Schematic representation of the localization of the raphe nuclei in the
Know Your Brain: Raphe Nuclei
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PDF Penile Anomalies in Childhood
Penile Torsion and Wandering Raphe • Counterclockwise • Abnormal arrangement of penile shaft skin in development • Surgical repair if >40 degrees. Penile curvature − 0.6% incidence − 8.6% penile anomalies − Often associated with hypospadias − Can be initially noted in
Pediatric Hypospadias and Chordee Symptoms
Penile torsion isalso known as wandering raphe, is characterized by a counterclockwise rotation of the penis. It is sometimes called wandering raphe because the midline raphe of the penis wraps counterclockwise around the penis. When the raphe approaches 90 degrees, there may be penile torsion underneath the foreskin.
When to Avoid Newborn Circumcision
Similarly, penile torsion is sometimes found after circumcision. Most often the "median raphe", the normal line running up the middle of the underside of the penis, is twisted in these cases, alerting the practitioner to the possibility of a penile abnormality. Nevertheless, circumcision usually does not cause problems with the torsion repair.
Penile Torsion: Causes, Symptoms & Treatment
Penile torsion is when a baby's penis appears rotated or twisted. It almost always rotates to the left (counterclockwise). It happens when the skin and connective tissue of the penis don't form as expected while a fetus is developing in the uterus. It's a fairly common congenital (present at birth) condition.
Deviation of the penoscrotal median raphe: Is it a normal finding or
The raphe of the penis is a narrow, dark streak or ridge continuous posteriorly with the raphe of the scrotum and extending forward along the midline on the ventral surface of the penis. Our clinical observations have suggested that a high proportion of children with hypospadias have deviation of the penoscrotal raphe from the normal midline ...
Chordee
Chordee (congenital penile curvature) causes the penis to bend or twist, especially while it is erect. Chordee does not always have negative impacts during childhood but can inhibit sexual function later in adulthood. Doctors often recommend correcting chordee when your child is young, rather than waiting until later.
Urethral Anomalies
Penile torsion (wandering raphe) consists of a counterclockwise rotation of the penis. It may be referred to as "wandering raphe" because the midline raphe of the penis may wrap around the penis in a counterclockwise fashion. When the raphe approaches 90°, there may be penile torsion underneath the foreskin.
Penile raphe
Penile raphe. The penile raphe is a visible line or ridge of tissue that runs on the ventral (urethral) side of the human penis beginning from the base of the shaft and ending in the prepuce between the penile frenulum. [1] [2] The line is typically darker than the rest of the shaft skin, even though its shape and pigmentation may vary greatly ...
Congenital Penile Curvature (Chordee)
What are the signs and symptoms of Congenital Penile Curvature (Chordee)? Penile torsion - when the midline raphe (ridge typically located on the underside of the penis) wraps around the penis. Skin tethering - when skin is unusually tight around the penis. Webbed penis (penoscrotal fusion) - when the underside of the penis is fused with ...
Chordee: Definition, Repair
Chordee is a congenital condition (birth defect) resulting from abnormal development of the penis. In chordee, the penis usually curves downward. The urinary opening may be on the underside of the ...
Perineal raphe
The perineal raphe is a visible line or ridge of tissue on the body that extends from the anus through the perineum to the scrotum (male) or the vulva (female). 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 ...
Urethral Anomalies
This web page explains the embryology and anatomy of the urethra and its variants, such as hypospadias, meatus, and chordee. It does not mention wandering raphe, a rare condition of the urethral meatus that causes a ventral bent of the penis. The web page is relevant for patients with urethral anomalies and their imaging.
Genitourinary
Another clue to a possible penile torsion is the rotated appearance of the median raphe. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. Here, the raphe starts in the midline at the scrotum, but then winds around the shaft to the left and ends up on the left side at tip.
Median Genital Raphe Anomalies
Genital Median Raphe (GMR) is a result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and penis close toward the midline and fuse, to form this line which represents the superficial effects of the midline fusion of ectoderm along these areas, as development progresses, the ectodermal edges of the urethral groove begin to fuse to ...
Scrotal Median Raphe Anomalies
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.This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of ...
Fellow's Corner: Referral for Newborn Circumcision: What to Know
The ventral median raphe often wanders and usually does not preclude a newborn circumcision. Penile concealment is typically caused by a paucity of penile shaft skin, poor fixation of skin at the base of the penis, or an excess of suprapubic adipose tissue making the penis appear "buried." These boys can be at high risk of scarring ...
Isolated penile torsion in newborns
Penile torsion is a congenital rotational defect of the penile shaft on the longitudinal axis and the shaft is rotated in a counterclockwise direction in most cases. In the present series, most rotations were also counterclockwise with a left spiral raphe. The median raphe spirals obliquely around the shaft and creates a cosmetic defect.
Median raphe cyst: A clinically challenging diagnosis
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. 1 Only a couple hundred case reports of median raphe cysts have been published in the English literature ...
The spectrum of genital median raphe anomalies among ...
Raphe deviation (8 cases, 14%) is associated with other anomalies, mainly hypospadias (4 cases), and in these cases the deviation is more commonly to the right side (3/4). In an epidemiological study done by Nelson et al. in the United States on the incidence of hypospadias among children, an overall incidence of 8.3/1000 was found [9]. So, the ...
Median raphe cyst of the penis
Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. A differential diagnosis must be made from other penile ...
Penile Torsion (Rotation or Curvature of the Penis)
What is Penile Torsion? Penile torsion refers to the rotation of the penis or corkscrew-like appearance of the penis.Penile curvature may be a manifestation of penile torsion.. Typically, the head of the penis or the glans of the penis is rotated relative to the shaft of the penis.This rotation is usually lifelong and has been present since birth.Often, penile torsion is not noticed until the ...
The spectrum of genital median raphe anomalies among infants undergoing
Genital median raphe anomalies may not be so rare as thought, as they were present in about 2% of the examined neonates with a wide spectrum of variability, and they could hide an associated serious genitourinary anomaly. Any infant with an abnormal genital median raphe should be investigated to detect such anomalies, and neonatal circumcision ...
The spectrum of genital median raphe anomalies among infants ...
Objective: To evaluate the extent of genital median raphe (GMR) anomalies and their relation to other genitourinary anomalies, as well as the impact on performing ritual circumcision. Patients and methods: This prospective study was designed to collect data from neonates coming for ritual circumcision in order to detect any associated congenital anomalies in their genitalia, particularly in ...
IMAGES
VIDEO
COMMENTS
Penile Torsion and Wandering Raphe • Counterclockwise • Abnormal arrangement of penile shaft skin in development • Surgical repair if >40 degrees. Penile curvature − 0.6% incidence − 8.6% penile anomalies − Often associated with hypospadias − Can be initially noted in
Penile torsion isalso known as wandering raphe, is characterized by a counterclockwise rotation of the penis. It is sometimes called wandering raphe because the midline raphe of the penis wraps counterclockwise around the penis. When the raphe approaches 90 degrees, there may be penile torsion underneath the foreskin.
Similarly, penile torsion is sometimes found after circumcision. Most often the "median raphe", the normal line running up the middle of the underside of the penis, is twisted in these cases, alerting the practitioner to the possibility of a penile abnormality. Nevertheless, circumcision usually does not cause problems with the torsion repair.
Penile torsion is when a baby's penis appears rotated or twisted. It almost always rotates to the left (counterclockwise). It happens when the skin and connective tissue of the penis don't form as expected while a fetus is developing in the uterus. It's a fairly common congenital (present at birth) condition.
The raphe of the penis is a narrow, dark streak or ridge continuous posteriorly with the raphe of the scrotum and extending forward along the midline on the ventral surface of the penis. Our clinical observations have suggested that a high proportion of children with hypospadias have deviation of the penoscrotal raphe from the normal midline ...
Chordee (congenital penile curvature) causes the penis to bend or twist, especially while it is erect. Chordee does not always have negative impacts during childhood but can inhibit sexual function later in adulthood. Doctors often recommend correcting chordee when your child is young, rather than waiting until later.
Penile torsion (wandering raphe) consists of a counterclockwise rotation of the penis. It may be referred to as "wandering raphe" because the midline raphe of the penis may wrap around the penis in a counterclockwise fashion. When the raphe approaches 90°, there may be penile torsion underneath the foreskin.
Penile raphe. The penile raphe is a visible line or ridge of tissue that runs on the ventral (urethral) side of the human penis beginning from the base of the shaft and ending in the prepuce between the penile frenulum. [1] [2] The line is typically darker than the rest of the shaft skin, even though its shape and pigmentation may vary greatly ...
What are the signs and symptoms of Congenital Penile Curvature (Chordee)? Penile torsion - when the midline raphe (ridge typically located on the underside of the penis) wraps around the penis. Skin tethering - when skin is unusually tight around the penis. Webbed penis (penoscrotal fusion) - when the underside of the penis is fused with ...
Chordee is a congenital condition (birth defect) resulting from abnormal development of the penis. In chordee, the penis usually curves downward. The urinary opening may be on the underside of the ...
The perineal raphe is a visible line or ridge of tissue on the body that extends from the anus through the perineum to the scrotum (male) or the vulva (female). 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 ...
This web page explains the embryology and anatomy of the urethra and its variants, such as hypospadias, meatus, and chordee. It does not mention wandering raphe, a rare condition of the urethral meatus that causes a ventral bent of the penis. The web page is relevant for patients with urethral anomalies and their imaging.
Another clue to a possible penile torsion is the rotated appearance of the median raphe. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. Here, the raphe starts in the midline at the scrotum, but then winds around the shaft to the left and ends up on the left side at tip.
Genital Median Raphe (GMR) is a result of a fetal developmental phenomenon whereby the scrotum (the developmental equivalent of the labia in females) and penis close toward the midline and fuse, to form this line which represents the superficial effects of the midline fusion of ectoderm along these areas, as development progresses, the ectodermal edges of the urethral groove begin to fuse to ...
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.This line starts just anterior to the anus and extends through the scrotum, continuing on the ventral surface of ...
The ventral median raphe often wanders and usually does not preclude a newborn circumcision. Penile concealment is typically caused by a paucity of penile shaft skin, poor fixation of skin at the base of the penis, or an excess of suprapubic adipose tissue making the penis appear "buried." These boys can be at high risk of scarring ...
Penile torsion is a congenital rotational defect of the penile shaft on the longitudinal axis and the shaft is rotated in a counterclockwise direction in most cases. In the present series, most rotations were also counterclockwise with a left spiral raphe. The median raphe spirals obliquely around the shaft and creates a cosmetic defect.
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. 1 Only a couple hundred case reports of median raphe cysts have been published in the English literature ...
Raphe deviation (8 cases, 14%) is associated with other anomalies, mainly hypospadias (4 cases), and in these cases the deviation is more commonly to the right side (3/4). In an epidemiological study done by Nelson et al. in the United States on the incidence of hypospadias among children, an overall incidence of 8.3/1000 was found [9]. So, the ...
Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. A differential diagnosis must be made from other penile ...
What is Penile Torsion? Penile torsion refers to the rotation of the penis or corkscrew-like appearance of the penis.Penile curvature may be a manifestation of penile torsion.. Typically, the head of the penis or the glans of the penis is rotated relative to the shaft of the penis.This rotation is usually lifelong and has been present since birth.Often, penile torsion is not noticed until the ...
Genital median raphe anomalies may not be so rare as thought, as they were present in about 2% of the examined neonates with a wide spectrum of variability, and they could hide an associated serious genitourinary anomaly. Any infant with an abnormal genital median raphe should be investigated to detect such anomalies, and neonatal circumcision ...
Objective: To evaluate the extent of genital median raphe (GMR) anomalies and their relation to other genitourinary anomalies, as well as the impact on performing ritual circumcision. Patients and methods: This prospective study was designed to collect data from neonates coming for ritual circumcision in order to detect any associated congenital anomalies in their genitalia, particularly in ...