What causes median raphe cyst?
Median raphe cysts are supposed to be formed during the fusion of the urethral folds. Any trapped tissue outside the urethral groove may lead to anomalous outgrowths, thus resulting in the formation of cyst- or canal-like lesions in the median raphe of the genitalia.
What is a median raphe cyst?
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.[2] Median raphe cysts mostly present at birth and may remain asymptomatic or ignored during childhood. As the patient grows older, the cyst may also progress slowly.
How common is median raphe?
Conclusions. Median raphe cyst is an uncommon, mostly asymptomatic condition in young patients. The cyst may occur anywhere along the midline from glans to anus. The diagnosis is clinical with histological confirmation.
Where is the median raphe?
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. This uncommon cystic lesion was first described by Mermet in 1985.
Why is there a lump on my perineum?
Common causes in all sexes 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. A lump can also result from chronic injuries to the nerves, blood vessels, and skin from pressure caused by sitting for long periods of time.
How long do Smegma pearls last?
The location and age of onset help differentiate these from smegma pearls. Preputial cysts are located under the glans while prepucial Epstein pearls are located at the tip of the foreskin and fade by 1 week of life.
What is the line on your balls called?
1.2. There is a longitudinal line in the middle of the scrotum called the scrotal raphe. Left and right genital eminences fuse at the scrotal raphe which links forward to the penile raphe at the root of the penis and backward to the perineal raphe.
Why is raphe crooked?
Chordee is a birth defect in boys in which the penis is bent during an erection, which even infants can experience. Males with chordee often have hypospadias, a condition where the opening of the urethra tube through which urine passes is located on the underside of the penis rather than at the tip.
Is perineal raphe common?
Median raphe cysts present anywhere between the external urethral meatus and the anus. The cysts can occur at parameatus, glans penis, penile shaft, scrotum, or perineum. Perianal region is an extremely rare location for these lesions.
What is the function of raphe nuclei?
The raphe nucleus is considered to be part of the reticular formation and is located in the brainstem. It is responsible for the release of serotonin to other parts of the brain. Selective serotonin reuptake inhibitor (SSRI) drugs, for example, are thought to act on the raphe nucleus.
What are raphe nuclei made of?
Although the raphe nuclei represent the largest collection of serotonin neurons in the brain, it should be noted that the raphe nuclei don’t only consist of serotonin neurons.
Will a perineum lump go away?
Most of the time, a perineum lump is harmless if it doesn’t come with any pain, swelling, or other unusual symptoms. See your doctor if you notice any abnormal symptoms or if your perineum lump is disrupting your life by making it hard to sit, go to the bathroom, or get by without pain and discomfort.
What’s the usual treatment for a median raphe cyst?
The usual treatment is complete surgical excision. We are presenting a case of a penile median raphe cyst which presented in a middle-aged adult. Alphones S, Phansalkar M, Manoharan P. Median raphe cyst of the penis: A startling diagnosis for the unaccustomed clinician.
How many cases of median raphe have been reported?
Although median raphe cysts of the penis have been widely reported the pathogenesis is obscure. We describe the microstructural detection of 3 cases of median raphe to study the true pathogenesis. Three patients presented to our clinic of plastic surgery complaining of abnormal shape of the penis or mass recurrence.
What to do with a cyst in the prepuce?
Excision followed by primary closure remains the treatment of choice and provides cosmetically acceptable results. When the cyst lies in the prepuce, circumcision can also be performed 75). A giant cyst hanging at the frenulum has been treated with excision and repair by frenuloplasty 76).