perineal abscess is an infection that causes a painful lump in the perineum. 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. I am a young (20 yrs) female and I have a question about the perineal raphe. The constrictor pharynges appear to carry this midline posterior raphe after birth (Jin et al. 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. If you have pudendal neuralgia, this nerve is injured or compressed and causes stabbing, burning or shooting pain. General causes, gynecologic causes, and abdominal causes. 1 They outlined the embryologic fusion as a major pathogenetic mechanism, the benign course of the abnormality, and proposed complete surgical excision to avoid recurrence. Recent Findings The Davydov peritoneal vaginoplasty has its origins in neovaginal reconstruction for vaginal agenesis. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. General. When the area is numb, your OB/GYN may then use a. Radical orchidectomy: Also known as a radical inguinal orchiectomy, this is a more. The incision is extended through the paired retractor penis muscles, the bulbospongiousus muscle, the corpus spongiosum penis, and urethral mucosa overlying the stallion catheter. The bulbospongiosus has no raphe at midterm, despite the perineal raphe that is established. Hence, 41 patients were included in the study with 22 girls and 19 boys. This is especially true for people who have IBD, and in particular, Crohn's. 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). Anatomy and function of the scrotum. 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. . Use a sitz bath to relieve any pain, itching, or swelling in the perineum area. My perineum raphe is irritated and itchy, not at the rectal. A: The symphysis pubis is the joint where the two pubic bones attach, dead center of the perineum. Oh, noticed a little bit of acne where there. Median raphe cysts are supposed to be formed during the fusion of the urethral. 5 month (range, 0. New or worsening stomach 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. Bayne et al reported the clinical presentation of the uncommon entity of a median raphe cyst of the perineum. - Answered by a verified Doctor. Testis. Sometimes men write to ISNA, saying that they have a line down the underside of their penis, all the way to the anus, and they wonder if this is evidence of some sort of intersex condition. They are thought to represent either abnormal closing of the median raphe or abnormal separation of the uretheral epithelium during development. Once the correct diagnosis is established, treatment is usually straightforward. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. Irritating, itchy, inflammatory bumps/fluffiness. 143 yrs old Male asked about Left perineal pain since last 5 days, 5 doctors answered this and 201 people found it useful. Read the full text or download the PDF: Median raphe cysts are a rare, congenital entity. 4 years ago. What is the perineum and why is it important? In males, the perineum lies just. 1. This is called ‘idiopathic pruritus ani’ which means ‘itchy anus of unknown cause’. 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. Kegel Exercises. i'm getting intermittent scabbing/bumps on what i believe is called the perineal raphe. Perineal raphe bumps/fluffiness. The urogenital triangle differs between males and females. Press down towards the anus and the sides of your vaginal wall. there was a lil piece of the raphe hanging, as ive read in forums people say that the skin hanging will just fall off. Postpartum Perineal Care Facts. . Do this as long as you have pain. 1 – 3, 5. If you have concerns, seek examination by Physician or Dentist. The crease between the thigh and groin is known by several different names. Perineal groove is generally a wet sulcus lesion extending from the posterior vaginal fourchette to the anterior anus []. But then I saw a thick line going from my anus to scrotum (perhaps a nerve) which has a burning. The cyst may occur anywhere along the midline from glans to anus. The attachments of bulbospongiosus are different among males and females. But in 70% of calls to a specialist, the main formulation of the diagnosis with such symptoms is "idiopathic itch of the anus". So I decided to take a look down there and I am not sure what I am looking at. He had had a slight split in the median raphe of the prepuce since childhood. compared with his twin's perineal raphe and, whereas the raphe in the affected twin was of the calibre of the lead in a pencil, thatof the unaffected was of the calibre of a hog's bristle. Even intense itching, if left alone, will subside after 5-10 minutes. The raphe joins the internal. Abstract. Common sites are midline of the ventral aspect of the urethra, glans, penile shaft (Fig. Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions. Only 1 dog required veterinary intervention with relation to swelling/irritation around the surgical site in the form of a sterile saline. 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. Incising the urethral mucosa may be. Irritation to these nerves from pathologic and biomechanical forces may predispose to dyspareunia. The perineal. We aimed to evaluate the subjective. 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. . 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 diagnoses of infantile pyramidal protrusion and irritant diaper dermatitis were made, both. Scrotal Raphe. perineal翻译：会阴部的。了解更多。The penile raphe is a thin strip of tissue that runs along the underside of the penis, from the tip of the glans down to the perineum (the area between the scrotum and anus). Symptoms. The perineum is an erogenous zone. It supports the viscera in the pelvic cavity, and surrounds the various structures that pass through it. Although the rate of perineal wound infections has been reduced with the aid of flaps,[6] several studies have reported that ELAPE may increase postoperative perineal morbidity such as chronic perineal pain, perineal wound infection, urinary retention, perineal herniation, and sexual dysfunction.