Genital lymphedema is a buildup of fluid causing swelling in the soft tissues of the genital (crotch) area. The management of an intrascrotal abscess, regardless of the cause, requires surgical drainage (see image below). Minor cuts or scrapes heal quickly. Anatomy A seamlike line or ridge between two similar parts of a. In mid 2014 i had HIV, herpes, vdrl & tsh test and all tests. The perineum pain between the genitals and anus can be commonly caused by anal fissures. It consists of two symmetrical parts, united along the median line by a tendinous perineal raphe. The clinical picture did not fit that of an abscess. The 2024 edition of ICD-10-CM N81. It was a long and narrow tumefaction developed strictly on the midline on the median. compresses the vestibular bulb and constricts the vaginal orifice. [5] [6] [7] At New York Urology Specialists, we offer same-day treatment for perineal pain . Main page; Contents; Current events; Random article; About Wikipedia; Contact us; DonateTypes of Genital Injuries in Females. 81 became effective on October 1, 2023. I would be more concerned with a perianal abscess or fistulo in ano or some other infection or inflammatory process. 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 septum. The canals are l. Jean E. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. Rinsing the area with warm water after you use the bathroom. The clinical picture did not fit that of an abscess. Wrap this in a flannel or towel to avoid ice-burn, which can be painful. net dictionary. It is unknown to many clinicians, which usually leads to misdiagnosis. It is found in both males and females, and arises from the fusion of the urogenital folds. scrotal raphe. We present a case and review the literature in respect to a 35-year-old man with a non-visible, painless midline. Figure 1 Image of patient's perineum. Perineocele. Sore or itchy perineum. In males, it contains male external genitalia and the perineal muscles. Skeletal Radiol. Unnecessarily excessive or hard wiping will cause trauma. in diameter (fig. Share. 225 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Dr. This is the American ICD-10-CM version of N81. 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] 。. 3 ). Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). Minor cuts or scrapes heal quickly. Abstract: Median raphe cysts occur as a developmental anomaly along the midline male perineum, A perineal median raphe cyst arising in a 3‐year‐old boy was successfully. Read below for more information on causes and treatment options. Foster Carr answered. Perineal nodular swelling in a recreational cyclist: diagnosis and discussion. Cross section of male abdomen with pelvic diaphragm, Prostate, bladder, rectum, pubic bone, urethra, anus, and coccyx. 215 became effective on October 1, 2023. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. In a new article, our colleagues from IFLScience have put forward a anatomical feature unknown: the perineal raphe. The perineum is the area between the scrotum and the anus in a man. The most common symptom of mycotic infection of the perianal and perineal regions is pruritus. CAP recommended no further sexual assault or medical work-up and no treatment. A 32-year-old male asked: If the area looks red and swollen or there is a painful cyst on the perineum, this may be a sign of infection. Satisfied Customers. The penis should be returned to the sheath and kept in place by means of a sling support or purse string suture in the prepuce. My symptoms started on may 6th, I have frequent urination, pain swollen feeling between my scrotum and rectum, sore lower back, pain in the t. Some yeast infection discharges can be very itchy, causing endless discomfort. Cysts of the genito-perineal raphe: a study of 160. Microscopically, there is epidermal acanthosis, marked edema, and mild inflammatory. compresses the vestibular bulb and constricts the vaginal orifice. The exposed bowel loops were a sequestered. Minor injuries can cause lots of bleeding because of the rich blood supply. ReplyA 44-year-old male presented with a painless swelling in the perineum which became more prominent with penile erections. bulbospongiosus, in male. It is an extension of the perineal raphe, a line of tissue that extends. The term raphe designates a line on the surface of a fabric, and resembling a seam or a suture. Warm compresses and. Wear loose cotton underwear and keep the area clean and dry. bulbospongiosus, in male. It's around 1cm in diameter, was purple (now more pink), and right next to my anus. 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. Six cases are reported: five with canals or cysts of the genito-perineal raphe, one with a periurethral cyst. A perineal fistula is a type of anorectal malformation (ARM) that involves a misplaced anal passage that is often narrowed. Summary. The 2024 edition of ICD-10-CM L02. The burning sensation lessens as each day passes, usually burns now only when I pee in the morning. After pressing skin I can feel hard jelly like mass . 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. Following the definitive diagnosis of failure of midline fusion, urology recommended a CT of the abdomen and pelvis to evaluate for additional. So, two days ago I noticed a little lump near my anus while showering. Difficulty getting an erection. the caudal end of the left and right urethral folds fuse to form the urethral raphe. They are the result of a burst blood vessel in that area. The raphe has three anatomical sections: the penile raphe, scrotal raphe, and perineal raphe. My perineum raphe is inflamed and swollen. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The raphe has three anatomical sections: the penile raphe, scrotal raphe, and perineal raphe. 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. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. 會陰. Turnquist, Nancy Minugh-Purvis, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 1, 2012 Overview of Perineum. Inspection of the genital region should follow a focused general. Thomas suggests holding a simple, external vibrator—such as a bullet vibrator or a wand—against your perineum. This was associated with the occurrence of a webbed penis with deficient ventralThe perineal raphe is conti nuous with and takes a direction same as the penile UR. skeletal muscle. James Schumacher, in Equine Surgery (Fourth Edition), 2012. 1. Median raphe cysts usually occur in low-type anorectal malformations and suggest the location of the fistula . 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 consists of the genital fold. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. In human mid-term fetuses, a future scrotum was difficult to identify because of no descent of testis . 8. Its purpose is to help support your reproductive organs and pelvic floor muscles. My perineum raphe is inflamed and swollen. Perineal groove is a rare congenital midline malformation of the perineal 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. The perineum is the region between the thighs that includes the space between the genitals and anus. Perineal Injury. I was checked for being intersexed before and they found nothing. 2. Bruise. Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. Read More. anal pain or itching. Perianal hematomas are effectively swollen bruises under the surface of the skin near the opening of the anus. ”A case of median raphe cyst in the perineum presenting as a perianal polyp in a 65-year-old, English white male with exceptionally rare ciliated epithelium is reported. An infected median raphe cyst was suspected, and the patient. I have a discoloration rash which a doctor has diagnosed as. They heal quickly. In our study we treated a case with a large congenital scrotal sinus by total surgical excision. One person on Reddit succinctly (but not completely accurately) described it as “where our vaginas would be had you been born a girl instead of a guy. The term "IPPP" was introduced in the medical literature within the past 10 years. In a woman, it's the area between the vulva and the anus. 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. Perineal raphe: everything on this line that divides the scrotum in two. Most. You may notice pieces of the stitches on your sanitary pad or on the toilet. . Even when I touched it, it wasn't so much pain as it. In women, the perineum is the space between the vaginal opening and anus. This is the visible line or ridge on the underside of the penis that runs from the scrotum to the tip of the penis. Here we present a 50-year-old male patient who presented with a cystic, fluctuant lesion, located at 12 o. The tourniquet may need to be re-applied as the swelling is reduced. The keywords used were levator ani muscle, rhabdosphincter, urethra, perineal membrane, smooth muscles, elastic fibers, continence, and pelvic floor anatomy. Urinalysis should always be performed, but scrotal imaging is necessary only when the diagnosis remains unclear. also rha·phe n. 2. Fournier gangrene (necrotizing fasciitis) requires prompt resuscitation and surgical. Anus to genital line: The area of the body between the anus and the scrotum or vagina. 6 7 14 Given that the perineal. A midline draining sinus tract was noted in the scrotal-perineal area. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. He had been actively cycling for 20 years, riding an average. and I'm just wondering if I'm being paranoid over nothing or if I really should get this checked out. 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. This line starts just anterior to the anus and extends. The perineum is the anatomic area between the urethra, the tube that carries urine from the bladder, and the anus. Cancel anytime. Introduction. Same-day virtual video appointments and in-person appointments are available. Anogenital skin is highly sensitive to soaps, perfumes, clothing, and superficial trauma and it is more prone to itchy dermatoses as a result of warmth, friction, lack of. They can be found all the way from the distal penis and scrotum toward the perineum in a midline. 1. RF 2GHKC77 – A doctor in a medical glove holds on to the groin area of a. In males, it is wrapped around the bulb of penis and corpus. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. board-certified doctor by text or video anytime, anywhere. ”. Always in the exact same place. 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 Central Tendinous Point of the Perineum. Doctor's Assistant: How long have you been dealing with this? Does anything in particular seem to make the itch. The testes, epididymides, and spermatic cords should be palpated for swelling and tenderness. If you have concerns, seek examination by Physician or Dentist. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. 1 It is divided on the midline by the scrotal raphe, which is continuous with the raphe of the prepuce, penis, and. They are the result of a burst blood vessel in that area. Product. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. Mistreatment with over the counter Steroid containing creams like fourderm, panderm. This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of the penis; it is usually darker in color. Although usually asymptomatic, secondary infection may produce swelling, tenderness and a purulent discharge. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. Median raphe cyst and canal is a rare anomaly that usually appears as a cystlike or canallike lesion on the ventral aspect of the penis but may occur anywhere from the urethral meatus to the anus. It is found in both males and females, and arises from the fusion of the urogenital folds. 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). The perineal raphe joins the anal verge (opening of the anus), to the posterior end of the urogenital fold. Some of these are overlooked in the delivery room if meconium is passing and the physician does not look closely at the. 1), although cyst enlargement was present at either extremity. A perineum cut is back again! Vulvitis is common and can result from an allergic reaction, an infection or an injury. Perineal nodular induration (PNI), or biker’s nodule, is a rare, bothersome, pseudotumour. [2–5] About 25-45% of these patients can develop serious complications. Dr. Pelvic floor massage therapy helps manage long-term pain. Suprapubic pain in women. 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. central tendinous point and the midline raphe on the bulb of the penis. Caring for the perineum. There are two (males) or three (females) openings that. Your perineum is the space between your anus and vagina. In botany and planktology it is commonly used when describing a seam or ridge on diatoms or seeds . This condition is noticeably very different from swollen perineum, and you will know right away if you are experiencing. Two anomalies that occur in the median raphe are: (1) cyst, which may be lined by stratified squamous or pseudostratified columnar epithelium; and (2. 1-3 The diagnosis can be made in early infancy through the preschool and early school years. A4 -year-old boy presented at our institution with an anomaly of the perineal median raphe. Then work up to whatever intensity that feels. , the Sphincter ani externus, the Bulbocavernosus, the two Transversi perinæi superficiales, and the. The purpose of the median septum is to compartmentalize each testis in order to prevent friction or trauma. Freeman, A. An infected median raphe cyst was. The area may look red and feel painful and be swollen. It would be most prudent for you. Swollen red foreskin My Foreskin is red, puffy, itchy, slightly crusty, and HURTS Dry. the right testicle was absent from the scrotum, but a mass was appreciated over the perineum. On physical examination, there was a firm, nontender, nonpulsatile, irreducible, noncompressible mass in the anterior perineal area, on the left of the median raphe. Simple orchidectomy: Known as a subinguinal orchiectomy, this type of procedure allows the surgeon to access the testicle through a cut in the scrotum. At night the irch… Nov 13, 2009 · My perineum raphe is inflamed and swollen. The pudendal nerve supplies areas including the: lower buttocks. What does gouch mean? Information and translations of gouch in the most comprehensive dictionary definitions resource on the web. 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. ICD-10-CM Coding Rules. in front of the latter. Specializes in Obstetrics and Gynecology. The diamond shaped perineum is divided into two triangles, the urogential triangle anteriorly and the anal triangle posteriorly. 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. &NA; Median raphe cysts are uncommon congenital lesions most often found on the penis or scrotum. These diseases are amenable to treatment. 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. An anal fissure is most common when a person has a dry, hard bowel movement. From conception until 7 weeks, fetuses have no sex difference—the genitals look fairly female. We present a case and review the literature in respect to a 35-year-old man with a non. Pressure at one extremity. Submitted: 2 years ago. Category: Medical. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. I’ve had my family doctor give me – Answered by. it is normal? 1 doctor answer • 3 doctors weighed in. 31,291 satisfied customers. Bruise. Indications. The tissue has been described as triangular, pyramidal, oval, tongue-shaped or leaf-shaped. It is the result of a fetal developmental phenomenon whereby the scrotum. Fragrances and preservatives, especially in wet wipes. Perineal raphe synonyms, Perineal raphe pronunciation, Perineal raphe translation, English dictionary definition of Perineal raphe. DISCUSSION. An anterior perianal lesion is described in a 62 yr old male and attention is drawn to this rarely described location and the unusually late presentation. Repeat the massage for 5-10 minutes total, taking breaks when you need to. 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. 6. 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. 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. Wear loose cotton underwear and keep the area clean and dry. The urogenital triangle differs between males and females. perineal a. Avoid a lot of skin care products, antiseptics are ok. Belly swelling; Vomiting; No stool within the first 48 hours; Stool coming out of the urethra; Types of anorectal malformations. The perineal lesion (Figure 1) was recognized by CAP as the congenital malformation failure of midline fusion. Cut. The abscess may form after surgery or after delivery of a baby. It would be most prudent for you to. Median raphe cyst is usually benign and asymptomatic male genitalia lesions. Let’s start with the male external genitalia, which includes the membranous - or intermediate - urethra, the. In addition, skin conditions like eczema and scabies can cause a red scrotum. In males, it is located between the anus and bulb of the penis. Median raphe cysts of the perineum are uncommon congenital lesions of the male genitalia. Functional Morphology. perineum. To report 2 cases of median raphe cysts, 1 in the penis and the other in the perineum. Gynecologic evaluation of the prepubertal child is approached by directing attention to the specific complaint, symptom, or question to be addressed [ 1 ]. 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. 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. 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!. Women. We perform scrotal surgery, penile procedures, varicocele and hydrocele repair, and circumcision. 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. The connecting ridge between the two halves of the medulla oblongata or the tegmentum of the midbrain. 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. 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. This physical finding is known as infantile perianal pyramidal protrusion (IPPP). vulva, labia and clitoris in women. Share this conversation. 1. Antipyretics-. deep branch of the perineal nerve (from pudendal nerve) perineal a. If I had a low circ it would look like yours does, cause that's just where my raphe is. 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. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. In animal anatomy it is used to describe a ridged union [2] of continuous. penile raphe. An abscess is a painful, swollen area with pus inside. In cases of perineal pain caused by perineum tear or episiotomy, regular sitz baths, numbing spray, and pain reliever drugs may provide temporary relief. The 2024 edition of ICD-10-CM L02. The cavity should be left open and packed. Articles concerning this topic were mainly case reports and an obvious female predominance was noticed (2, 3). Human anatomy 1. The perineum is the area between the anus and the vagina/penis. This structure continues through the midline of the scrotum (scrotal raphe) and upwards through the posterior midline aspect of the penis (penile raphe). Perianal region is an extremely rare location for these lesions. 2. 89 - other international versions of ICD-10 N48. A differential diagnosis must be. Having pre-existing HSV1 typically reduces symptoms of HSV2. After you’ve given birth, it’s common for the perineum to be sore. The term "IPPP" was introduced in the medical literature within the past 10 years. Anogenital pruritus is defined as intense itching, acute or chronic, affecting the anal, perianal, perineal and genital skin, which is a dominant problem in the course of various cutaneous and systemic conditions. N81. Such infection may cause cellulitis. 5 mm 2 to 28. 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 Dr. Discussion The urethral folds appear at the undifferentiated stage in the development of the external genitalia and they include the cloacal membrane. The perineum is divided into the anterior urogenital triangle and the posterior. 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. At this point, perineal raphe is formed. my cut has healed but the piece of raphe that was hanging curled up and looks like a pimple?. This page explains the raphe in detail: Q&A: What Is The Perineal Raphe? | Kinsey Confidential This post explains why it darkens: Quote Any birthmark or pigmented skin area will appear darker and more prominent if that area of skin becomes less stretched (for example, the dark line on a scrotum that has shrunk due to HRT, or an areola on a. It is the result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and. central tendinous point and the midline raphe on the bulb of the penis. Perineal Injury. ra·phae also rha·phae 1. perineal raphe. It seems aggravated by coffee and I often have diarrhea at the same time. 1. All the patients presented with an unusual lesion at the anus or perineum, but no symptoms related to this anomaly. skeletal muscle. Treatments include creams, ointments, medications and home remedies. Acute complications can occur in 25-60% cases. 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. 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. 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. It can be treated by taking four to six weeks of anti fungal treatment which includes tablets along with creams. Anatomy Pelvis and perineum Pelvic girdle and floor Homology of the male and female genitalia. Board Certified Physician. The genital area in girls is protected. Consult Now. The most observant and observant now know what it is. 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. The perineum of nonhuman primates differs from humans in both shape and function and shows considerable variation among species. 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. Irritating, water/air type, itchy, inflammatory bumps/fluffiness. ”. Median raphe cysts are a rare, congenital entity. 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. Another clue to a possible penile torsion is the rotated appearance of the median raphe. board-certified. . Low malformations in girls, as seen in Figure 2 B, often end in the posterior fourchette of the vagina. the two halves of which meet in a midline raphe deep. 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. SOC 2 Type 2 Certified. Red testicles can have associated symptoms of pain, itchiness, swelling, or dryness of the skin. 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. [ 2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. Gently, massage the area in up-down or circular motions. Press down towards the anus and the sides of your vaginal wall. A perineal abscess is an infection that causes a painful lump in the perineum. ___ is a sagittal ridge of skin in the perineum that extends between: o The anus and the vulva in females. What is. Show More. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. There are two. The raphe joins the internal. pl. Synonym(s): raphe perinei [TA]I see a raphe on my perineum,but not on scrotal skin. It does not hurt or itch, but it shouldn't be red. 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. This tear seems to come and go every few months or so. Subsequent histopathological examination confirmed a median raphe cyst. Created for people with ongoing healthcare needs but benefits everyone. The anal opening opens into the perineum, which is the place between the scrotum and anal sphincter. It is observed as a noticeable line. " Answered by Dr. Definition of gouch in the Definitions. It is found in the superficial perineal space (pouch), together with the ischiocavernosus and superficial transverse perineal muscles. 1-3 The diagnosis can be made in early infancy through the preschool and early school years.